Methicillin-Resistant%20Staphylococcus%20aureus%20{MRSA}%20in%20the%20School%20Setting

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Methicillin-Resistant Staphylococcus aureus
MRSA in the School Setting

• Presented by T. Williams
• University of Central Florida

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• I have bugs
• You have bugs
• Community has bugs
• Schools have bugs
• Bugs, Bugs, Bugs Bugs!!!!

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Objectives

• After this learning experience, participants will
  be able to
• Define MRSA.
• Explain importance of covering wound in school
  setting.
• Demonstrate applying dressing during skills
  check-off.
• Describe three ways to prevent the spread of MRSA
  at school.
• Select any portion of learning experience and
  provide comments regarding that particular
  portion on the blog.
• Demonstrate appropriate hand washing technique.

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What is MRSA?

• Methicillin-resistant Staphylococcus aureus or
  MRSA
• Staph infection
• Resistant to certain antibiotics
• Can cause skin or other types of infections (CDC,
  2007).
• MRSA
• Hospitals for some time
• Recently emerged in community settings

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MRSA Podcast

• This is a podcast on MRSA that was done by the
  Centers for Disease Control (CDC).

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Signs and Symptoms

• Most MRSA in the community appear as a skin
  infection in the form of pustules or boils (CDC,
  2007).
• May be bump or area that may be
• Red
• Swollen
• Painful
• Warm to touch
• Pus or drainage
• Accompanied by fever

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(No Transcript)
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Spread of MRSA

• MRSA is spread
• Direct contact with a person who is infected
• Contact with personal items that have been on or
  touched infected skin
• The CDC identifies 5 factors (5 Cs) that make
  the spread of MRSA easier
• Crowding
• Contact (frequent skin-to-skin)
• Compromised (Skin)
• Contaminated (items and surfaces)
• Cleanliness (lack of)

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Spread in School

• Most children spend about 7 hours in a school 5
  days per week
• Increased crowding and contact which places them
  at risk for MRSA infection
• Sports
• Basketball, football, wrestling, etc.----contact
• Sports habits (i.e. sharing towels, razors,
  etc.)
• Student not to participate if open, oozing wound
  present

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MRSA in school

• Not student or parent diagnosed
• Diagnosis made by physician
• Once confirmed verify if any special orders for
  care at school
• Goal keep wound/infected area clean and dry
• Avoid anyone else having contact with infected
  area
• Area should be covered while at school
• No need for student to be excluded

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Applying Dressing

• See website below for detailed description of
  application of dry dressing
• http//www.ohiohealth.com/documents/orthopedics/L
  11_dry_dressing_change.pdf

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How to Prevent MRSA spread

• Keep wound covered while in school.
• Avoid close contact with wound or area around
  wound.
• Dont share personal items.
• After contact with wound, bandages, or area
  around wound
• Wash hands!

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Communication

• Key!
• Open communication
• Parents and students
• School
• Nurse and nursing supervisor
• Epidemiology (if necessary)

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Hand washing

• Use soap and warm water
• Wash vigorously for at least 20 seconds
• Wash all surfaces and nails
• Rinse
• Dry with clean paper towel
• Use paper towel to turn off faucet
• (Clean hands, CDC, 2008)

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Confidentiality

• Students information is confidential
• Not necessary to make announcement to entire
  school
• Teachers, faculty, administration notified on
  need-to-know basis

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Education

• Educate Students, parents, staff, faculty and
  administration on MRSA, spread, and prevention
• Use websites as resource for materials (get ok
  from supervisor before distribution)
• Encourage hand washing, good personal hygiene
  practices, not sharing personal items
• Encourage student to take full course of
  antibiotic

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MRSA in schools

• Please visit website
• More information on MRSA
• Copy of this presentation on website
• Blog also on website
• Recommended use --sharing of resources, helpful
  tips, etc.
• Comments on presentation
• CONFIDENTIALITY- BEWARE!

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MRSA

• Questions and Answers
• Open discussion

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References

• Clean hands save lives. (2008) Retrieved March
  18, 2009 from http//www.cdc.gov/cleanhands/
• Questions and Answers about Methicillin-Resistant
  Stpahylococcus aureus (MRSA) in Schools. (2007).
  Retrieved March 16, 2009, from www..cdc.gov/Featur
  es/MRSAinSchools/
• About MRSA. (2008). Retrieved March 16, 2009,
  from www.cdc.gov/mrsa/