Mark Eades - PowerPoint PPT Presentation

Loading...

PPT – Mark Eades PowerPoint presentation | free to download - id: 3c857f-OTI3M



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Mark Eades

Description:

Mark Eades Director of Sales SPORTS-O-ZONE SANITIZING SYSTEM Fox News, March 17, 2009 NEW YORK Roughly one in three stethoscopes carried by emergency medical ... – PowerPoint PPT presentation

Number of Views:32
Avg rating:3.0/5.0
Slides: 44
Provided by: sportsozo
Learn more at: http://sportsozone.com
Category:
Tags: eades | mark

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Mark Eades


1
Mark Eades Director of Sales
2
SPORTS-O-ZONESANITIZING SYSTEM
  • Staph Germs Harder than Ever to Treat, Studies
    Say
  • By Marilynn Marchione, Associated Press Writer ,
    Wed, Nov. 05 2008 0114 PM EST
  • WASHINGTON Drug-resistant staph bacteria picked
    up in ordinary community settings are
    increasingly acquiring "superbug" powers and
    causing far more serious illnesses than they have
    in the past, doctors reported Monday. These
    widespread germs used to be easier to treat than
    the dangerous forms of staph found in hospitals
    and nursing homes.
  • "Until recently we rarely thought of it as a
    problem among healthy people in the community,"
    said Dr. Rachel Gorwitz of the federal Centers
    for Disease Control and Prevention.
  • Now, the germs causing outbreaks in schools, on
    sports teams and in other social situations are
    posing a growing threat. A CDC study found that
    at least 10 percent of cases involving the most
    common community strain were able to evade the
    antibiotics typically used to treat them.
  • The conference is a joint meeting of the American
    Society for Microbiology and the Infectious
    Diseases Society of America.

3
SPORTS-O-ZONESANITIZING SYSTEM
  • What is staph?
  • Staphylococcus, or staph, is a group of
    infectious bacteria which can cause a variety of
    conditions ranging from skin rashes to abscesses.
  • Staph is actually an extremely common bacteria,
    living on the surface of all human skin, but it
    will take advantage of vulnerability in the skin
    to enter the body, causing infection and
    discomfort.
  • According to the Center for Disease Control (CDC)
    25 to 30 of humans have the staph bacterium on
    their skin or in their nose .

4
SPORTS-O-ZONESANITIZING SYSTEM
  • What is drug resistant staph?
  • Methicillin-resistant Staphylococcus aureus
    (MRSA) is a type of bacteria that is resistant to
    certain antibiotics. These antibiotics include
    methicillin and other more common antibiotics
    such as oxacillin, penicillin and amoxicillin.
    Staph infections, including MRSA, occur most
    frequently among persons in hospitals and
    healthcare facilities who have weakened immune
    systems. (CDC)

5
SPORTS-O-ZONESANITIZING SYSTEM
  • Who has MRSA?
  • Approximately 1 of the U.S. population (roughly
    2.3 million persons).
  • Serious MRSA infections occur in approximately
    94,000 persons each year and associated with
    approximately 19,000 deaths.
  • Of these infections, about 86 are
    healthcare-associated and 14 are
    community-associated.
  • Journal of the American Medical Association

6
SPORTS-O-ZONESANITIZING SYSTEM
  • What is the difference between Healthcare and
    Community MRSA?
  • Healthcare-Associated MRSA (HA-MRSA) occurs most
    frequently among persons in hospitals and
    healthcare facilities who have weakened immune
    systems.
  • Community-Associated MRSA (CA-MRSA) infections
    are not acquired by people through
    hospitalization or medical procedures. Typically
    these infections manifest themselves as pimples
    or boils, and occur in otherwise healthy people.

7
SPORTS-O-ZONESANITIZING SYSTEM
  • What are the risk groups for MRSA?
  • Athletes (1st group--wrestling, football, and
    rugby. 2nd group--soccer, basketball, field
    hockey, volleyball, rowing, martial arts,
    fencing, and baseball.)
  • Military recruits
  • Children
  • Pacific Islanders
  • Alaskan Natives
  • Native Americans
  • Men who have sex with men
  • Prisoners
  • Center for Disease Control

8
SPORTS-O-ZONESANITIZING SYSTEM
  • What factors are common to these risk groups?
  • Close skin-to-skin contact
  • Openings in the skin such as cuts or abrasions
  • Contaminated items and surfaces
  • Crowded living conditions
  • Poor hygiene
  • Center for Disease Control

9
SPORTS-O-ZONESANITIZING SYSTEM
  • How fast can MRSA attack?
  • Ricky Lannettis story demonstrates a healthy
    college athlete went from first symptom to death
    in 5 days.
  • In 2007, healthy Virginia student from symptom to
    death in 7 days.
  • 2 cases in California prisons went from first
    symptom to death in 3 days.
  • CA-MRSA can rapidly progress to blood stream,
    joints, and organs.

10
SPORTS-O-ZONESANITIZING SYSTEM
11
SPORTS-O-ZONESANITIZING SYSTEM
12
SPORTS-O-ZONESANITIZING SYSTEM
13
SPORTS-O-ZONESANITIZING SYSTEM
15 year old with a MRSA infection on right thigh,
Fall 2008
14
SPORTS-O-ZONESANITIZING SYSTEM
Removal of 15 yr old MRSA puss pocket, Fall 2008
15
SPORTS-O-ZONESANITIZING SYSTEM
15 yr old MRSA site drainage, Fall 2008
16
SPORTS-O-ZONESANITIZING SYSTEM
  • Cost of 15 year old MRSA Removal
  • Emergency Room 2,605.54
  • Doctor follow up 97.80
  • Total 2,703.34
  • Missing from total - antibiotics.

17
SPORTS-O-ZONESANITIZING SYSTEM
18
SPORTS-O-ZONESANITIZING SYSTEM
19
SPORTS-O-ZONESANITIZING SYSTEM
20
SPORTS-O-ZONESANITIZING SYSTEM
Fig. 1 Chronic MRSA periprosthetic total knee
sepsis. Courtesy of Richard P. Evans, MD
Athletic trainer-- from scratch on elbow to above
in 30 hrs. Close call on potential amputation.
21
SPORTS-O-ZONESANITIZING SYSTEM
Abscess Incision and Drainage
22
SPORTS-O-ZONESANITIZING SYSTEM
23
SPORTS-O-ZONESANITIZING SYSTEM
  • MRSA is often misdiagnosed as
  • Spider bite
  • Cellulites
  • Impetigo (blistering skin infection)
  • Harmless pimple
  • Most common treatment (the irony)
  • Antibiotics

24
SPORTS-O-ZONESANITIZING SYSTEM
  • Reason Resistant bugs exist
  • Antibiotic Overuse
  • When the Rams had their outbreak, the CDC found
    their level of antibiotic use at 10 times normal
  • Empiric (doing what weve always done) and
    prophylactic (preventive) use of antibiotics
    cited as a leading cause of MDROs (Multi Drug
    Resistant Organisms)

25
SPORTS-O-ZONESANITIZING SYSTEM
  • What does MRSA need to live?
  • Bacteria have the same needs as many other
    organisms.  They must obtain food (dried skin is
    one), break the food down, and protect themselves
    from their environment.
  • Ideally warmth, moisture, air (not always), and
    food (skin and nose).

26
SPORTS-O-ZONESANITIZING SYSTEM
  • What is the life span of MRSA?
  • 7 months on dust
  • 56 days on a mop head
  • 203 days on a blanket
  • 9 weeks on cotton

27
SPORTS-O-ZONESANITIZING SYSTEM
  • MRSA is much more likely to get worse than
    better
  • Antibiotic options are shrinking
  • Exposure increasing
  • Low-risk environments becoming scarce

28
SPORTS-O-ZONESANITIZING SYSTEM
  • Conflicting data from medical community?

29
SPORTS-O-ZONESANITIZING SYSTEM
  • 60 minutes, November 11, 2007
  • "Everyone agrees that this an epidemic. And not
    only is it an epidemic. But, it's an epidemic of
    our times. It's here in huge numbers," says Dr.
    Robert Daum, an infectious disease pediatrician
    at the University of Chicago Medical Center.

30
SPORTS-O-ZONESANITIZING SYSTEM
  • AP Washington, November 7, 2007
  • (AP) Drug-resistant staph infections that have
    made headlines in recent weeks come from what one
    of the nation's top doctors calls the cockroach
    of bacteria -- a bad germ that can lurk in lots
    of places, but not one that should trigger panic.
    This isn't something just floating around in
    the air, Dr. Julie Gerberding, head of the
    Centers for Disease Control and Prevention, told
    members of Congress on Wednesday. It takes
    close contact -- things like sharing towels and
    razors, or rolling on the wrestling mat or
    football field with open scrapes, or not
    bandaging cuts -- to become infected with the
    staph germ outside of a hospital, she said.
    Called MRSA, the staph germ is preventable
    largely by common sense hygiene, Gerberding
    stressed. Soap and water is the cheapest
    intervention we have, and it's one of the most
    effective, she told a hearing of the House
    Committee on Oversight and Government Reform.

31
SPORTS-O-ZONESANITIZING SYSTEM
  • Compliance rates of healthcare workers in hand
    hygiene are known to be around 50 1. Due to
    the overwhelming evidence of low compliance with
    hand hygiene, the risk from contaminated surfaces
    cannot be overlooked 2.

1 Kampf G, Kramer A Epidemiologic background
of hand hygiene and evaluation of the most
important agents for scrubs and rubs. Clinical
Microbiology Reviews 2004, 17863-893. 2
BioMed Central, Infectious Diseases, 2006
32
SPORTS-O-ZONESANITIZING SYSTEM
  • The BioMed Central (BMC) Journal, Infectious
    Diseases, 2006 references the persistence
    (ability to survive) of clinically relevant
    bacteria on inanimate surfaces (table, floor, bed
    rail, operating table, etc.) can vary in
    duration. The following were documented to
    survive on inanimate surfaces
  • Bordetella pertussis (whooping couch) up to five
    days
  • Chlamydia pneumoniae (community acquired
    pneumonia) up to 30 hours
  • Corynebacterium diphteriae (diphtheria) up to 6
    months
  • Escherichia coli (E. coli) up to 16 months
  • Pseudomonas aeruginosa (pneumonia) up to 16
    months and 5 weeks on a dry floor
  • Enterococcus spp., including VRE
    (vanocomycin-resistant) and VSE up to 4 months
  • Staphylococcus aureus, including MRSA
    (methicillin-resistant) up to 7 months.

33
SPORTS-O-ZONESANITIZING SYSTEM
  • A single hand contact with a contaminated
    surface results in a variable degree of pathogen
    transfer. Transmission to hands was most
    successful with Escherichia coli, Salmonella
    spp., Staphylococcus aureus (all 100), Candida
    albicans (90).Contaminated hands can transfer
    viruses to 5 more surfaces or 14 other subjects.
    Contaminated hands can also be the source of
    re-contaminating the surface.

BioMed Central (BMC) Journal, Infectious
Diseases, 2006
34
SPORTS-O-ZONESANITIZING SYSTEM
  • Fox News, March 17, 2009
  • NEW YORK    Roughly one in three stethoscopes
    carried by emergency medical service (EMS)
    providers harbor the superbug MRSA
    (methicillin-resistant Staphylococcus aureus), a
    small study carried out at one hospital shows.
  • The investigation checked 50 stethoscopes
    provided by EMS professionals in an emergency
    department.
  • Dr. Mark A. Merlin, from Robert Wood Johnson
    Medical School, New Brunswick, New Jersey, and
    colleagues found 16 stethoscopes were colonized
    with MRSA.
  • Sixteen of the EMS personnel could not remember
    the last time their stethoscope was cleaned,
    according to the report in the journal
    Prehospital Emergency Care. Typically, the time
    from last stethoscope cleaning to the test date
    was 1 to 7 days.
  • As might be expected, with more recent cleaning,
    the odds of MRSA colonization fell significantly.
  • "In most busy EMS systems, the concept of
    cleaning an entire ambulance after every patient
    is not practical," Merlin's team notes. "Cleaning
    a stethoscope, however, is not labor-intensive,
    does not require much time, and does not require
    any special equipment beyond currently stocked
    items."

35
SPORTS-O-ZONESANITIZING SYSTEM
  • What can be done against MRSA?
  • CDC recommendationsgtgt

36
SPORTS-O-ZONESANITIZING SYSTEM
  • Practice good personal hygiene
  • Keep your hands clean by washing frequently with
    soap and water or using an alcohol-based hand
    rub.
  • At a minimum, hands should be cleaned before and
    after playing sports and activities such as using
    shared weight-training equipment, when caring for
    wounds including changing bandages, and after
    using the toilet.
  • Both plain and antimicrobial soap are effective
    for hand washing, but liquid soap is preferred
    over bar soap in these settings to limit sharing.
  • If hands are not visibly dirty and sinks are not
    available for hand washing, for example, while on
    the field of play or in the weight-room,
    alcohol-based hand rubs and sanitizers can be
    used. Alcohol-based hand rubs with at least 60
    alcohol content are preferred.
  • Shower immediately after exercise. Do not share
    bar soap and towels.
  • Wash your uniform and clothing after each use.
    Follow the clothing label's instructions for
    washing and drying. Drying clothes completely in
    a dryer is preferred.

37
SPORTS-O-ZONESANITIZING SYSTEM
  • Take care of your skin
  • Wear protective clothing or gear designed to
    prevent skin abrasions or cuts.
  • Cover skin abrasions and cuts with clean dry
    bandages or other dressings recommended by your
    teams healthcare provider (e.g., athletic
    trainer, team doctor) until healed.
  • Follow your healthcare providers instructions
    for when and how often to change your bandages
    and dressings.
  • Do not share items that come into contact with
    your skin
  • Avoid sharing personal items such as towels and
    razors that contact your bare skin.
  • Do not share ointments that are applied by
    placing your hands into an open-container.
  • Use a barrier (such as clothing or a towel)
    between your skin and shared equipment like
    weight-training, sauna and steam-room benches.

38
SPORTS-O-ZONESANITIZING SYSTEM
  • Controlling the risk of MRSA (4 areas of
    concern)
  • Surfaces
  • Equipment
  • Laundry
  • Skin

39
SPORTS-O-ZONESANITIZING SYSTEM
  • Surfaces
  • Floors, furniture, walls, doorknobs, mats,
    tables, etc.
  • A good cleaner/disinfectant (i.e. KilZone) is
    recommended for these areas. Follow label
    directions.

40
SPORTS-O-ZONESANITIZING SYSTEM
  • Equipment
  • Helmets, shoulder pads, leg braces, shin guards,
    shoes, headgear, etc.
  • A solid equipment cleaning or sanitizing protocol
    (i.e. Riddells Staph Fighter and/or your own
    Sports-O-Zone Sanitizing System) is recommended
    in this area.

41
SPORTS-O-ZONESANITIZING SYSTEM
  • Laundry
  • Wash and Dry on HOT as recommended by clothing
    manufacturer.
  • All fabrics must be completely DRY when they are
    taken out of the dryer per CDC.
  • A solid detergent system along with a
    sanitizer/bacteriostatic/deodorizer (i.e.
    KilZone) is recommended in this area. Follow
    label directions.

42
SPORTS-O-ZONESANITIZING SYSTEM
  • Skin
  • The skin is the bodies layer of protection. If
    an opening occurs, MRSA can move in.
  • Using a good antibacterial soap (i.e. Hibiclens)
    is recommended in this area. Follow label
    directions.

43
www.sportsozone.com
About PowerShow.com