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If you would like a written or taped translation of this information please contact, Service Equality on 0116 258 4382. MRSA A booklet for patients and their relatives explaining about MRSA Haddaad rabto warqadan oo turjuman oo ku duuban cajalad ama qoraal ah fadlan la xiriir, Maamulaha Adeegga Sinaanta 0116 258 4382 Updated: April 2004 INTRODUCTION This leaflet has been written to explain MRSA to you and your relatives. You can contact an infection control nurse at the hospital Monday – Friday during office hours. If no one is in the office leave a message and they will return your call GLENFIELD HOSPITAL Infection Control Nurses WHAT IS MRSA? The full name for MRSA is Methicillin Resistant Staphylococcus aureus. 0116 256 3573 LEICESTER GENERAL HOSPITAL Infection Control Nurses 0116 258 4456 It is a germ/bacteria that usually lives harmlessly on many people’s skin and in their noses without causing any infection. However if it spreads to a wound or into the blood, it can cause an infection. LEICESTER ROYAL INFIRMARY Infection Control Nurses 0116 258 5448 It can live on people’s skin more easily if there is a rash, a cut or a sore. COMMUNITY HOSPITALS In some people who are unwell, especially if they have wounds or long courses of antibiotics to treat other infections, it can cause boils and wound infections If you would like to speak to an infection control nurse regarding MRSA in a community hospital please ring 0116 263 4416. If no one is in the office leave a message and they will return your call WHY IS MRSA IMPORTANT? Special care is taken with MRSA germs when they are found on patients in hospital because some antibiotics do not kill the germs. Therefore these germs are more difficult to treat if they do cause an infection. IS MRSA DANGEROUS? Some people who have MRSA have it in long standing wounds, eg pressure sores and leg ulcers, and although it is present, they usually do not suffer any ill effects from this germ. However, if MRSA occurs in a deep operation wound, this may cause an infection that needs treatment, with certain antibiotics. 1 6 FINALLY IS MRSA HARMFUL TO PREGNANCY? After reading this leaflet if you still have any worries or concerns about MRSA, please do not hesitate to ask your nurse, or ask to speak to an Infection Control Nurse. No. This leaflet has been prepared by the Infection Control Teams in Leicestershire. Should you wish to contact one of them, the telephone numbers are on the following page. It is often not clear where you contracted MRSA. The germ can be found in the community as well as in hospitals. HOW DID I GET MRSA AND WHERE FROM? HOW CAN YOU TELL WHO HAS MRSA? Patients who have MRSA do not feel or look any different. It can only be found by growing the germ from swabs or samples taken from you, (nose, skin, wound, sputum, urine). HOW DOES MRSA SPREAD? The germs can spread easily from one patient to another. They spread by sticking to the hands or clothes of staff or patients and are then passed to the next person they touch. To prevent this from happening you may have noticed that staff wash their hands more frequently. It would also help if you could also wash your hands when you leave the room/bed space as this will help to prevent the germ spreading. WHAT WILL HAPPEN TO ME NOW? Your doctor or nurse will discuss this with you. The infection control team will have advised those caring for you if you require nursing in a sideroom, or special measures around your bed space, to reduce the risk of spreading MRSA to others. The infection control team will also have advised the nurses caring for you if it is necessary to take samples from you to find out where the germ is present. 5 2 WHY IS IT NECESSARY FOR NURSES, DOCTORS, TO WEAR GLOVES AND APRONS? As MRSA can easily be passed from patient to patient, staff wear gloves and aprons to reduce the risk of the spread of MRSA. MAY I HAVE VISITORS? Yes. Your visitors do not need to wear disposable plastic aprons or gloves but all visitors should clean their hands when leaving the sideroom, or ward. They can wash their hands or clean their hands with alcohol hand rub. WILL MORE SAMPLES BE TAKEN? Your nurse may take more swabs or specimens from you to check if the MRSA germ is still present. WHAT HAPPENS WHEN I AM DISCHARGED HOME? Your nurse will provide you with a yellow card which lets people know that you have been identified as an MRSA patient. If you are being readmitted to hospital or coming to outpatients please bring this card with you, or tell the nurses and doctors you have had MRSA in the past. Your GP will have been informed by letter about your MRSA. If you have a District Nurse will you please let them know as well. If you are at all worried, please discuss your situation with the nurse looking after you. If you would like to talk to an Infection Control Nurse, please ask your nurse to arrange this. MRSA is not a problem to healthy people, there is no need for you to avoid contact with friends and family including babies or children. WHAT TREATMENT WILL I RECEIVE? WHAT HAPPENS TO ME IN THE FUTURE? You may be asked to use a liquid antiseptic soap for daily washes/showers/bath. Sometimes it is possible that the bacteria (germ) will appear again particularly if you are unwell and have needed more courses of antibiotics. Sometimes it re-appears for no apparent reason. Because of this, should you attend or be admitted to any hospital, please inform the staff that you have had MRSA • The antiseptic soap may cause skin irritation. To reduce this, you should wet your skin before applying, and ensure you rinse the antiseptic soap off well. In addition to the liquid antiseptic soap you may be asked to use an antibiotic ointment in your nose (as many germs live in the nose). • It may be necessary to nurse you in a single room or take special measures around your bedspace and for the staff to wear plastic aprons and disposable gloves. The antibiotic ointment is applied to each nostril, 3 times a day. To apply the ointment, place a small amount on to a cotton bud or your little finger and insert into each nostril. Then pinch the nostril. Always make sure you wash your hands after applying the ointment. 3 4