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Infection Control Service MRSA Introduction This leaflet provides information about MRSA. MRSA is not new. It was first identified in the 1960`s following the widespread use of antibiotics including methicillin What Is MRSA? MRSA stands for Methicillin Resistant Staphylococcus aureus Methicillin - is an antibiotic used to treat certain bacteria Resistant - means that the methicillin has no effect on the bacteria Staphylococcus aureus - is a bacterium that is found on the skin and in the nose of a third of the population without causing harm What Infections Does Staphylococcus Aureus Cause? Usually, staphylococcus aureus causes no problems. If it does the infection is usually minor affecting the skin, resulting in an abscess or boil. Staphylococcus aureus can be a problem to hospital patients with deep wounds, catheters or drips which allow the bacteria to enter the body. This may result in an infection which needs to be treated with antibiotics. Why are we concerned about MRSA? MRSA acts in exactly the same way as staphylococcus aureus and causes the same range of infections. Staphylococcus aureus can be treated with antibiotics, but the most commonly used antibiotics do not destroy MRSA because the bacterium has become resistant to these antibiotics. How will I know if I have MRSA? Patients colonised or carrying MRSA (this means that you have MRSA on your skin and/or in your nostrils) do not have any symptoms or look or feel different. We will not know if you have MRSA until a swab, sputum or urine sample has been taken and sent to the laboratory to be cultured. MRSA infection MRSA can cause an infection if it has an opportunity to enter the body. It can cause local infections such as wound infections, chest or blood stream infections which may cause signs and symptoms such as a high temperature. Many other bacteria can also cause these signs and symptoms and blood tests are carried out to identify which bacteria. Where does MRSA come from? MRSA is spread from person to person by direct contact with skin; therefore regular hand washing by carers is essential. People who are more prone to MRSA are those who: Have damage to the skin Have been in hospital for a long period of time Have been taking antibiotics for some time Are very ill and find it hard to fight infections My swabs have come back positive for MRSA what will my treatment be? You may be nursed in a single room. An anti-bacterial body wash will replace your usual soap; it is used for your main wash in the morning whilst you are in hospital. This reduces the amount of MRSA that you have on your skin and hair. A nasal ointment is applied to the inside of your nose; this reduces the amount of MRSA that is present in the inside of your nose. If you have a MRSA infection this may be treated with an antibiotic given through an intravenous line (drip). (The laboratory will have carried out tests to identify the antibiotic suitable for MRSA). Disposable gloves and aprons will be worn by health care workers caring for you. Will MRSA harm my visitors? Visiting can continue as normal as MRSA is not harmful to healthy family members or friends. However if there is anyone with long term health problems please discuss this with the Nursing Staff. Are there any precautions visitors should take? All visitors should wash their hands or use the alcohol hand gel dispensers situated on the ward before and after visiting, this will decontaminate your visitors hands. Will MRSA stop my discharge home? Having MRSA will not prevent or delay your discharge home. If you are discharged during a course of treatment, the course of treatment can be completed at home. Nursing and residential care MRSA will not delay your discharge to nursing or residential care. You may share a room as long as neither you nor the other resident has wounds, drips or catheters. You may join other residents in communal areas such as sitting rooms or dining rooms. What will happen if I am admitted to hospital again? If you are admitted to hospital please inform your nurse and doctor that you have previously had MRSA. In order to determine if you still have MRSA a set of swabs will be taken by the nursing staff. You may be given a single room whilst awaiting the results of the swabs How to contact us If you have further questions about MRSA or Healthcare Associated Infections, please contact the infection prevention and control team Telephone: 01268 244649 Email:[email protected] If you would like this information in Braille, large type, in another format or in another language, please ask a member staff.