| Q: What
is “Staph” and what is MRSA?
A: “Staph” is
short for Staphylococcus, a common organism that
is found in the nose and throat of approximately
25 percent of healthy individuals. MRSA, sometimes
pronounced <mer-sa>,
stands for Methicillin-resistant Staphylococcus
aureus. This bacteria is currently found in approximately
one percent of healthy individuals. MRSA is resistant
to a variety of common antibiotics. Staph germs,
whether resistant or not, are commonly associated
with skin infections such as abscesses or boils.
Q:
I am hearing about MRSA every day on the news…is
it new?
A: MRSA has been causing
infections in healthcare settings for many years.
In the last several years, a different strain
of this germ has been found to cause some infections
in individuals who have not been in the hospital.
However, there has been no abrupt or recent change
in the rate of these infections, just in the
media’s
interest.
Q: Can community
MRSA infections be treated?
A:Yes. These germs are treated with different
antibiotics than those used for older strains. Physicians
at Huntington Hospital have been treating these
infections for some time now and are very aware
of the recommended choices of medication.
Q: How are staph germs spread?
A: Generally,
these bacteria are passed by direct skin-to-skin
contact. This means that individuals with obvious
skin infections need to keep these covered when
in school or in public. In addition, hand washing
is very important for preventing transmission.
Q: Where
do these germs come from?
A: Resistant bacteria
emerge and spread in the general population because
of the overuse and misuse of antibiotics. This
creates an evolutionary advantage for more resistant
germs, giving them the ability to survive in
the presence of drugs like penicillin. This is
one reason why prudent physicians will try to
avoid prescribing antibiotics to individuals
who will probably not benefit from them, such
as those with respiratory symptoms that appear
to be due to the common cold, flu or other viruses.
Q: Can community-associated
MRSA cause life threatening infections?
A: Rarely, community
associated MRSA infections have been associated
with serious infections. Two preventable infections
can predispose an individual to invasive infections – the “flu,” which
can precede staph pneumonia, and chicken pox,
which can pave the way for life-threatening skin
infections. All individuals who haven’t
had chicken pox should be immunized. Flu
vaccine is recommended for all children from
six months to five years; pregnant women; people
50 years of age and older; people of any age
with certain chronic medical conditions; people
who live in nursing homes and other long term
care facilities; and people who live with or
care for those at high risk for complications
from the flu.
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