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MRSA
Q. What is
Community Associated Methicillan Resistant Staphylococcus Aureus
(CA-MRSA) and what does Multi-Clean have to offer in an effort to
control this?
A.
Although MRSA is making headlines, it's not a new infection — the
first case was reported in 1968. The difference is that now, MRSA is
affecting more people outside of hospitals. MRSA used to be seen only in
those with weakened immune systems — chronically ill people who'd been
hospitalized for a long time or had surgery, those receiving long
courses of antibiotic therapy, or people living in long-term care
facilities like nursing homes or prisons.
But now a growing number of
otherwise healthy people who are not considered at risk for MRSA are
getting the infection called
Community Associated
MRSA (CA-MRSA),
this type of staph infection has been found most recently in a few high
school and professional sports teams. The bug can be passed to athletes
via gyms and locker rooms and through shared equipment or skin-to-skin
contact (e.g., wrestling and football). Kids in child-care settings may
also be at risk.
Multi-Clean has
several different EPA registered disinfectants that are proven to be
effective for MRSA. These include:
Product
Dilution
Contact Time
Century Q 256.
Use at ½ oz / gallon. 10
Minues
Ful-Trole
64 Use at 2 oz /
gallon 10 Minutes
M-C 10
Sanitizer Use at 0.8 oz / gallon (4 oz / 5 gallons) 10 Minutes
Microcide
TB Ready-to-Use, Do not dilute. 3
Minutes
950 Bowl
Cleaner Ready-to-Use, Do not dilute 10 Minutes
Hand
Hygiene
Proper hand
hygiene is most important in preventing the spread of MRSA.
Multi-Clean offers a full line of hand soaps, both in traditional and
foamy types.
Where, soap and
water are not available, then Sani-Foam Non-Alcohol Hand Sanitizer
should be used. Sani-Foam is proven effective against MRSA with a 15
second contact time. Sani-Foam is perfect for school class rooms,
lunch rooms, gymnasiums and any other areas were water is not available.
Below are some
FAQ’s that are from the Centers for Disease Control (CDC) website that
talk about what CA-MRSA is and related issues. Although (as you read
below) the environment is not regarded as a major reservoir in the
spread of MRSA, it is recommended that procedures for the routine
cleaning and disinfection of hard non-porous environmental surfaces be
followed using appropriate disinfectants.
FAQ’s
from:
www.cdc.gov
Q.
What is
Staphylococcus
aureus (staph)?
A.
Staphylococcus
aureus, often referred to simply as
"staph," are bacteria commonly carried on the skin or in the nose of
healthy people. Approximately 25% to 30% of the population is colonized
(when bacteria are present, but not causing an infection) in the nose
with staph bacteria. Sometimes, staph can cause an infection. Staph
bacteria are one of the most common causes of skin infections in the
United States. Most of these skin infections are minor (such as pimples
and boils) and can be treated without antibiotics (also known as
antimicrobials or antibacterials). However, staph bacteria also can
cause serious infections (such as surgical wound infections, bloodstream
infections, and pneumonia).
Q.
What is
MRSA (methicillin-resistant
Staphylococcus
aureus)?
A.
Some staph bacteria are
resistant to antibiotics. MRSA is a type of staph that is resistant to
antibiotics called beta-lactams. Beta-lactam antibiotics include
methicillin and other more common antibiotics such as oxacillin,
penicillin and amoxicillin. While 25% to 30% of the population is
colonized with staph, approximately 1% is colonized with MRSA.
Q.
Who gets
staph or MRSA infections?
A.
Staph infections, including
MRSA, occur most frequently among persons in hospitals and healthcare
facilities (such as nursing homes and dialysis centers) who have
weakened immune systems. These healthcare-associated staph infections
include surgical wound infections, urinary tract infections, bloodstream
infections, and pneumonia.
Q.
What is
community-associated MRSA (CA-MRSA)?
A.
Staph and MRSA can also cause
illness in persons outside of hospitals and healthcare facilities. MRSA
infections that are acquired by persons who
have not
been recently (within the past year) hospitalized or had a medical
procedure (such as dialysis, surgery, catheters) are know as CA-MRSA
infections. Staph or MRSA infections in the community are usually
manifested as skin infections, such as pimples and boils, and occur in
otherwise healthy people.
Q.
How common
are staph and MRSA infections?
A.
Staph bacteria are one of the
most common causes of skin infection in the United States and are a
common cause of pneumonia, surgical wound infections, and bloodstream
infections. The majority of MRSA infections occur among patients in
hospitals or other healthcare settings; however, it is becoming more
common in the community setting. Data from a prospective study in 2003,
suggests that 12% of clinical MRSA infections are community-associated,
but this varies by geographic region and population.
Q.
What does
a staph or MRSA infection look like?
A.
Staph bacteria, including MRSA,
can cause skin infections that may look like a pimple or boil and can be
red, swollen, painful, or have pus or other drainage. More serious
infections may cause pneumonia, bloodstream infections, or surgical
wound infections.
Q.
How can I
prevent staph or MRSA skin infections?
Practice good hygiene:
Keep your hands clean by washing
thoroughly with soap and water or using an alcohol-based hand sanitizer.
Keep cuts and scrapes clean and
covered with a bandage until healed.
Avoid contact with other
people’s wounds or bandages.
Avoid sharing personal items
such as towels or razors.
Q.
Can I get
a staph or MRSA infection at my health club?
A.
In the outbreaks of MRSA, the
environment has not played a significant role in the transmission of
MRSA. MRSA is transmitted most frequently by direct skin-to-skin
contact. You can protect yourself from infections by practicing good
hygiene (e.g., keeping your hands clean by washing with soap and water
or using an alcohol-based hand rub and showering after working out);
covering any open skin area such as abrasions or cuts with a clean dry
bandage; avoiding sharing personal items such as towels or razors; using
a barrier (e.g., clothing or a towel) between your skin and shared
equipment; and wiping surfaces of equipment before and after use.
Q.
What
should I do if I think I have a staph or MRSA infection?
A.
See your healthcare provider.
Q.
Are staph
and MRSA infections treatable?
A.
Yes. Most staph and MRSA
infections are treatable with antibiotics. If you are given an
antibiotic, take all of the doses, even if the infection is getting
better, unless your doctor tells you to stop taking it. Do not share
antibiotics with other people or save unfinished antibiotics to use at
another time.
Q. How is MRSA
transmitted?
A. MRSA is
usually transmitted by direct skin-to-skin contact or contact with
shared items or surfaces that have come into contact with someone else's
infection (e.g., towels, used bandages).
Q. In what
settings do MRSA skin infections occur?
• MRSA skin
infections can occur anywhere.
• Some settings
have factors that make it easier for MRSA to be transmitted.
• These factors,
referred to as the 5 C's, are as follows: Crowding, frequent
skin-to-skin Contact, Compromised skin (i.e., cuts or abrasions),
Contaminated items and surfaces, and lack of Cleanliness.
• Locations
where the 5 C's are common include schools, dormitories, military
barracks, households, correctional facilities, and daycare centers.
Q. Should
schools close because of an MRSA infection?
A.
The decision
to close a school for any communicable disease should be made by school
officials in consultation with local and/or state public health
officials. However, in most cases, it is not necessary to close schools
because of an MRSA infection in a student. It is important to note that
MRSA transmission can be prevented by simple measures such as hand
hygiene and covering infections.
Q. Should the school be closed to be cleaned or disinfected when an MRSA
infection occurs?
A.
Covering
infections will greatly reduce the risks of surfaces becoming
contaminated with MRSA. In general it is not necessary to close schools
to "disinfect" them when MRSA infections occur. MRSA skin infections are
transmitted primarily by skin-to-skin contact and contact with surfaces
that have come into contact with someone else's infection.
• When MRSA skin
infections occur, cleaning and disinfection should be performed on
surfaces that are likely to contact uncovered or poorly covered
infections.
• Cleaning
surfaces with detergent-based cleaners or Environmental Protection
Agency (EPA)-registered disinfectants is effective at removing MRSA from
the environment.
• It is
important to read the instruction labels on all cleaners to make sure
they are used safely and appropriately.
• Environmental
cleaners and disinfectants should not be used to treat infections.
• The EPA
provides a list of EPA-registered products effective against MRSA:
http://epa.gov/oppad001/chemregindex.htm
Q. Should the
entire school community be notified of every MRSA infection?
A.
Usually, it
should not be necessary to inform the entire school community about a
single MRSA infection. When an MRSA infection occurs within the school
population, the school nurse and school physician should determine,
based on their medical judgment, whether some or all students, parents
and staff should be notified. Consultation with the local public health
authorities should be used to guide this decision.
• Remember that
staphylococcus (staph) bacteria, including MRSA, have been and remain a
common cause of skin infections.
Should the
school be notified that my child has an MRSA infection?
• Consult with
your school about its policy for notification of skin infections.
Should students
with MRSA skin infections be excluded from attending school?
• Unless
directed by a physician, students with MRSA infections should not be
excluded from attending school.
• Exclusion from
school should be reserved for those with wound drainage ("pus") that
cannot be covered and contained with a clean, dry bandage and for those
who cannot maintain good personal hygiene.
• Students with
active infections should be excluded from activities where skin-to-skin
contact is likely to occur (e.g., sports) until their infections are
healed.
For more information, please go to:
www.cdc.gov/Features/MRSAinSchools/
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