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December 2007 /January 2008
The Staph Superbug:
Despite Recent Attention, MRSA Can Be Avoided
with Good Hygiene, Common Sense

Methicillin-resistant Staphylococcus aureus, otherwise known as MRSA, is often called a "superbug" - but it's not a new bug, as some people erroneously believe.

According to the CDC, staph infections - including MRSA - occur most frequently among people in hospitals, nursing homes and other healthcare facilities who have weakened immune systems.
This photograph shows a cutaneous abscess on a patient's knee that was caused by an MRSA infection.
Instead, it's a form of Staphylococcus aureus, or "staph," a common kind of bacteria that can be found on the skin or mucus membranes of one of every three people. MRSA is a type of staph bacteria that is resistant to certain antibiotics. These include methicillin and other more common antibiotics such as oxacillin, penicillin and amoxicillin.

Public health officials say we should be aware of the bacteria and take it seriously, but should not be overly concerned; MRSA is rarely fatal and usually can be treated successfully by using drugs other than penicillin-class antibiotics such as methicillin.

MRSA has received more public attention lately because of a convergence of recent events:
  • A report from the U.S. Centers for Disease Control and Prevention (CDC) indicating an increased number of MRSArelated deaths nationwide


  • A lack of prior public understanding that MRSA has for many decades been a significant cause of mortality and morbidity in hospitals


  • An apparent increase in the number of MRSA cases now being identified in the community, outside of the hospital setting.
Studies have shown that people who have used antibiotics are at higher risk of an MRSA infection.

Scientists note that antibiotics kill the body's beneficial bacteria and likely open the door to attack by more resilient pathogens such as MRSA.

Most experts believe the spread of MRSA is caused to a great extent by the inappropriate use of antibiotics.

It is important to finish all doses of antibiotics you have been given, even if you feel better before the final dose. Unfinished doses can lead to development of drug resistance in the bacteria.

The bacteria are spread by contact, either by close contact between individuals or from contacting an infected object or surface such as a towel in a shower room.

Despite this MRSA's robust ability to survive in the environment, public health officials typically do not advise closing schools or other facilities after an outbreak. They simply recommend that the infected individuals seek care and protect against spreading the bug.

Careful attention to personal hygiene is key to avoiding MRSA infections:
  • Wash your hands frequently with soap and water.
  • Alcohol-based hand cleaners also work well.
  • Do not share personal items such as towels or razors with another person - MRSA can be transmitted through contaminated items.
  • Cover all wounds with a clean bandage and avoid contact with other people's soiled bandages.
  • If you share sporting equipment, clean it first with antiseptic solution.
It's also important to get a flu shot because MRSA-caused pneumonia can follow the flu. Symptoms of MRSA include:
  • Redness
  • Swelling
  • A warm sensation, tenderness and boils or blisters - sometimes including fever and chills.


Proper handwashing with soap and water continues to be recommended by public health officials as one of the best ways to help avoid the spread of infectious diseases such as MRSA.

Those at higher risk for MRSA include people with chronic illnesses, recent history of antibiotic use, recurrent skin diseases or open wounds and individuals with compromised immune systems.

Most of the time, MRSA causes skin and soft-tissue infections that can be treated with available non penicillin-class antibiotics. But if not properly treated - the bug can work its way into the body and is tough to get out.

If you suspect that you or a member of your family has MRSA - or any other infection - contact your personal physician without delay.
 
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