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Informational/Educational Report
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Community-acquired MRSA: implications for the advanced practice nurse Kristell Michael, BSN, RN, ET, CWS, CHRN, United Regional HCS, Wichita Falls, TX Research has shown the emergence of methicillin- (oxacillin) resistant Staphylococcus aureus (CA-MRSA) in the community. This organism is frequently manifested in skin and soft tissue infections like cellulitis, cutaneous abscesses, and furuncles that can easily be diagnosed by practitioners as Òprobable spider biteÓ. Awareness by Advanced Practice Nurses regarding CA-MRSA with appropriate education to affected patients, families and the community, especially targeting populations who have been identified as higher risk, can facilitate an earlier, accurate diagnosis and more judicious, appropriate, and therefore cost-effective, pharmacologic treatment. Preventative measures, as well as education to foster an environment that discourages the promotion of antibiotic resistance, are an essential components required to control the increasing reservoir of CA-MRSA in the community. . CA-MRSA Information for the Public. Available at: http://www.cdc.gov/ncidod/hip/ARESIST/ca_mrsa_public.htm. Accessed October 2, 2005. Chambers H. The changing epidemiology of staphylococcus aureus [Electronic version]. Emerging Infect Dis. 2001;7(2):178Ð182 Cohen P. Cutaneous community-acquired methicillin-resistant staphylocococcus aureus infection in participants of athletic activities [Electronic version]. South Med Assoc. 2005;98(6):596Ð602 Kowalski T, Berbari E, Osmon D. Epidemiology, treatment, and prevention of communiy-acquired methicillin-resistent staphylocococcus aureus infections [Electronic version]. Mayo Clinic Proceedings. 2005;80(9):1201Ð1208 Moran G, Amii R, Abrahamian F, Talan D. Methicillin-resistant staphylococcus aureus in community aquired skin infections [Electronic version]. Emerging Infect Dis. 2005;11(6): 928Ð930 Ochoa T, Mohr J, Wanger A, Murphy J, Heresi G. Community-associated methicillin-resistant staphylococcus aureus in pediatric patients [Electronic version]. Emerging Infect Dis. 2005;11(6):966Ð968 Ransom J, Joseph J. Community-acquired methicillin-resistant staphylocococcus aureus infections: its changing pidemiology and implications for local public health practice [Electronic version]. J Public Health Manage Pract. 2005;11(3):262Ð265 Salgado C, Farr B, Calfee D. Community-acquired methicillin-resistant staphylococcus aureus: a meta-analysis of prevalence and risk factors [Electronic version]. Clin Infect Dis. 2003;36:131Ð139 Shukla S. Community-associated methicillin-resistant staphylococcus aureus and its emerging virulence [Electronic version]. Clin Med Res. 2005;3(2):57Ð60 Stevenson K, Searle K, Stoddard G, Samore M. Methicillin-resistant staphylococcus aureus and vancomycin-resistent enterococci in rural communities, western United States [Electronic version]. Emerging Infect Dis. 2005. |
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