1. Staph Infections

2. What is staph? Staphylococcus aureus, often referred to simply as “staph,” are bacteria commonly carried on the skin or in the nose of healthy people.Staphylococcus aureus, often referred to simply as “staph,” are bacteria commonly carried on the skin or in the nose of healthy people. Staph bacteria are one of the most common causes of skin infections in the United States.Staph bacteria are one of the most common causes of skin infections in the United States.

3. Signs and symptoms Signs and Symptoms of a Staph Infection RednessRedness WarmthWarmth SwellingSwelling Tenderness of the skinTenderness of the skin BoilsBoils BlistersBlisters May have pus or other drainageMay have pus or other drainage

4. Possible presentation The symptoms of a staph infection depends on where the infection is. The staph bacteria can cause:The symptoms of a staph infection depends on where the infection is. The staph bacteria can cause: Boils – an abscess, bump, or swelling within the skin. Also called a furuncle. Boils – an abscess, bump, or swelling within the skin. Also called a furuncle.

5. Possible presentation Cellulitis – a “flat” skin infection which can make the skin red, painful and warm but does not have pustules. Cellulitis – a “flat” skin infection which can make the skin red, painful and warm but does not have pustules.

6. Possible presentation Folliculitis – an infection of the hair follicles Folliculitis – an infection of the hair follicles

7. Possible presentation Impetigo – pustules (bulbous impetigo) or honey colored crusted lesions on the skin Impetigo – pustules (bulbous impetigo) or honey colored crusted lesions on the skin May be caused by staph or other bacteriaMay be caused by staph or other bacteria

8. Additional issues In addition to skin infections, the staph bacteria can cause: Bacteremia – a blood infection Bacteremia – a blood infection Deep abscesses –an abscess that occurs below the skin surface Deep abscesses –an abscess that occurs below the skin surface Endocarditis – an infection on the valves of the heart Endocarditis – an infection on the valves of the heart Food poisoning – vomiting or diarrhea caused by a staph toxin Food poisoning – vomiting or diarrhea caused by a staph toxin Lymphadenitis – an infection of a lymph gland, which causes it to be red, swollen and painfu Lymphadenitis – an infection of a lymph gland, which causes it to be red, swollen and painfu

9. Additional issues Lymphangitis – an infection of the lymph channels that drain to lymph glands, causing red streaks in the skin Lymphangitis – an infection of the lymph channels that drain to lymph glands, causing red streaks in the skin Osteomyelitis – a bone infection Osteomyelitis – a bone infection Paronychia – an infection of the skin folds of the nails Paronychia – an infection of the skin folds of the nails Scalded skin syndrome Scalded skin syndrome Septic arthritis – an infection of a joint, like a hip or a knee Septic arthritis – an infection of a joint, like a hip or a knee Styes – an infection of the glands on the eyelid Styes – an infection of the glands on the eyelid Toxic shock syndrome Toxic shock syndrome

10. Additional issues The Staphylococcus aureus bacteria can also cause less common infections such as pneumonia, ear infections, and sinusitis.The Staphylococcus aureus bacteria can also cause less common infections such as pneumonia, ear infections, and sinusitis. To make a definitive diagnosis, and to confirm that staph is the bacteria causing the infection, a culture can be done.To make a definitive diagnosis, and to confirm that staph is the bacteria causing the infection, a culture can be done.

11. Antibiotic resistance In the past, most serious staph bacterial infections were treated with a type of penicillin class agent such as oxacillin, penicillin, amoxicillin or a cephalosporin.In the past, most serious staph bacterial infections were treated with a type of penicillin class agent such as oxacillin, penicillin, amoxicillin or a cephalosporin. Over the past 50 years, treatment of these infections has become more difficult because staph bacteria have become resistant to various antimicrobial agents, including the commonly used penicillin class antibiotics.Over the past 50 years, treatment of these infections has become more difficult because staph bacteria have become resistant to various antimicrobial agents, including the commonly used penicillin class antibiotics.

12. One of those staph bacteria that is resistant to some antibiotics is called MRSA

13. What is mrsa MRSA stands for Methicillin-Resistant Staphylococcus aureus MRSA stands for Methicillin-Resistant Staphylococcus aureus MRSA are Staph aureus bacteria that have become resistant to this antibiotic. MRSA are Staph aureus bacteria that have become resistant to this antibiotic.

14. Mrsa infection People may be colonized or infected with staph.People may be colonized or infected with staph. Colonization means that the staph is present in or on the body but is not causing illness. Colonization means that the staph is present in or on the body but is not causing illness. 25%-30% of the general population are nasal carriers25%-30% of the general population are nasal carriers Infection means that the staph is present and is causing illness. Infection means that the staph is present and is causing illness.

15. Mrsa infection In general, healthy people are at low risk of getting sick with MRSA. Some risk factors include: Recurrent skin diseases or open woundsRecurrent skin diseases or open wounds Long-term illness or long-term dialysis patientLong-term illness or long-term dialysis patient Illicit injecting drug useIllicit injecting drug use SurgerySurgery Been a patient in the hospital or other health care facility within the past yearBeen a patient in the hospital or other health care facility within the past year Contact with other persons with MRSA infectionContact with other persons with MRSA infection Recent antibiotic useRecent antibiotic use Live in crowded settingsLive in crowded settings

16. Spreading of Mrsa Autoinfection or self infection: infection caused by direct infection with own skin lesions or pus or colonized skinAutoinfection or self infection: infection caused by direct infection with own skin lesions or pus or colonized skin Account for 1/3 of all casesAccount for 1/3 of all cases Most common source of spread:Most common source of spread: Direct contact with persons with a draining lesions or pus lesions or pusDirect contact with persons with a draining lesions or pus lesions or pus Most common instrument for spread:Most common instrument for spread: HANDS!HANDS!

18. prevention Practice Good Hygiene Keep your hands clean by washing thoroughly with soap and water or using an alcohol- -based hand sanitizerKeep your hands clean by washing thoroughly with soap and water or using an alcohol- -based hand sanitizer Most effective method of prevention!Most effective method of prevention! Keep cuts and scrapes clean and covered with a watertight bandage until healedKeep cuts and scrapes clean and covered with a watertight bandage until healed Avoid contact with other people’s wounds or bandagesAvoid contact with other people’s wounds or bandages Avoid sharing personal items such as bed linens, towels, clothing, sheets, and toys with a person who has an MRSA infectionAvoid sharing personal items such as bed linens, towels, clothing, sheets, and toys with a person who has an MRSA infection

19. What does MRSA look like?