1. Prevention and Control of MRSA vs. VRE
By Lori Brannin, Jessica Hilton, Chelsa Bringhurst, Michelle Fambrough, Francesca Mustari, Kevin Echols,
Miriam Ika, Emily Lloyd
Reference:

2. Risk factors MRSA VRE Prolonged hospital stay Antibiotics
Broad spectrum; cephalosporins and fluoroquinolones
Greater number of antibiotics
Longer duration of antibiotic therapy
ICU or burn unit
Wounds
Proximity to a MRSA patient
VRE
Antibiotics
Anti – anaerobic Rx
Cephalosporins
Vancomycin
Proximity to a VRE patient
Colonization density

3. What is MRSA (methicillin Resistant Staphylococcus aureus
Methicillin-resistant Staphylococcus aureus (MRSA) is a type of bacteria that is resistant to certain antibiotics.
These antibiotics include methicillin and other more common antibiotics such as oxacillin, penicillin and amoxicillin.
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.

4. Methicillin (oxacillin)-resistant Staphylococcus aureus (MRSA) Among ICU Patients, 1995-2004

5. What is VRE (vancomycin-resistant enterococci)?
Enterococci are bacteria that are normally present in the human intestines and in the female genital tract and are often found in the environment.
These bacteria can sometimes cause infections.
Vancomycin is an antibiotic that is often used to treat infections caused by enterococci.
In some cases, enterococci have become resistant to vancomycin and are called vancomycin-resistant enterococci or VRE.
Most VRE infections occur in people in hospitals.

6. Vancomycin-resistant Enterococi Among ICU Patients, 1995-2004

7. TREATMENT
MRSA
Treatment types of drugs: Bactrim, Vancocin, Cleocin, Minocycline, Cubicin, Zyvox and Synercid.
In hospital/care facilities they rely on antibiotic vancomycin to treat resistant germs
Ca-MRSA treated with vancomycin linezolid(Zyvox).
MRSA carriers, mupirocin antibiotic cream can potentially eliminate MRSA from mucous membrane colonization.
Antibiotics aren’t always necessary, if you have a superficial abscess skin boil, doctor might make an incision and drain it.
When treated with antibiotics it is imperative to take the full dosage of antibiotics so MRSA dose not have enough time to become resistant to that treatment.
VRE
People who are colonized (bacteria are present, but have no symptoms of an infection) with VRE do not usually need treatment.
Most VRE infections can be treated with antibiotics other than vancomycin.
Laboratory testing of the VRE can determine which antibiotics will work.
For people who get VRE infections in their bladder and have urinary catheters, removal of the catheter when it is no longer needed can also help get rid of the infection.