2. Methicillin-Resistant Staphylococcus aureus (MRSA) Information provided by the Pickaway County General Health District

3. WELCOME

4. OBJECTIVES Determine the prevalence of MRSA infections in Pickaway County Schools Investigate which athletic program sectors are affected (ex. – football, wrestling, etc.) Develop protocol(s)

5. IMPORTANT FACTS Staphylococcus aureus (Staph) Common bacteria Acquired mainly through direct contact (individuals and objects) Asymptomatic carriers

6. IMPORTANT FACTS Cont. Staphylococcus aureus (Staph) Found in nose, armpit, groin, and other similar areas Causes soft tissue infections such as boils and impetigo

7. IMPORTANT FACTS Cont. Staphylococcus aureus (Staph) Can cause pneumonia and bloodstream infections Treatable with antibiotics

8. IMPORTANT FACTS Cont. Staphylococcus aureus (Staph) Staph infections commonly affect healthy people and healthy skin – – Approximately 3 in 10 people have bacteria living on (colonizing) skin

9. IMPORTANT FACTS Cont. Staphylococcus aureus (Staph) Staphylococcus aureus is the leading cause of human infections in the skin and soft tissues, bones and joints, abscesses and normal heart valves.

10. IMPORTANT FACTS Cont. http://www.indstate.edu/thcme/micro/staph/sld018.htm

11. METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) MRSA Cannot be treated with common penicillin-like antibiotics In the past confined to hospitals, nursing homes, long-term care facilities

12. METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) MRSA Most common form - skin infections such as abscesses and boils Usually starts out as small bump resembling pimple or spider bite, which becomes redder and often develops pus drainage

13. METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) MRSA Sometimes gets into bloodstream and travels to internal body parts causing more serious infections

14. MRSA Cont. CA-MRSA = Community- Associated MRSA Movement into the community Affecting athletes (esp. contact sports)

15. METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) MRSA According to CDC, there appears to be at least three different strains of staph that can cause CA-MRSA infections in U.S.

16. ARE YOU SURE IT’S ONLY A SPIDER BITE? If you think you have a spider bite, it might actually be a bacterial infection that needs medical attention. Did you see the spider? If in doubt, check it out. eensy weensy spider bacteria… Clip Art ©Microsoft Corporation

17. If you think you have a spider bite, it might actually be a bacterial infection that needs medical attention. Did you see the spider? If in doubt, check it out. eensy weensy spider bacteria…

18. HISTORY - STAPH & MRSA in ATHLETES 1984 - Rugby team in London 1986 - outbreak of boils in football and basketball in Kentucky 1993 - 1 st case of MRSA in a wrestling team in Vermont

19. HISTORY Cont. 2002 - 03 – MRSA boom!!! Los Angeles county: athletes & county jail Colorado, Indiana, and Pennsylvania – fencers, football, & wrestlers 2004 - 05 – high school, college, professional football and basketball

20. WHAT DOES IT LOOK LIKE?

21. MRSA on CHEEK

22. MRSA on ARM

23. MRSA on ANKLE

24. MRSA on BACK

26. MRSA on UNDERARM

27. MRSA on ARM

28. MRSA on WRIST

29. MRSA on FACE http://www.indstate.edu/thcme/micro/staph/sld015.htm

30. MRSA http://www.indstate.edu/thcme/micro/staph/sld017.htm

31. RECOMMENDATIONS TO PREVENT MRSA INFECTIONS For All Adults and Students: Stress the importance of HAND WASHING and hygiene Keep wounds covered and dispose of bandages properly

32. RECOMMENDATIONS Cont. For All Adults and Students Eliminate SHARING of equipment and personal items Stress clean facilities

33. RECOMMENDATIONS Cont. For All Adults and Students Stress clean facilities Report any suspicious skin sore or boil to your healthcare provider and school nurse immediately

34. For more information at Teays Valley – Contact Tina Bobek, R.N., Terri Richards, R.N., Trina Ream, BHS Athletic Trainer

35. THANK YOU!