Controlling Cross
Contamination Of CA-MRSA
Reports demonstrate that
CA-MRSA can spread by direct person-to-person contact or directly
via transient carriage on hands and body parts of athletes and
children. Contaminated environmental surfaces such as
artificial turf, locker rooms, athletic equipment, tattoo equipment,
and playground equipment, which come in contact with the athlete,
client, employee or child become the catalyst for broad community
acquired outbreaks of the potentially deadly strain of staph.
The indiscriminant pathogen has affected dozens of professional
athletes and crippled franchises while literally killing children
unable to fight off the infection. Previously, MRSA had only
attacked the immuno compromised. Until now, the USA
300 and 400 strains have evolved to
community acquired levels that attack the healthiest of children and
professional athletes. It is clear then that the importance of
an antibiotic resistant disinfection program for your facility is
paramount.
What is CA-MRSA
Staphylococcus aureus, often referred to simply as
"staph," are bacteria commonly carried on the skin or in the nose of
healthy people. Approximately 25% to 30% of the population is
colonized (when bacteria are present, but not causing an infection)
in the nose with staph bacteria. Sometimes, staph can cause an
infection. Staph bacteria are one of the most common causes of skin
infections in the United States. Most of these skin infections are
minor (such as pimples and boils) and can be treated without
antibiotics (also known as antimicrobials or antibacterials).
However, staph bacteria also can cause serious infections (such as
surgical wound infections, bloodstream infections, and pneumonia).
Some staph bacteria are resistant to antibiotics.
MRSA is a type of staph that is resistant to antibiotics called
beta-lactams. Beta-lactam antibiotics include methicillin and other
more common antibiotics such as oxacillin, penicillin and
amoxicillin. While 25% to 30% of the population is colonized with
staph, approximately 1% is colonized with MRSA.
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. These healthcare-associated staph infections include
surgical wound infections, urinary tract infections, bloodstream
infections, and pneumonia.
Staph and MRSA can also cause illness in persons
outside of hospitals and healthcare facilities. MRSA infections that
are acquired by persons who have not been recently
(within the past year) hospitalized or had a medical procedure (such
as dialysis, surgery, catheters) are known as CA-MRSA infections.
Staph or MRSA infections in the community are usually manifested as
skin infections, such as pimples and boils, and occur in otherwise
healthy people.
Proper Prevention & Management
Recommendations
- Keep hands clean by washing thoroughly with soap and warm
water or using an alcohol-based hand sanitizer routinely.
- Encourage immediate showering following activity.
- Avoid whirlpools or common tubs with open wounds, scrapes or
scratches.
- Avoid sharing towels, razors, and daily athletic gear.
- Properly wash athletic gear and towels after each use.
- Maintain clean facilities and equipment.
- Inform or refer to appropriate health care personnel for all
active skin lesions and lesions that do not respond to initial
therapy.
- Administer or seek proper first aid.
- Encourage health care personnel to seek bacterial cultures
to establish a diagnosis.
- Care and cover skin lesions appropriately before
participation.
How Do I Avoid MRSA?
Personal hygiene is key in the prevention of MRSA and
Staphylococcus aureus.
 | Thorough cleansing after workouts and
contact with other players is your primary defense. |
|
 | Utilize alcohol-based hand sanitizers
during workouts and games. |
|
 | Launder your uniforms and other
athletic clothing in hot water and dry them with a hot
dryer. |
|
 | Any athletic equipment must be
thoroughly sanitized after use to avoid transmission of
bacteria, as MRSA can live for days on surfaces. There
are companies now that perform this service so you can
be assured that you are cleaning your equipment
thoroughly without compromising its integrity. Don’t
forget your gym equipment, as it can become a breeding
ground for bacteria as well. |
|
 | If you have an open wound, be sure to clean it well,
and keep it covered with a bandage that attaches to the
skin on all sides. |
|
 | Do not ever share or borrow towels, razors, soap, or
any other personal items. |
|
 | Athletes |
 | Children |
 | Health Care Workers |
 | EMT’s and Police Officers |
 | Prison Employees and Inmates |
 | Those involved with tattooing procedures |
 | Animals and Animal Care Clinicians |
 | Child Care Givers |
 | Those using Playground Equipment |
 | Those using Exercise, Wrestling, or Gymnastic Mats |
 | Those using Locker Rooms |
 | Those using or working in Physical Therapy Clinics |
 | Those using or working in Health Clubs |
 | Those using or working in Sports Venues |
 | Those using or working in Recreation Facilities |
 | Those using or working in Convention Centers |