MRSA Infection (cont.)

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How should caregivers treat MRSA patients at home?

The CDC states (2010 guidelines) that healthy caregivers are unlikely to become infected while caring for MRSA patients at home if they do the following:

  • Caregivers should wash their hands with soap and water after physical contact with the infected or colonized person and before leaving the home.


  • Towels used for drying hands after contact should be used only once.


  • Disposable gloves should be worn if contact with body fluids is expected, and hands should be washed after removing the gloves.


  • Linens should be changed and washed on a routine basis, especially if they are soiled.


  • The patient's environment should be cleaned routinely and when soiled with body fluids.


  • Notify doctors and other health-care personnel who provide care for the patient that the patient is colonized or infected with a multidrug-resistant organism.

What is the prognosis (outlook), and what are the potential complications for people with MRSA infections?

Statistics from the Kaiser foundation in 2007 (http://www.kaisernetwork.org/daily_reports/rep_index.cfm?DR_ID=45809) indicated that about 1.2 million hospitalized patients have MRSA, and the mortality (death) rate was estimated to be between 4%-10%. These data have not been updated by the CDC yet. Another study suggested that the mortality rate may be as high as 23%. In general, the average adult death rate was about 5% of infected patients in 2010. Fortunately, in children under 18 years of age, a recent (2009) study suggests their mortality rate is much lower (about 1%), even though the number of hospitalized children with MRSA has almost tripled since 2002. In general, CA-MRSA has far less risk of any complications than HA-MRSA as long as the patient does well with treatment and does not require hospitalization. However, people who do suffer complications generally have a chance for a worse outcome, as organ systems may be irreversibly damaged. Complications from MRSA can occur in almost all organ systems; the following is a listing of some that can result in permanent organ damage or death: endocarditis, kidney or lung infections (pneumonia), necrotizing fasciitis, osteomyelitis, and sepsis. Early diagnosis and treatment usually result in better outcomes and reduction or elimination of further complications.

Reviewed by Melissa Conrad Stöppler, MD on 9/1/2011

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