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M
RSA, a virulent and potent mutation
of the staphylococcus bacteria has spread from the hospital
and health care setting to the community in general. This
kind of infection has been one of the causes of many skin
infections, pneumonia and bloodstream infections. With the
spread of this drug resistant strain of staphylococcus aureus
bacteria, the wider array of hotspots such as schools, dormitories,
military barracks, households, correctional facilities and
day care centers.
Staph infections are determined as MRSA community infection
when the disease is contracted by persons who have not been
admitted to the hospital or has undergone a medical procedure
in the past year. If they present the symptoms of MRSA, then
they most probably contracted the strain in the community.
The risk group for MRSA community infection is high among
athletes, military recruits, children, Pacific Islanders,
Alaska Natives, Native Americans, homosexual men and individuals
incarcerated in prison facilities. This is because of the
close quarters, skin-to-skin contact, poor hygiene and unsanitary
surroundings makes the spread of the MRSA extremely rampant.
The staph bacteria mutated into the dreaded MRSA because
of the unfettered use of antibiotics in the health care facility
setting. From this misuse of antibiotics, the new strain became
resistant to antibiotics and colonised the discharged patient.
When the patient with the MRSA strain was reintroduced to
the community, the bacteria was passed on to those with compromised
immunity through skin-to-skin contact. The bacteria flourished
because of poor hygiene and compromised immunities of individuals
in the community.
The basic treatment for staph skin infections is by draining
the sore of the abscess. Some MRSA infections respond to antibiotics
such as clindamycin, linezolid, tetracycline, trimethoprim-sulfamethoxazole
or vancomycin. What is often overlooked is that the full course
of treatment must be undertaken. Many discontinue the treatment
of antibiotics once the symptoms subsides. This leads to complications
as one stops taking the antibiotics, the bacteria that were
able to resist the initial medication begin to flourish, as
the infection was not entirely wiped out. As a result, a much
graver result occurs which may need kidney dialysis, intravenous
fluid application, more potent and aggressive medication.
The best treatment though for the MRSA community strain is
by prevention. Simple and frequent hand washing, improving
personal hygiene, proper dressing of open cuts and wounds
and avoiding shared personal items can help in avoiding the
spread of MRSA community bacteria. Also, avoiding unclean
surfaces and being in contact with those who have compromised
immunities would also be one way to prevent the spread of
the disease. If you do participate in a group activity, such
as swimming in a public pool or undertaken an activity with
close physical contact, it is best to clean yourself up after
the activity to prevent contracting the bacteria. The use
of cleaners or detergents on surfaces would help kill the
bacteria. The use of sanitizers and disinfectants reduce or
render the bacteria inactive when the chemicals are applied
on the bacteria.
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