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Educational video describing the condition of MRSA (Methicillin Resistant Saphylococcus Aureus) infection and treatment. MRSA is a contagious bacteria that mya cause infection. MRSA is difficult to treat because it is resistant to most commonly used antibiotics. The history of MRSA is related to the advent of penicillin. Penicillin was discovered in 1925, isolated in the 19030s and commonly used by the mid-1940s. by the late 1950s there was some resistance to penicillin, so a synthetic alternative was created in the form of methicillin in 1959. MRSA was first recognized in 1961. What makes MRSA resistant? When penicillin is able to bind to the binding protein of the cell wall, disruption of the cell walla and destruction of the bacteria is possible. However, if staph aureus acquires the mecA gene, then it can alter the penicillin binding protein, making the bacteria resistant to all penicillin. Where does MRSA occur? The infection can occur in different parts of the body. Approximately 1/3 of all people carry MRSA harmlessly in the nose, throat, or in the skin. The primary way of transmitting MRSA is through direct contact with another person, object that has it, or from sneeze droplets of an infected person. 30% of staph bacteria live in the nose. Symptoms of MRSA infection •Skin infection (most common) •Maybe mild infection of the skin such as a boil or sore •May also develop to become a significant infection such as necrotizing fasciitis •It can be life-threatening if the bacteria travel into the bloodstream. Possible severe symptoms •Fever •Fatigue •Pain •Swelling of the affected area •Drainage of a surgical wound Also may cause •Pneumonia •Urinary tract infection Health professionals call it the “superbug”, since MRSA is hard to treat. MRSA may also develop resistance to vancomycin, which is supposed to be the best treatment for the MRSA bacteria. It is a constant battle when dealing with MRSA and doctors are developing new antibiotics to deal with the changing resistance of the bacteria. MRSA typically occurs in people with weak immune systems. It occurs in hospitals, nursing homes, intensive care units, surgical wounds and implanted devices. Community-associated MRSA: MRSA is seen more in the younger population even in children and may show up otherwise healthy individuals who have not received any type of hospital care (didn’t get it from the hospital). Also may be seen in athletes and military personnel. Diagnosis MRSA is diagnosed by examining a swab or culture. Internal infections may need to have a blood culture done. How is MRSA treated? •The standard treatment for skin infections is oral antibiotics given for 7-10 days. •In addition to antibiotics, drainage of the infected abscess may be done with a needle or with a small incision. •Never drain the abscess or boil on your own as this may worsen the infection. •The best treatment is proper hand washing •Treatment of severe infections may need to be done in a hospital with IV antibiotics such as vancomycin. •Treatment for patients with nasal colonization but no infection is 2%mupirocin ointment applied to nares 2-3 times a day. Become a friend on facebook: / drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC