Methicillin-Resistant Staph Infection
Condition
(MRSA; Methicillin-Resistant Staphylococcus aureus Infection)
Definition
Methicillin-resistant staphylococcus (MRSA) is a type of bacteria. It causes infections that may be hard to treat with antibiotics. It may happen in the community or in a healthcare setting.
Causes
MRSA is caused by a type of staph bacteria that resists some common antibiotics. It spreads through contact with infected people or items.
Risk Factors
The type of MRSA that happens in the community is more common in young children, athletes, and people in prison or the military. Other risks are:
- Time spent in crowded places, such as daycares, colleges, and locker rooms
- Skin to skin contact, such as with sports like wrestling and football
- Having broken skin or an open sore
- Sharing personal items
- Poor hygiene
- Using IV drugs
- Having a severe illness
- Being around animals
- Men who have sex with men
- Past use of antibiotics
MRSA that happens in a healthcare setting is more common in men and older adults. Other risks are:
- Time spent in a long term care center or hospital
- Being admitted to an intensive care unit (ICU)
- Having a long lasting health problem
- Being treated with an antibiotic for a long time
- Having a wound
- Being around a person with MRSA
- Having medical devices in the body, such as a catheter
Symptoms
A person with MRSA may have:
- Skin that is swollen, red, and painful or warm to the touch
- A sore that is leaking
- Fever
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Diagnosis
The doctor will ask about symptoms and past health. A physical exam will be done.
A person's nose or wound might be swabbed to test for coverage of this bacteria.
Treatment
The infection will need to be treated. Options are:
Prevention
These steps can help lower the risk of carrying or being infected with MRSA:
- Washing hands and body with soap and water, especially after working out
- Not sharing personal items
- Keeping wounds clean and covered until they heal
- Getting care at the first signs of any infection
Draining the Abscess
The doctor may open the abscess to allow the fluid to drain. This may be all that needs to be done.
Draining the Abscess
The doctor may open the abscess to allow the fluid to drain. This may be all that needs to be done.
Medicine
Antibiotics may be given to treat the infection. The one that is chosen depends on the bacteria and location.
Centers for Disease Control and Prevention
National Institute of Allergy and Infectious Diseases
CANADIAN RESOURCES:
Canadian Dermatology Association
Health Canada
Centers for Disease Control and Prevention
National Institute of Allergy and Infectious Diseases
CANADIAN RESOURCES:
Canadian Dermatology Association
Health Canada
References
- Methicillin-resistant Staphylococcus aureus (MRSA). Centers for Disease Control and Prevention website. Available at: https://www.cdc.gov/mrsa.
- Methicillin-resistant Staphylococcus aureus (MRSA) infection. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/methicillin-resistant-staphylococcus-aureus-mrsa.
- MRSA. Kids Health—Nemours Foundation website. Available at: http://kidshealth.org/en/parents/mrsa.html.
- 6/4/2018 DynaMed Systematic Literature Surveillance https://www.dynamed.com/condition/methicillin-resistant-staphylococcus-aureus-mrsa: Gualandi N, Mu Y, Bamberg WM, et al. Racial disparities in invasive methicillin-resistant staphylococcus aureus infections, 2005-2014. Clin Infect Dis. 2018 Apr 5 [Epub ahead of print].
Contributors
- David L. Horn, MD, FACP
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