Showing posts with label Methicillin Resistant Staphylococcus Aureus MRSA. Show all posts
Showing posts with label Methicillin Resistant Staphylococcus Aureus MRSA. Show all posts

Thursday, April 21, 2011

Hand sanitizers: don't kill MRSA or E. coli, says FDA - Health Key

Hey, hand sanitizers. You can only do so much – and preventing MRSA infection isn’t one of those things -- so stop over-promising! That was the gist of warning letters from the Food and Drug Administration to four makers of the popular products.

Apparently, the manufacturers of Staphaseptic, Safe4Hours, Dr. Tichenor’s and CleanWell products had suggested that various gels, protectants and what-not could protect against infection with methicillin-resistant Staphylococcus aureus bacteria. The FDA takes issue with that.

It wasn’t too enamored with claims about preventing infection from E. coli or the flu either.

The letter to one of the companies, which claimed their product kills 99.9% of MRSA, gives the general tone: “Below is an analysis of the regulatory status of Staphaseptic First Aid Antiseptic/Pain Relieving Gel which includes excerpts of the violative labeling and the specific new drug and misbranding charges. Note that this is not an all inclusive description of all violative labeling for your OTC drug product.”

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Super bug bacteria in meat and poultry, study says - SmartPlanet

Meat and poultry inspectors usually look for many types of multi-drug-resistant bacteria, but staph is often times overlooked. The bacteria can cause skin infections and can lead to more serious illnesses such as pneumonia and sepsis.

Here’s a summary of what the study, published in the journal Clinical Infectious Diseases, found:

  • half of the meat sold in grocery stores are contaminated with S. aureus
  • one in four samples were resistant to at least three classes of antibiotics
  • methicillin-resistant staph was found in three of the samples
  • the staph are resistant to up to nine different antibioitics, making it hard to treat

However, The New York Times reports that “federal health officials estimate that staph accounts for less than 3 percent of all food-borne illnesses. In a statement Friday, the American Meat Institute said the study was misleading.” Businessweek reports staph infections occur only three percent of the time and are not nearly as common as other foodborne illnesses like salmonella and E. coli.

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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Saturday, April 16, 2011

Multidrug-Resistant Staphylococcus aureus in US Meat and Poultry

Abstract

We characterized the prevalence, antibiotic susceptibility profiles, and genotypes of Staphylococcus aureus among US meat and poultry samples (n = 136). S. aureus contaminated 47% of samples, and multidrug resistance was common among isolates (52%). S. aureus genotypes and resistance profiles differed significantly among sample types, suggesting food animal–specific contamination.

Antimicrobials are used extensively in food animal production, where they are often applied subtherapeutically for growth promotion and routine disease prevention [1]. Surveys conducted by the National Antimicrobial Resistance Monitoring System (NARMS) indicate that retail meat and poultry products are frequently contaminated with multidrug-resistant Campylobacter species, Salmonella species, Enterococcus species, and Escherichia coli [2]; but little is known about the prevalence of other antibiotic-resistant pathogens in the US food supply.

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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856-415-9617, (fax) 415-9618

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Friday, April 1, 2011

MRSA Protocols- Are They Being Used In Practice? | Registered Nurse Blog

Posted: April 2nd, 2011

In Advance For NPs and PAs, a March 9, 2011 article was featured on the following study of protocols used by health care providers to treat MRSA infections. I was surprised to see that some providers were still using Keflex to treat these infections. Some providers still were not sending cultures on these infections. How can we adequately treat an infection without knowing what will actually kill the bacteria? My impression of the following information is that the protocol that I do is somehow a new treatment regimen. I have been doing incision and drainage with appropriate culturing with first line Septra for the last 3 plus years. I also use mupricion ointment to nares twice daily and Hibaclens during the regimen if they have had more than one outbreak within a 6 month period.

Taking Aim at MRSA
Protocol use by an NP-PA team
Anita D. Barnes is a family nurse practitioner who is an assistant professor of nursing at Stephen F. Austin State University in Nacogdoches, Texas.
A 2009 study reported a variety of approaches used by ED physicians to treat CA-MRSA SSTIs.6 The study surveyed 225 ED physicians nationwide: 56% reported always sending cultures for testing and 19% said they never did so. The physicians prescribed trimethoprim-sulfamethoxazole (TMP-SMX) 60% of the time, either alone or in combination with another antibiotic. Nineteen percent treated patients with cephalexin alone, and 13% prescribed cephalexin in combination with another antibiotic. Cephalexin is not recommended in the CDC protocol.

What are you doing as providers to treat MRSA infections? Do you find the information alarming that some providers are still not culturing infections?

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

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Thursday, March 31, 2011

Enhanced Cleaning of ICUs Associated With Reduced Risk of MRSA Transmission

An intervention for enhanced cleaning of intensive care unit (ICU) rooms that included increased education on important cleaning techniques was associated with a lower rate of acquisition of methicillin-resistant Staphylococcus aureus (MRSA) in rooms that were previously occupied by MRSA carriers, according to a report in the March 28 issue of Archives of Internal Medicine.

“Environmental contamination with multidrug-resistant organisms may facilitate the spread of health care-associated infections. This is particularly important in ICUs, in which patients are at high risk of infection due to comorbidities [co-existing illnesses], wounds, and the use of medical devices. Prior research has shown that admission to an ICU room previously occupied by a patient harboring MRSA or vancomycin-resistant enterococci (VRE) was associated with a 40 percent increased risk of acquisition,” according to background information in the article.

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

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Sunday, February 20, 2011

Antiseptic baths 'reduce infection risk' | News | Nursing Times

Using 2% chlorhexidine gluconate cloths for the daily bathing of inpatients, instead of soap and water, reduces the risk of hospital-acquired infections, according to US researchers.

The study found a 64% decrease in the risk of acquiring either MRSA or Vancomycin-resistant Enterococcus. A group of 7,699 general medical patients were bathed daily by healthcare assistants with CHG antiseptic cloths for the duration of their admission, while a control group of 7,102 patients were bathed with soap and water.

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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856-415-9617, (fax) 415-9618

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