Proper hand washing and hygiene is the basic and most important step in prevention of MRSA infection. Hands should be washed and disinfected (using alcohol gel, etc) after encounter and examination of every patient. This is for the safety and protection of one’s own health as well as of other patients.
Specific programs should be introduced to control and reduce the burden of MRSA infections and proper guidelines should be formulated for detection, prevention and treatment of MRSA.
It is important to realize that although MRSA is resistant to a lot of antibiotics, it can still be treated with many other antibiotics available if the medications are taken in proper dosage for adequate duration of time. It is rare for MRSA infections to become life threatening if they are properly treated on time. Both nosocomial and community acquired MRSA is resistant to standard penicillin and penicillin-related antibiotics. Therefore MRSA susceptibility is first checked against different antibiotics including co-trimoxazole, erythromycin, fusidic acid, mupirocin, tetracycline, ciprofloxacin, clindamycin, gentamicin, rifampicin and vancomycinvancomycin. Community acquired MRSA is susceptible to antibiotics like trimethoprim-sulphamethoxazole, tetracyclines and clidamycin. But nosocomial MRSA is resistant even to these antibiotics. So in treatment of such cases, antibiotic like vancomycin, teicoplanin, dalfopristin and linezolid are used. Mupirocin is a topical antibiotic which is commonly used to clear MRSA from carriers (Understanding MRSA (Methicillin resistant Staphylococcus aureus)).
In a nutshell, MRSA infections are widespread and continue to increase till date. Therefore, appropriate measures should be taken to control the spread and prevent further infections. This requires early detection and screening for MRSA, efficient prevention-control programs and adequate treatment with antibiotics before the disease becomes life threatening.
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