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What are protective measures for TB?
- N95
- Neg. pressure room, isolation
- Gowns/gloves if coughing (standard precautions)
, What is MRSA?
Methicillin Resistant Staph Aureus
- Methicillin (same as Cloxacillin)
- 25% have nasal colonization of staph, some is MRSA
- Acquired by hospital stays or community
- Skin infections, pneumonia, and bloodstream infections (if MRSA gets past body defenses)
What are MRSA risk factors?
- Elderly, sick, immunosuppressed
- Open wounds
- Tubes
- Receiving broad-spectrum Abx.
- ICU or burnt unit
- Injection drug users
- Crowded living conditions
How is MRSA transmitted?
Direct physical contact OR indirect by touching contaminated objects (survives objects: days
to months, hands: 3 hours)
What is the Tx for MRSA?
For infected pt - Vancomycin, Chlorhexidine soap, Mupiricin ointment
For colonized pt - can be decontaminated "decolonized protocol"
What are protective measures for MRSA?
- Private room/cohorts
- Gowns/ Gloves
- Mask if MRSA is in sputum
- Dedicated equipment
- Hand hygiene
, - Chlorhexidine
What is VRE?
Vancomycin Resistant Enterococci
- E.bacteria live in bowel
- Resistant to most Abx.
- Can live on skin, infected wound, blood, and urine
- Surfaces: weeks
Risk factors of VRE?
- Prev. treatment with Vancomycin
- Hospitalization
- Elderly, immunosuppressed
- Invasive procedures (surgery, foleys, central lines, open wounds)
Tx for VRE?
If colonized - no Tx. available
If infected - combo of Abx.
How is VRE transmitted?
Direct / indirect contact
What are protective measures for VRE?
- Private room
- May cohort with VRE but not with MRSA or a combination of MRSA & VRE
- Dedicated equipment
- Gown/gloves
- Hand hygiene
- Restrict from common areas
What is colonization?
No S&S of illness
What is infection?
Organism gets past host defences, becomes pathogen, causes disease
What is an epidemic?