Methacillin Resistant Staphylococcus Aureus (MRSA)
 

What is MRSA?
“MRSA” is slang for an antibiotic (methicillin – a cousin of penicillin) resistant bacteria (Staphylococcus aureus). You can’t see MRSA, but MRSA can easily live on your skin and in your nose, and you may never know it.

How common is MRSA?
MRSA, particularly community-associated MRSA, is so common that there are areas of the country that routinely consider it to be a cause of many skin infections.

How is MRSA spread?
MRSA is spread primarily from person to person by direct contact. Also, contact with an item that has the bacteria on it can transmit the bacteria to someone else. HOWEVER, if that person who is touching a contaminated object simply does basic things such as washing their hands (see, your mom was right!), then there is no problem. That is also why a clean towel should be used on common gym equipment, and athletes should shower immediately after a workout.

How aren’t they spread?
They don’t spread by sitting around talking with your friends, studying together or eating in a common area such as a dorm or suite. They don’t hide in closets or contaminate clean clothing (or the washers and dryers!) So, clean up after yourself, don’t put your fingers in your nose and shower after exercise!

What is the best way to stop the spread of MRSA?
Think about what you are doing! Wash your hands, shower after exercise and yes, cover open wounds.

What is the difference between having MRSA and having an MRSA infection?
About 30% of the general population has Staphylococcus aureus quietly living in their nose and / or on their skin. It does not bother them and they don’t even know it is there. This is called colonization. About 1% of the population is colonized with MRSA – and just like people colonized with boring sensitive (that Is, not resistant to methicillin) Staphylococcus aureus, they usually don’t know it is there, either (the “Don’t ask, don’t persons –say, cutting your face while shaving, or getting a cut or opening on the leg during a particularly feisty game of soccer – that the bacteria have an opportunity to get a “foot in the door” and cause an infection. 

I’ve read that some schools have closed and decontaminated. Do we need to?
Don’t believe everything you hear. Decontamination is not needed for these bacteria. Despite the fact that they are resistant to some antibiotics, they are very susceptible to being killed by usual household and bathroom cleaners.

Should we stop students with “MRSA” from attending classes?
No. Why should students who (now) know they have MRSA be treated any differently from those who also have the bacteria, but just don’t know about it? Anyone with an infection, (regardless of whether it is caused by a sensitive or a resistant Staph), should keep the wound clean, dry and covered. That’s all that is needed. (And remember to wash your hands!)

Do we need to move students with “MRSA” from their shared dorm rooms?
No, we don’t have to move them, but they can move if there is space and they want to. (The only reason to absolutely provide a single room would be if the wound or infected are could not be contained or covered around others.) Remember, everyone they have been in contact with for the past few weeks is already colonized (they have these bacteria happily living on their skin and in their nose) so separating these students is not going to be very helpful…

Do we need to tell everyone about specific students with MRSA?
No, people do not need to be told who is carrying MRSA. We need to tell those students with skin infections to keep their infected area covered. We need to make sure that they are doing the right things like washing their hands correctly (using soap and running water or an agent such as Purell) and showering right after exercise (like everyone else!)

How can we stop MRSA from spreading?
Good hygiene is always key…wash your hands with soap, shower right after exercise or sports, throw soiled clothing into a hamper or bag, wash sheets and towels regularly(and don’t hare these items), and keep covered all open wounds or breaks in your skin. Most importantly, if you develop a skin infection (or an infection of any type) go to Student Health Services and let them evaluate you. DON’T let any infection spread – if you are not sure, better to err on the side of caution.