Methicillin Research Paper

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Running Head: HOSPITAL AQUIRED INFECTION Methicillin- Resistant Staphylococcus Aureus Kristin Charest Submitted to Ann Walsh in partial fulfillment of Trends II AVRTS PN Program May 29, 2008 Methicillin- Resistant Staphylococcus Aureus Hospital Acquired Infections (HAI’s) currently have a major impact on healthcare today. The startling numbers constitute an endemic if not an epidemic. Is enough being done to protect patient’s as well health care workers, visitors and the community as a whole? They increase healthcare costs as well as morbidity and mortality rates. One of the more prevalent is methicillin-resistant Staphylococcus aureus. MRSA is particularly troubling because it is antibiotic resistant,…show more content…
It is expensive and has serious side effects. It must be administered intravenously because it is ineffective if given PO (http://goapic.org/MRSA.htm). Vancomycin is metabolized by the liver and excreted by the kidneys. Each individual metabolizes differently and this may be further compounded by disease, illness, age and sex, so trough levels need to be monitored to prevent toxicity and/or damage to major organs (Williams & Hopper, 2007 pg 105). There is fear that further mutation will cause resistance to all currently available antibiotics, including Vancomycin. “A few isolated cases of this have been documented worldwide” (Williams & Hopper, 2007 pg 102 ¶…show more content…
The new “wash in - wash out” programs instituted at most hospitals are positive steps in the right direction. It is important for all health care workers that come in contact with patients to be thoroughly trained about proper infection control techniques. When there is a language barrier with staff, as there often is with housekeepers and PCA’s, it is important that they are able to give a return demonstration on proper infection control techniques. Warning signs outside the room or on the door of those patients on precautions is important. There is also a direct correlation between HAI’s and staffing levels (Hallinan & Bloice, 2007); therefore health care facilities should ensure adequate staffing to provide appropriate care and environment for the patient. There is a definite correlation between misuse of antibiotics and resistant infections. It is important for antibiotics to be taken only when necessary and exactly as directed (Williams & Hopper, 2007 pg 102). The use of antibiotics in animals has also contributed to this problem (Williams & Hopper, 2007 pg 102), it is important to eliminate antibiotics in animal products. It has been suggested that the use of a “secret shopper” be used to observe hand hygiene practices (Use proven

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