Working in a CMS? Working in a CMS?

Know the Facts AboutKnow the Facts About

Community Associated Community Associated MRSAMRSA

(CA-MRSA)(CA-MRSA)

Facts, not FictionFacts, not Fiction

Correct information is essential Correct information is essential becausebecause

knowledge eliminates speculation.knowledge eliminates speculation.

CA-MRSA – What Is It?CA-MRSA – What Is It?

Community Associated- Methicillin Resistant Community Associated- Methicillin Resistant Staphylococcus aureusStaphylococcus aureus is caused by is caused by StaphStaph bacteriabacteria

StaphStaph bacteria are commonly found in the nose bacteria are commonly found in the nose and on the skinand on the skin

StaphStaph is normally harmless but can cause is normally harmless but can cause infections on the skin and in other parts of bodyinfections on the skin and in other parts of body

CA-MRSA is a type of SCA-MRSA is a type of Staph taph infection that is infection that is resistant to some antibiotics like Penicillinresistant to some antibiotics like Penicillin

How Do You Get CA-How Do You Get CA-MRSA?MRSA?

Sometimes when bacteria enters the Sometimes when bacteria enters the skin through a cut or scrapeskin through a cut or scrape

Sometimes by close skin to skin Sometimes by close skin to skin contact with an infected person’s contact with an infected person’s woundwound

Sometimes by sharing sports Sometimes by sharing sports equipment or personal items such as equipment or personal items such as towels or razorstowels or razors

By not cleaning a cut or scrape By not cleaning a cut or scrape properly properly

Overuse of antibiotics or not Overuse of antibiotics or not finishing prescribed antibioticsfinishing prescribed antibiotics

What Does What Does CA-MRSA Look Like?CA-MRSA Look Like?

Usually a skin Usually a skin infection that looks infection that looks like pustules or boils. like pustules or boils. Can also look like a Can also look like a pimple or “spider pimple or “spider bite.”bite.”

Usually red, painful, Usually red, painful, and swollen and and swollen and sometime contains sometime contains pus.pus.

Usually occurs at the Usually occurs at the site of a cut, scrape or site of a cut, scrape or “break in the skin”.“break in the skin”.

CA-MRSA Skin InfectionCA-MRSA Skin Infection

How Is It Treated?How Is It Treated?

Healthcare providers : Healthcare providers : Culture to find out if it is CA-MRSACulture to find out if it is CA-MRSA Drain and clean the infection and/orDrain and clean the infection and/or Give antibiotics (in certain cases Give antibiotics (in certain cases

antibiotics may not be used)antibiotics may not be used) Cover the wound with a secure Cover the wound with a secure

bandage on all four sides if it is bandage on all four sides if it is drainingdraining

Proper Wound CareProper Wound Care

If you have an If you have an infection you should: infection you should:

CLEANCLEAN the wound daily with the wound daily with soap and watersoap and water

COVERCOVER with a dry, secure with a dry, secure bandage after cleaningbandage after cleaning

FINISHFINISH all prescribed all prescribed antibioticsantibiotics

AVOIDAVOID sharing personal sharing personal items at school or at homeitems at school or at home

Exclude from School or Exclude from School or Sports?Sports?

Unless directed by a physician, Unless directed by a physician, students and staff with CA-MRSA students and staff with CA-MRSA should should notnot be excluded from be excluded from attending school or work.attending school or work.

It is not required, but is our It is not required, but is our practice, to inform the school practice, to inform the school community about community about confirmedconfirmed

CA-MRSA. CA-MRSA.

If an athlete has an infection with If an athlete has an infection with drainage they drainage they should beshould be excluded from participation until excluded from participation until the wound is dry with no further the wound is dry with no further drainage.drainage.

Community Acquired Community Acquired MethycillinMethycillin Resistant Resistant Staphylococcus Staphylococcus AureasAureas (CA(CA--MRSA)MRSA)

Response ProtocolResponse Protocol

Department Supervisor

Coordinates Building ResponseEnsures confidentiality

ContactFacilities Call Center

(ext. 7062, 7063, 6852)

Sends appropriate personnel to assist with disinfection of area

ContactCMS School Health

Pre-K-12 Support Svcs.(ext. 5986 or 6269)

Provides information, guidance Resources staff, parents, students,

Interfaces with MCHD

ContactCommunications

(ext. 6243)

Provides letters, connect ed messagesCompletes board report; if needed

Coordinates media requests

Community Acquired Community Acquired MethycillinMethycillin Resistant Resistant Staphylococcus Staphylococcus AureasAureas (CA(CA--MRSA)MRSA)

Response ProtocolResponse Protocol

Athletic DirectorNotifies Principal, Director of

AthleticsAfter school hours/weekend,

notify call center

Principal

Coordinates School Response;Completes incident report;

Ensures confidentiality

Consults with School Nurse

Advises principalMonitors, manages cases;Provides Staff Education

ContactFacilities Call Center

(ext. 7062, 7063, 6852)

Sends appropriate personnel to assist with disinfection of area

ContactArea Superintendent

Disseminates key information to appropriate

Central Office staff

ContactCMS School Health(ext. 5986 or 6269)

Provides information, guidance Resources staff, parents, students,

Interfaces with MCHD

ContactCommunications

(ext. 6243)Provides letters, connect ed messages

Completes board report; if neededCoordinates media requests

PreventioPreventionn

Wash hands often with Wash hands often with warm soap and waterwarm soap and water

Clean all cuts and Clean all cuts and scrapes well with soap scrapes well with soap and waterand water

Cover wounds with dry Cover wounds with dry bandage until healedbandage until healed

Report suspicious skin Report suspicious skin sores to a parent, school sores to a parent, school nurse and/or doctornurse and/or doctor

Do not share personal Do not share personal items such as towels, items such as towels, clothing, or razorsclothing, or razors

Shower after physical Shower after physical activityactivity

Wash athletic clothing Wash athletic clothing after useafter use

Clean and disinfect Clean and disinfect shared athletic shared athletic equipment after useequipment after use

Athletes must securely Athletes must securely cover with a bandage cover with a bandage any skin lesion before any skin lesion before potential physical potential physical contactcontact

Athletic and Physical Athletic and Physical education departments education departments show CA-MRSA video to show CA-MRSA video to ALL ATHLETESALL ATHLETES

Practical Advice for Practical Advice for Teachers/Athletic StaffTeachers/Athletic Staff Refer any student with a pustular skin Refer any student with a pustular skin

rash or any open draining wounds to the rash or any open draining wounds to the school nurse.school nurse.

Enforce good hand washing with soap Enforce good hand washing with soap and water. This is the single best and water. This is the single best measure to help prevent the spread of measure to help prevent the spread of any communicable disease.any communicable disease.

Coaches should ensure athletes wash Coaches should ensure athletes wash their hands, cover any wounds, and not their hands, cover any wounds, and not share any personal items and towels.share any personal items and towels.

GuidelinesGuidelines

Maintain confidentialityMaintain confidentiality by not by not discussing health issues of students or staff discussing health issues of students or staff with other students or staffwith other students or staff

No form of quarantine is necessaryNo form of quarantine is necessary

Routine but thorough environmental cleaning Routine but thorough environmental cleaning is sufficient in most cases. (CMS uses EPA is sufficient in most cases. (CMS uses EPA registered products). Weight rooms and registered products). Weight rooms and equipment should be cleaned more frequently.equipment should be cleaned more frequently.

More InformationMore Information

Your School NurseYour School Nurse Mecklenburg County Health DepartmentMecklenburg County Health Department

web site web site www.meckhealth.orgwww.meckhealth.org

CMS website CMS website www.cms.k12.nc.uswww.cms.k12.nc.us

CDC website www.cdc.govCDC website www.cdc.gov

This presentation is a collaborative effort between the Mecklenburg County Health Department and Charlotte-

Mecklenburg Schools