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1. PreventionofMRSAintheHealthcareSetting
Evidence-BasedPracticePaperSample
Abstract
TheTheemergenceofanantibiotic-resistantbacteriaintroducesachallengingand
new issuesinthefieldofhealthcare.Ananalysisinvolvingmultipleresearch
articleswasconductedinordertolookforthebestpracticeforboththeprevention
andthespreadoftheMethicillin-ResistantStaphyloccocusAureus(MRSA)inthe
healthcaresetting.Itsimportanceinthehealthcaresettingincludesdecreasing
mortalityandmorbidity,providingprotectiontothecriticalmedicalresources,
whilereducingitsoverallburdenonhealth.Somepatientsareatarelativelyhigher
risriskforcontractingMRSA.Assuch,differentavenuesneedtobefurtherexploredso
astopreventfastertransmission.Thesealsoincludesearlydetection,antibiotic
therapy,isolationprecautions,aswellashandwashing.Thispaperwillofferthe
bestevidenceforpreventingthespreadofthispossiblyfatalbacterium.
AimofthePaper
Whatdoliteraturesshowasthebestwayincontrollingthepossiblespreadof
MRSAwithinthehealthcaresetup?Theprimaryaimofthispaperistolookclosely
intothebestevidencesinvolvedincontrollingthepotentialspreadofthis
antibiotic-resistantbacteria.Itisveryimportanttoimplementeffectivestrategies
inpreventingwithinthehospitalsetting.Thiswillhelpprotectthecriticalmedical
resources,decreasemortalityandmorbidity,protectthepatientsandthefacility
workers,whiledecreasingtheoverallburdenbroughtbytheMRSAinthehealth
caresettingcaresetting.

2. PreventionofMRSAintheHealthcareSetting
SupportforRelevance
TheoccurrenceoftheMRSAwasreportedinitiallyin1961,inUnitedKingdom.It
wasdiscoveredthatStaphyloccocusAureusinfectionswerehighlybecoming
resistanttomethicillin,asabeta-lactuminhibitor(Romain,Tester&O’Neill,2008).
MRSAalsoranksasamongtheprevalentpathogensamonghospitalsworldwide
(Diethelm&Clima,2010).Infectionsthatarecausedbyamulti-drugresistantand
gram-positivebacteriafurtherrepresentsaprimarypublichealthburdenwhenit
comestomortalityandmorbidity,increasedexpensesinthefieldofpatient
managemenmanagement,aswellastheimplementationofmeasurestocontrolinfection.
(William&Langley,2011).StaphyloccocusAureusisarecognizedpathogeninthe
hospitalsetting.Whentalkingaboutmulti-drugresistance,ithasthetendencyto
complicatetherapy.Ithasalsobeenreferredtoasa“superbug”,regularlyattracting
interestfrom themedia.ThereisalsoapoliticalpressurethatreducesMRSA
infectionrates.
Somepatientsareusuallyatahigherriskofcontractingthisbacteria.This
includespatientswhohadpreviousMRSAinfection.Thesearepatientswhohave
previouslybeenhospitalized,atleastthriceormoretimesinasingleyear,those
whohavebeenlong-termresidentsoflong-termcarefacilities,aswellaspatients
whoaredealingwithchronicwounds.Throughscreeningofthesehigh-risk
patients,accurateisolationmeasurescanbeappliedrightintoplacesothatthe
transmissiontowardsotherpatients,aswellastotheircaregiversmayalsobe
prprevented.
Evidence-BasedPracticePaperSample

3. Antibiotictherapyandisolationalonearenotenoughtostoptransmissionof
StaphyloccocusAureusfromapersontoanother,whetheritwithinpatients,orto
thecaregivers.Theprimarymodeoftransmissionisthroughthehands,particularly
throughthehandsofthehealthcareworkers.Aspresentedbyvarioushand
washingstudies,theactofhandwashinghasbeenshowntobeaveryimportant
factorwhenitcomestoreducingthepotentialspreadofmicroorganisms.However,
allofthesestudiesshowthatalotofhealthcareworkersdonotpracticetheright
wawayofperforminghandhygienewhenitcomestotakingcareofvariouspatients.
SummaryoftheEvidence
AccordingtoRomainetal.(2008),about30%ofthepopulationofhealthypeople
carriestheStaphyloccocusAureuswithintheiranteriornares(p.42).Thisisoften
associatedwiththeincreaseinriskofinfectionsaftersurgery.Atthesametime,
about80%ofinfectionsthatarecategorizedasinvasivenosocomialcomesfrom
endogenousoriginamongnasalcarriers(Romain,etal.,2008).
Earlydetectionofthesecarriersisveryimportantwhenitcomestotheprevention
ofStaphyloccocusAureusinfection.Forstaffandhealthcareworkers,proper
protectiveattireshouldbechanged,whileappropriatehandhygieneshouldbe
observedinbetweenpatientcontacts.
References
Diethelm,H.&Clima,C(2010).StaphyloccocusAureusanditspoweronthehumanbody.PathologicalDisorder
Journal,23(2),134-144.
RRomain,H.D.,Tester,H.&O’Neill,A.(2008).StatisticsonMRSA–Updated.PathologicalDisorderJournal,12(2),
42-44.
William,H.&Langley,T.(2011).TransmissionofMRSAinthehealthcaresetting.HealthcareSociety,45(4),12-15.
PreventionofMRSAintheHealthcareSetting
Evidence-BasedPracticePaperSample