Article Figures & Data
Figures
- Figure 1.
MRSA commonly presents as a solitary boil that is often mistaken as a spider bite.
- Figure 2.
MRSA donor wound infection. Photo courtesy of William M. Parsley, MD.
Tables
NA Yes No Has MRSA occurred in practice? 0 14 79 MRSA cases within past 12 months? 0 6 87 Nasal Culture screening of employees? 5 5 83 Regular Staff carrier screening? 0 1 92 Patient screening for MRSA? 0 1 92 Hand washing polices? 0 82 11 Hand sanitizer policies? 0 64 29 Made changes in practice because of MRSA risk? 0 18 75 Colonization
(Recommended only for HCP implicated in case cluster, outbreaks, or high-risk patients.)Nasal Mupiricin ointment bid for 5 days, plus,
Trimehtoprim/sulfa double strength po bid for 10 days
Or, Minocycline or doxycylcine 100 mg po bid 10 days, plus,
Providine/iodine baths for 3 days
Superficial colonization of a wound without signs of infection Regular cleaning with Hibiclens
Topical application of silver dressing with activity against MRSA (Acticoat or Silvasorb) or Mupiricin ointment
Close monitoring for signs of infection
Superficial skin and soft tissue infection cellulitis (HA or CA MRSA)
(Antibiotic choice should be determined by local resistance patterns.)Local wound cleaning and debridement
Topical Mupiricin
Trimehtoprim/sulfa double strength po bid for at least 10 days
Or, Minocycline or doxycylcine 100 mg po bid for at least 10 days
Plus, Rifampin 300mg po bid X 5 days
If failure of above measures,
Infectious Disease consult
Zyvox (linezolid) 600mg po Q12h (monitor for myelosuppression if longer than 10 days
Complex skin and skin structure infection
(Antibiotic choice should be determined by local resistance patterns.)Aggressive debridement essential
Topical Mupiricin
Trimehtoprim/sulfa double strength po bid for at least 10 days
Or, Minocycline or doxycylcine 100 mg po bid for at least 10 days
Plus, Rifampin 300mg po bid X 5 days
If failure of above measures, or known HA-MRSA
Infectious Disease consult
Zyvox(linezolid) 600mg po Q12h or vancomycin iv
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