Question

Need a summary of the impacts of MRSA. Needs to include: healthcare policy, prevention of spread, antimicrobial stewardship program? What do you suggest organizations or leaders do in regard to redesigning the current healthcare system? How will the recommendation impact cost, quality, and access to care and services?

Answer 1

MRSA is Methicillin resistant staphylococcus aureus , a bacterium which causes infection in different parts of the body and is difficult to treat as it's resistant to many antibiotics . Many infection prevention policies are made and intense ones are made to prevent these types of resistant infection which includes main components :-

- universal precautions

- use of personal protective equipment

- Only one healthcare staff will look after the MRSA positive

- use of isolation

- making availablity of high dose bacteria specific antibiotics

- investigations for early recognition of bacteria

- Handwashing

# prevention of spread include the following

- Hand Washing

- use of personal protective equipment

- isolation

- single staff assigned to particularly take care of these patients

- antibiotics administration for other patients and staffs members to prevent Infection

- universal precautions

# There is a huge difference in establishing polices and standards and making use of them in practice . The policies areade but the practical implementation is the main issue . I have an live example when I was working in ICU we had a patient who was terminally ill and was having infection and fever due to bedsore but it actually MRSA and we all staffs were treating as a normal patient and was also engaged in treating other patients too . Five -six days after they send culture and it was MRSA ,when we came to know it was late as one of our other patients also developed same . After that we got the antibiotics for precaution and single staff was assigned to take care of the positive patients and isolation was provided . So, its not about establishment of certain numbers of plan and policies but the real issue is implementation of these plans and policies . If the culture was s nd earlier then the second patient won't have developed MRSA .

It won't add any extra cost or effort or impact the quality instead it will improve the quality of care and access to quality health care services as every health care system is provided fund and help from its government to run its system and policies / plans .