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State public health director issues guidance to help limit and control MRSA outbreaks in schools          Send a link to a friend

Cases reported in communities, among healthy people

[October 22, 2007]  SPRINGFIELD -- Dr. Damon T. Arnold, state public health director, will issue recommendations to limit transmission and control outbreaks of methicillin-resistant Staphylococcus aureus in Illinois schools.

Staphylococcus aureus is a bacterium that is commonly carried in the nose and on the skin of healthy people. The bacterium is often referred to as "staph." It is estimated that 30 percent of the population carries staph on the skin or in the nose. Methicillin or penicillin and cephalosporins are generally used to treat staph infections. About 1 percent of people have a type of staph that is resistant to these antibiotics and is called methicillin-resistant Staph aureus, or MRSA, so other antibiotics must be used to treat MRSA infections.

Over the past 20 years, MRSA infections have occurred primarily among patients in hospitals or long-term care facilities. However, MRSA infections are becoming more common in the community among otherwise healthy people, such as students, who have not had contact with health care personnel or patients. These infections are known as "community-associated MRSA," or CA-MRSA, infections.

"We're seeing MRSA infections among otherwise healthy people," Arnold said. "We do not know the reason for this change but want to make sure people know they can protect themselves. To reduce the risk of MRSA infection, we must educate staff, students and parents about how it is spread and how to avoid transmission. The department has guidelines and will again provide these recommendations so everyone will know basic tips to avoid transmitting this bacterium."

Basic hygiene is the best protection. Thorough hand washing is a must, which includes washing hands before preparing or eating food, after touching any skin lesions or clothing contaminated by drainage from lesions, and after using the toilet or diapering a child. Keep cuts and abrasions clean and covered with clean, dry bandages until healed. Follow your health care provider's instructions on proper care of wounds, and avoid contact with other people's wounds or material contaminated by wounds. There are also recommendations to avoid sharing towels and personal items, such as razors and deodorant.

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Most infections caused by staph are skin infections, such as pimples or boils. Staph skin infections can be red, painful, swollen, or have pus or other drainage. More serious staph infections can also cause pneumonia and infections of the blood and joints.

If multiple cases of Staphylococcus aureus infection are identified in a school, the school should provide students and their parents, faculty and staff information about what Staphylococcal aureus is, how it is spread and how staph infections can be prevented. The local health department may also implement more stringent requirements during an outbreak.

Realizing the need for more guidelines with regard to MRSA, Gov. Rod R. Blagojevich recently signed legislation to help protect people against MRSA infection. Health care facilities now have to perform annual infection control risk assessments, develop infection control policies, enforce hand hygiene and contact precaution requirements, and incorporate any updated prevention and control recommendations issued by the federal Centers for Disease Control. In addition, hospitals are now required to screen all patients in intensive care units and other "at-risk patients" identified by the hospital for MRSA.

Additional recommendations are available for MRSA skin infections when multiple cases occur in a group or school setting.

For more information, contact your local public health department or the Illinois Department of Public Health at 217-782-2016 or visit www.idph.state.il.us.

[Text from Illinois Department of Public Health news release received from the Illinois Office of Communication and Information]

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