Source of Devastating MRSA Infections Traced
by
findingDulcinea Staff
A single strain of bacterium appears to be responsible for almost all cases of the staph infection CA-MRSA in non-hospitalized people. The strain is hardy, say researchers, and will likely cause many more infections in the coming years.
30-Second Summary
The National Institute of Allergy and Infectious Diseases reports in its study that USA300 is an evolving bacterium, and will evolve into many derivatives.
Methicillin-resistant Staphylococcus aureus, or MRSA, cannot be treated with the most commonly used antibiotics. Doctors rely on newly developed antibiotics that can cause collateral damage to the patient.
Most cases of MRSA infection occur in hospitals. But increasingly these potentially deadly germs are making their way into the community at large.
Methicillin-resistant Staphylococcus aureus, or MRSA, cannot be treated with the most commonly used antibiotics. Doctors rely on newly developed antibiotics that can cause collateral damage to the patient.
Most cases of MRSA infection occur in hospitals. But increasingly these potentially deadly germs are making their way into the community at large.
Headline Links: ‘One Strain Behind Epidemic of Staph Infections’
Lead researcher, Frank R. DeLeo explained the importance of the findings in a prepared statement, "The USA300 group of strains appears to have extraordinary transmissibility and fitness. We anticipate that new USA300 derivatives will emerge within the next several years and that these strains will have a wide range of disease-causing potential." The Epidemic community-associated methicillin-resistant Staphylococcus aureus: Recent clonal expansion and diversification study was published online Jan. 23 in Proceedings of the National Academy of Sciences of the United States of America.
Source: Health Day News
The full study is available from the Proceedings of the National Academy of Sciences of the United States of America.
Source: Proceedings of the National Academy of Sciences of the United States of America
Background: Students deaths from MRSA; MRSA kills more than AIDS; what is staph?
Student Deaths
In the fall of 2007, MRSA appeared in a significant number of U.S. newspaper headlines. On Oct. 15 a previously healthy 17-year-old high school student died after a week-long battle with MRSA. His classmates successfully demanded that the school be closed and sterilized.
Source: CNN
In early October, two children, an 11-year-old in New Hampshire and a 4-year-old in Mississippi, in addition to Ashton Bonds of Virgina, died from MRSA infections. Doctors are baffled: “We don't know why this organism began to mutate in this way in the community ... This community onset is by far the concern for us," stated Dr. Jaime Fergie, director of the pediatric infectious diseases unit at Driscoll Children's Hospital.
Source: ABC News
MRSA kills more than AIDS
The deaths from and infections of MRSA, coincided with the release of a study from The Journal of American Medical Association, which has found that more Americans are killed each year by MRSA related infections than A.I.D.S.
Source: Dallas News
"Invasive Methicillin-Resistant Staphylococcus aureus Infections in the United States" was published on Oct. 17, in The Journal of American Medical Association. The abstract is free, however, the full text of the article requires subscription.
Source: The Journal of American Medical Association
What is Staph?
“Staph” or Staphylococcus aureus is a form of bacteria carried on the skin and the most common type of skin infection. Between 25-30 percent of Americans are colonized (when bacteria are present, but not causing an infection) in the nose with staph bacteria. MRSA is a type of “staph” bacteria that is resistant to methicillin, oxacillin, penicillin and amoxicillin.
Source: Centers for Disease Control and Prevention
According to the CDC, it is estimated 94,360 persons developed a serious MRSA infection in 2005. Of those infected, 18,650 persons died from MRSA-related infections during a hospital stay. Approximately 85 percent of all invasive MRSA infections were associated with healthcare treatment, and 14 percent occurred in persons without obvious exposure to healthcare.
Source: Centers for Disease Control and Prevention
Background: Prevalence of antibiotics
Since the 1940s, when penicillin was first invented, over 150 different types of antibiotics have been created. Yet the prevalence of antibiotics has also meant the creation of “super-bugs,” which appear when an antibiotic fails to kill every bacteria it is formed to kill. Mayo Clinic explains that these superbugs can even exchange survival information with other bacteria—even different species—allowing additional drug-resistant organisms to emerge.
Source: Mayo Clinic
Reactions: Few Hospitals Reduce Rates of MRSA, Committee to Reduce Infection Deaths
"The real doomsday scenario now is that you have an increasing number of young fit people with Community MRSA, you have a flu epidemic that makes the lungs more susceptible to infection and then the MRSA will actually kill people very quickly,” stated Professor Richard James of Nottingham's Centre for Biomolecular Sciences.
Source: BBC News
A May 2007 study indicated that MRSA rates are seven to eight times higher than the rates found in a 1999-2000 CDC study. "This is a real wake-up call, particularly for administrative and clinical leaders," states Assn. for Professionals in Infection Control & Epidemiology CEO Kathy L. Warye. "This study shows that infection control is really important, and MRSA prevention is at the top of the list."
Source: American Medical News
According to Dr. Morgan who has treated Methicillin-resistant Staphylococcus aureus (MRSA) cases at the Royal Devon and Exeter Hospital in Britain, “[MRSA] is the worst bug I have ever seen and people really need to know about it … It is untreatable. It multiplies very quickly. One bug will multiply into 17 million within 24 hours.” Doctors have found that a strain of MRSA, Community-Associated MRSA, is looming on playgrounds and in gyms rather than just hospitals.
Source: The Guardian
Through screening and strict hygiene measures, a few hospitals, including the Veteran’s Affairs Hospital in Pittsburgh, PA, have drastically cut the numbers of MRSA infections—in some cases by 78 percent. Yet, only a quarter of American hospitals use a methodological approach to screening for bacterial colonization. Terri Gerigk Wolf, the Director of director of VA Pittsburgh Healthcare Systems, explains: “People don’t believe it’s in their institution, and, if it is, that it’s too big to do anything about, that you just have to accept it.”
Source: The New York Times
Related Links: CDC and athletes with MRSA
The Center for Diseases Control and Prevention acts as an umbrella organization for MRSA research, prevention and surveillance through several networks including Dialysis Surveillance Network (DSN), which follows MRSA bloodstream infections and Healthcare Infection Control Practices Advisory Committee (HICPAC), which works to reduce the transmission of MRSA.
Source: Centers for Disease Control and Prevention
Several athletes including NBA star, Grant Hill, NFL player Junior Seau, have become stricken with MRSA after surgery. Yet, more athletes are contracting Community-Acquired MRSA in gyms and during practices. Mike Gansey, a former West Virginia Guard, had expected to be drafted in the NBA until he contracted MRSA; he was bedridden in the hospitals for two weeks. "You can't physically move. It feels like you got hit by a truck and you don't even know it," stated Gansey.
Source: ESPN
Reference: Prevention With Simple Solution, Treatment
“This disease is spread by close skin-to-skin contact, crowding, sharing contaminated items,” Nicole Coffin, a spokesperson at the Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia, stated, "At this point, everybody in the community can be at risk for MRSA.”
Source: National Geographic
The Mayo Clinic recommends that people avoid sharing personal items such as towels and razors; keep wounds covered; sanitize linens; wash hands thoroughly and if one has a skin infection that requires treatment, request a test for MRSA. To avoid MRSA while in the hospital, ask all hospital staff to wash their hands before touching the patient, wash your own hands often, and make sure that all intravenous tubes are inserted and removed in sterile conditions.
Source: Mayo Clinic
Keep Kids Healthy suggests that athletes shower and wash with soap after all competitions and practices as MRSA can spread with indirect contact through workout areas and even clothes.
Source: Keep Kids Healthy
Texas A&M Health Science Center Institute of Biosciences and Technology at Houston researchers found an association between CA-MRSA and an aggressive, often fatal, form of pneumonia.
Source: Science
Updates: New treatment
Researchers from the University of East London have found allicin can treat the strongest strains of MRSA. Allicin is the ingredient that gives garlic its potent smell, yet, it has proved effective even when Vancomycin and Glycopeptides, two anti-biotics considered the last defense against MRSA, do not work. Results of a six-month study will be published in the Journal of Biomedical Science next year.








