MRSA has
been featured in the news a
great deal recently. MRSA stands for Methicillin-resistant Staphylococcus
aureus. This bacteria causes “staph” infections
that are resistant to treatment with usual antibiotics.
MRSA occurs most frequently among patients who
undergo invasive medical procedures or who have
weakened immune systems and are being treated
in hospitals and healthcare facilities such as
nursing homes and dialysis centers. MRSA in healthcare
settings commonly causes serious and potentially
life-threatening infections, such as bloodstream
infections, surgical site infections, or pneumonia.
In addition to healthcare associated infections,
MRSA can also infect people in the community
at large, generally as skin infections that may
look like pimples or boils and can be swollen,
painful and have draining pus. These skin infections
often occur in otherwise healthy people.
MRSA and the Expensive
Results of Antimicrobial Resistance Along with MRSA,
many significant infection-causing bacteria
in the world are becoming resistant to
the most commonly prescribed antimicrobial
treatments. Antimicrobial resistance
occurs when bacteria change or adapt
in a way that allows them to survive
in the presence of antibiotics designed
to kill them. In some cases bacteria
become so resistant that no available
antibiotics are effective against them.
People infected with antibiotic-resistant
organisms like MRSA are more likely to
have longer and more expensive hospital
stays, and may be more likely to die
as a result of the infection. When the
drug of choice for treating their infection
doesn’t work, they require treatment
with second- or third-choice medicines
that may be less effective, more toxic
and more expensive.
MRSA: a Growing
Problem in the Healthcare Setting MRSA is becoming more
prevalent in healthcare settings. According
to CDC data, the proportion of infections that
are antimicrobial resistant has been growing.
In 1974, MRSA infections accounted for two
percent of the total number of staph infections;
in 1995 it was 22%; in 2004 it was 63%.
Facts
About Antibiotic Resistance Provided by the
Center for Disease Control
Antibiotic resistance
has been called one of the world's
most pressing public health problems.
The number of bacteria
resistant to antibiotics has increased
in the last decade. Nearly all significant
bacterial infections in the world are
becoming resistant to the most commonly
prescribed antibiotic treatments.
Every time a person
takes antibiotics, sensitive bacteria
are killed, but resistant germs may
be left to grow and multiply. Repeated
and improper uses of antibiotics are
primary causes of the increase in drug-resistant
bacteria.
Misuse of antibiotics
jeopardizes the usefulness of essential
drugs. Decreasing inappropriate antibiotic
use is the best way to control resistance.
Children are of
particular concern because they have
the highest rates of antibiotic use.
They also have the highest rate of
infections caused by antibiotic-resistant
pathogens.
Parent pressure
makes a difference. For pediatric care,
a recent study showed that doctors
prescribe antibiotics 65% of the time
if they perceive parents expect them;
and 12% of the time if they feel parents
do not expect them.
Antibiotic resistance
can cause significant danger and suffering
for people who have common infections
that once were easily treatable with
antibiotics. When antibiotics fail
to work, the consequences are longer-lasting
illnesses; more doctor visits or extended
hospital stays; and the need for more
expensive and toxic medications. Some
resistant infections can cause death.
MRSA, Antibiotic
Resistance and Microcyn Antibiotic resistance
has become a major healthcare problem in treating
many hospitalized and outpatient individuals.
It is particularly problematic in diabetic
foot ulcers. Specifically, MRSA pathogens associated
with diabetic foot ulcers have shown increasing
incidence, and as a result, increased hospital
stay and costs, poorer clinical outcomes with
higher amputation rates and higher mortality
rates.
The antibiotic, Vancomycin is
increasingly less effective against MRSA, resulting
in the emergence of new antibiotics that are expensive
and have significant risks. Clearly, any local
topical solution that would have excellent efficacy
versus MRSA and other bacterial and nonbacterial
pathogens with minimal complications would offer
a potential significant improvement over the current
treatments for wound infection and wound healing.
While antibiotics can treat
systemic narrow-spectrum infections, they are ineffective
in treating a broad spectrum of pathogens, as well
as no ability to reach wound sites with limited
or no blood flow, such as diabetic foot ulcers.
In a 218-patient Italian
study published in the peer-review journal Wounds,
the Microcyn Technology demonstrated that it
was effective and safe for the treatment of infected
foot lesions. The control group of povidone iodine
had local adverse effects, such as a skin rash
or an allergy, in 16.7% of its patients. However,
in the patients in the Micorcyn test group showed
no local adverse effects.
Bacterial strains isolated from
the ulcers of patients in both the povidone iodine
and Microcyn groups were similar at entry. However,
in the samples taken following treatment, there
were fewer cultures for all these types of bacteria,
including MRSA, S aureus, Stretopcoccus
sp, P aeruginosa, in the Microcyn
group. Patients in the Microcyn group also
healed 12 days faster than those patients in the
control group.