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Public Health

Public Health Solutions
District Health Department
995 East Hwy 33, Ste 1
Crete, NE 68333-2562
888.310.0565

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Serving Fillmore, Gage, Jefferson, Saline, and Thayer counties.

MRSA - Methicillin Resistant Staphyloccocus aureus

What is it?
Staphyloccocus aureus is a bacteria that is commonly found in the nose and on the skin, though it can be transferred to other parts of the body. A type of this germ has become strong enough to resist methicillin, an antibiotic typically used to fight bacterial infections. MRSA attacks soft tissue, and can spread to the blood, joints and vital organs.

How is it spread?

Any activity that causes a break in the skin, injury, or poor general health can cause a MRSA infection to take hold. It is spread through direct skin-to-skin contact with those already carrying MRSA infections, or with items they have had close contact with such as towels, sheets, clothes, sports equipment, etc.

What are the symptoms?

MRSA commonly causes skin infections that resemble spider bites, infected burns, impetigo, boils or abscesses.

What can I do to prevent MRSA infection?

Practice Good Hygiene.
1. Keep your hands clean by washing with soap and water.
2. Keep cuts and scrapes clean and covered with a dressing.
3. Avoid touching the wounds of others.
4. Do not share your towels or other personal items.
5. Use alcohol-based hand gel when soap and water are not available.
6. Shower with soap after each practice or athletic contest.
7. Use a barrier between your skin and shared workout equipment . Wipe the surfaces of equipment before and after use.

For athletes, coaches and athletic directors.

  • Encourage good hygiene. Make showering and washing with soap after all practices and competitions a requirement.
  • Ensure availability of adequate soap and hot water.
  • Discourage sharing of personal items: towels, soap, clothing, drink bottles, and equipment.
  • Establish a daily schedule for cleaning the locker room and all shared equipment, i.e. showers, benches, training tables, helmets/headgear, weigh lifting equipment (bars, grips, lifting belts, etc.), balls, mats, rackets, floors, walls, wall padding, door pulls/knobs, etc. Mats should be sanitized before and after each practice and match.
  • Use a 1:100 water to bleach solutions or other EPA-approved cleaner proven to be effective against MRSA.
  • Provide a scoop for ice buckets - do not use hands.
  • Athletes should only wear uniforms and/or workout clothing a single time before washing.
  • Receive training in first aid for wounds and recognition of wound that are potentially infected.
  • Assess athlete's skin regularly for wounds.
  • Require students/athletes to report all potential skin infections to coaches, trainers, and/or the school nurse.
  • Cover all wounds. Athletes should not touch them with bare hands.
  • If a would cannot be covered adequately, exclude from practice and competitions, players with potentially infected lesions, until the lesions are healed or can be adequately covered. **Prohibit wrestling activities even for those with covered lesions/wounds. Consider prohibiting all contact sports for these individuals.
  • Use disposable gloves when administering first aid for cuts, scrapes, etc. Wash hands or use sanitizer after disposing of gloves.
  • Have student see a physician/medical provider for wounds that don't heal or look potentially infected, i.e. wounds that have increased redness, increased warmth, pus, and etc. Physicians should be encouraged to culture wounds to determine whether MRSA is the cause.
  • If soap is furnished to students, it should not be bar soap.
  • Towels should be laudered in soap and water that is heated to at least 71 degrees Celcius, (160 degrees F), and dried in a hot dryer.
  • Use separate mops and buckets for cleaning locker rooms and restrooms. Clean mop heads and buckets regularly (change out mop heads after each use if disposables are used).
  • Keep small mat holes/tears covered with tape, and replace mats in disrepair.
  • Install wall dispensers containing at least 60% alcohol-based hand sanitizer at entrances/exits inside weight room. **Visibly dirty hands should always be washed with soap and water.
  • Inform parents and custodians of the recommendations for preventing the spread of MRSA infections, especially if an active infection is suspected.