Grossman Sheila, Mager Diana Debartolomeo
Fairfield University School of Nursing, Fairfield, CT 06430-5195, USA.
Home Healthc Nurse. 2008 Jun;26(6):356-64; quiz 365-6. doi: 10.1097/01.NHH.0000324309.38286.93.
Severe fatal complications such as pneumonia, cutaneous abscesses, empyema, necrotizing fasciitis, and sepsis can result from methicillin-resistant Staphylococcus aureus (MRSA) even for healthy people. An overview of managing the threat of MRSA in home care is presented. The home healthcare nurse can be proactive with MRSA infections by following and teaching strict medical asepsis while assessing the slightest signs and symptoms indicating that a patient is deteriorating or not responding to the prescribed antibiotic or wound care. This article aims to increase awareness of community-acquired (CA)-MRSA, to offer suggestions for preventing CA-MRSA, and to describe methods for managing this infectious process in the home.
即使对于健康人来说,耐甲氧西林金黄色葡萄球菌(MRSA)也可能导致严重的致命并发症,如肺炎、皮肤脓肿、脓胸、坏死性筋膜炎和败血症。本文概述了在家居护理中应对MRSA威胁的方法。家庭保健护士可以通过遵循并教授严格的医学无菌操作,同时评估表明患者病情恶化或对处方抗生素或伤口护理无反应的最轻微体征和症状,积极应对MRSA感染。本文旨在提高对社区获得性(CA)-MRSA的认识,提供预防CA-MRSA的建议,并描述在家中管理这种感染过程的方法。