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Disease Name: Staphylococcus aureus, methicillin-resistant (MRSA), invasive
Quick Links
Methicillin-resistant Staphylococcus aureus (MRSA): http://www.cdc.gov/mrsa/
Overview / Case Definition
Staphylococcus aureus invasive infection can produce a variety of syndromes with clinical manifestations including cellulitis, empyema, pyarthrosis, bacteremia, pneumonia, osteomyelitis, septic arthritis, endocarditis, septic shock, and meningitis.
Restrictions
Restrictions - Daycare Facility
A person who is diagnosed with MRSA infection must not work in an occupation providing personal care to children, or attend a daycare facility, if the infection manifests as a lesion containing pus such as a boil or infected wound that is open or draining; and a. The lesion is on the hands, wrists, or exposed portions of the arms, and is not protected by an impermeable cover; or b. The lesion is on another part of the body, and is not covered by a dry, durable, tight-fitting bandage.
Restrictions - Food Service Facility
A food employee diagnosed with MRSA infection must be managed under IDAPA 16.02.19, “The Idaho Food Code.”
Restrictions - Health Care Facility
A person who is diagnosed with MRSA infection must not provide personal care to persons in a health care facility if the infection manifests as a lesion containing pus such as a boil or infected wound that is open or draining; and a. The lesion is on the hands, wrists, or exposed portions of the arms, and is not protected by an impermeable cover; or b. The lesion is on another part of the body, and is not covered by a dry, durable, tight-fitting bandage.
Restrictions - School
A person who is diagnosed with MRSA infection must not work in an occupation where there is direct contact with students or attend a private, parochial, charter, or public school, if the infection manifests as a lesion containing pus such as a boil or infected wound that is open or draining; and a. The lesion is on the hands, wrists, or exposed portions of the arms, and is not protected by an impermeable cover; or b. The lesion is on another part of the body, and is not covered by a dry, durable, tight-fitting bandage.
Reporting
Within 3 working days
Reportable by Healthcare and Labs:
Reportable by Food Service Facility:
Suspect Reportable:
Reporting Timeframe: Within 3 working days
Diagnosis / Testing
Isolation of Staphylococcus aureus from a sterile site including blood, cerebrospinal fluid, amniotic fluid, pleural fluid, peritoneal fluid, pericardial fluid, bone and bone marrow, joint fluid, and specimens obtained from internal organs or sites via surgery or aspirates (NOT isolation from urine, wounds, or sputum or from nares or skin culture)
Resistance of the Staphylococcus aureus isolate to beta-lactams
Treatment
CDC MRSA website: http://www.cdc.gov/mrsa/
Additional Information
Methicillin-resistant Staphylococcus aureus (MRSA): http://www.cdc.gov/mrsa/
Click to Call South Central Public Health District
Click to Call the Idaho State Epidemiologist
Click to Call Idaho State Communications
