241805 Methicillin-resistant Staphylococcus aureus: A review and practice suggestions for manual therapists

Monday, October 31, 2011: 8:54 AM

Bart Green, MSEd, DC , Branch Medical Clinic MCAS Miramar, Naval Medical Center San Diego, San Diego, CA
Claire Johnson, MSEd, DC , Editor, Professor, National Univerisity of Health Sciences, Oceanside, CA
Michael Rosenthal, PT, DSc, ATC , Head, Department of Physical and Occupational Therapy, Naval Medical Center, San Diego, San Diego, CA
Jonathon Todd Egan, DC, MPH , Chief of Staff, Campus Health Center and Assistant Professor, New York and New York Chiropractic College, Seneca Falls, NY
Marion Willard Evans, DC, PhD, CHES , Director of Research, Texas Chiropractic College, Pasadena, TX
Introduction: Methicillin-resistant Staphylococcus aureus (MRSA) is a term used to denote strains of S. aureus that have developed resistance to the drug methicillin and other antibiotics. MRSA has emerged as the most common cause of severe nosocomial infections in many countries and is associated with difficult to treat skin, blood, and respiratory infections in a wide variety of communities. Many manual therapists practice in environments such as military treatment facilities, hospitals, athletic training facilities, and sports injury clinics where MRSA is a common community-acquired infection.

Purpose: To provide a practical overview of MRSA as it applies to the manual therapy professions (e.g., physical and occupational therapy, athletic training, chiropractic, osteopathy, massage).

Methods: PubMed and CINAHL were searched for manuscripts pertinent to hospital and community acquired MRSA. This information was synthesized into a narrative overview for the manual therapy practitioner.

Discussion: This review covers the public health importance of MRSA in the outpatient setting, important clinical features, epidemiology, and preventive measures used to control the spread of this virulent pathogen in manual therapy work environments. Pertinent pharmaceutical management of MRSA and its association with musculoskeletal conditions, such as the association of tendinopathy with the use of fluoroquinolones, are also presented.

Conclusion: MRSA is a health risk to manual therapists, the patients and athletes they contact, and the community. This presentation provides a framework to better understand MRSA and how to control its transmission for manual therapist in their work environments and the community.

Learning Areas:
Other professions or practice related to public health
Protection of the public in relation to communicable diseases including prevention or control

Learning Objectives:
1. Review microbiology and recognize the important clinical features of MRSA, especially community-acquired MRSA, as it relates to manual therapists. 2. Discuss the changing epidemiology of MRSA and highlight its relevance to manual therapists. 3. Describe specific transmission control strategies that could easily be used in the manual therapist work environment.

Keywords: Infectious Diseases, Chiropractic

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Primary author on this paper. Have conducted the lit search. Part of my PhD program
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.