County of Los Angeles
Department of Public Health
Acute Communicable Disease Control
313 N. Figueroa Street, Room 212
Los Angeles, CA 90012
Phone: (213) 240-7941
Fax: (213) 482-4856
E-Mail:acdc2@ph.lacounty.gov

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"Staph" or Community-Associated Methicillin-Resistant Staphylococcus aureus (CAMRSA) Information





Guidelines and Recommendations

For Consumers/Patients

• Canadian Recommendations for Reducing the Spread of CAMRSA New guidelines for the management and prevention of CAMRSA. (CMAJ, January 2007)
• Mulitlingual translations of Parents Guide to MRSA (December 2007)
• CDC/AMA/IDSA guidelines for skin and soft tissue infections (September 2007)
• Community-Associated MRSA Information for the Public Questions and answers regarding CAMRSA.

• Learning how to control the spread of Methicillin-Resistant Staphylococcus Aureus (MRSA) (March 2006)

• Minimizing the Impact of Methicillin-resistant Staphylococcus aureus in the Community (EID, July 2006)

• QUESTIONS & ANSWERS: STAPH/MRSA SKIN INFECTIONS (Jan. 14, 2004) Educational handout on CAMRSA for patients and their families

• PREGUNTAS Y RESPUESTAS Infecciones de la Piel por Estafilococo Aureus Resistentes a los Antibióticos (Mar. 15, 2004)

• FACT SHEET FOR PATIENTS: Antibiotic-resistant "Staph" Skin Infections (Mar.2003) Questions and answers for patients concerned about Staph.

For Clinicians

• Video on treatment of MRSA skin and soft tissue infections
• Community-Associated Methicillin Resistant Staphylococcus Aureus: Overview of CAMRSA by the CDC
• Management of Multidrug-Resistant Organisms in Healthcare Settings
• Flowchart: Guidelines for Evaluation & Management of Community-Associated Methicillin-Resistant Staphylococcus aureus Skin and Soft Tissue Infections in Outpatient Settings (WA, 2007)
• Hand Hygiene in Healthcare Settings Guideline (CDC, October 2007)
• Canadian Recommendations for Reducing the Spread of CAMRSA (CMAJ, January 2007) New guidelines for the management and prevention of CAMRSA.
• FACT SHEET FOR HEALTH CARE PROVIDERS: Community-Associated Methicillin Resistant Staphylococcus aureus Skin Infections (Mar. 20, 2003) Definition, clinical presentation, diagnosis, treatment, prevention, and surveillance of CAMRSA for health care providers.
• Community-Associated Methicillin Resistant Staphylococcus Aureus: Overview of CAMRSA by the CDC
• Community Associated Methicillin-Resistant Staphylococcus Aureus: an Emerging Infectious Disease in Los Angeles County (The Public's Health, July/Aug 2005) Provides short summary of disease burden and includes clinical, epidemiological and laboratory hallmarks. Recommendations provided regarding treatment, decolonization, education, infection control and notification.
• Wisconsin Division of Public Health CAMRSA Guidelines for Clinical Management and Control of Transmission
• Texas Department of State Health Services Presentations for professional audiences.
• Public Health Ground Rounds: CAMRSA Archived webcast that examines the case of Seattle-King County, Washington, a metropolitan community, whose public health department is building partnerships, providing education, and making surveillance a top priority to prevent the spread of antimicrobial resistance. Includes resources on preventing MRSA in athletic settings.
• Spider-bite Myths & Misdiagnosis of CA-MRSA by Pediatricians in L.A. County
  (The Public’s Health, Sep. 2003)* Immediate, accurate, and effective diagnosis and treatment is essential to limit the spread of CA-MRSA skin infections among children and their families.
• CA-MRSA: A new bug with a familiar name (admednews.com, Nov. 22/29, 2004) Genetic differences and recommendations for physicians' care of Community-associated methicillin-resistant Staphylococcus aureus.
• This is MRSA (Methicillin resistant Staphylococcus aureus) (Mar. 15, 2004) VIEWER DISCRETION ADVISED: This web page contains digital photographs of skin infections and wounds caused by community-associated methicillin resistant Staphylococcus aureus (MRSA/Staph).

Guidelines in Correctional Facilities

• Impact of a Standardized Protocol for Methicillin-Resistant Staphylococcus aureus. Skin infections at a large, urban county jail system.

• BOP (Federal Bureau of Prisons) Clinical Practice Guidelines for the Management of Methicillin-Resistant Staphylococcus aureus MRSA Infections (Aug 2005) Updated recommendations for the prevention, treatment and containment of MRSA within Federal correctional facilities are provided.

• Texas Department of State Health Services Recommendations and prevention strategies on Staphylococcal Infections for jail administrators.

For Prevention in Non-Healthcare Settings

• Methicillin Resistant Staphylococcus Aureus (MRSA) Information for Transitional and Emergency Housing Facilities (October 2006) Prevention guidelines for MRSA in homeless shelters and transitional housing.
• Los Angeles County Department of Public Health Guidelines for Reducing the Spread of Staph/CAMRSA in Non-Healthcare Settings (September 2004) Prevention guidelines for those concerned about the potential transmission of CAMRSA, i.e. proprietors of facilities in which patrons and staff have bare skin contact with others or with shared equipment or surfaces (e.g., gyms, health clubs, and spas), or where patrons share close living spaces (e.g., homeless shelters, youth hostels, and camps).
• National Collegiate Athletic Association (NCAA): Infection Control Prevention Recommendations The NCAA Committee in Competitive Safeguards and Medical Aspects of Sports (CSMAS) has reviewed the Centers for Disease Control and Prevention (CDC) Medical Alert regarding methicillin-resistant Staphylococcus aureus (MRSA), a cause of communicable skin infections. The CSMAS recommends that NCAA departments of athletics, and in particular the sports medicine staff, review the information that identifies risk factors, and note that maintaining good hygiene and avoiding contact with drainage from skin lesions are the best methods for preventing the spread of MRSA.
• Public Health Ground Rounds: MRSA Prevention In Athletic Settings Resources including brochure and video links.
• Texas Department of State Health Services Recommendations and prevention strategies on Staphylococcal Infections for school athletic departments, jail administrators, day care administrators and caregivers. Includes presentations for professional audiences.

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