In the past, methicillin-resistant
Although CA-MRSA is resistant to some antibiotics, there are other effective antibiotics that can be given by intravenous and oral routes.
Most people who have
Carriers have no signs or symptoms.
With an infection, the signs and symptoms depend on the site of infection.
Boils may spontaneously drain pus.
Sometimes, boils and abscesses can progress to
Rarely, the infection spreads from the skin into the deeper tissues, causing a rapidly spreading, dangerous, and very painful infection called
Incubation period: Unknown.
Contagious period: Children are contagious with
Close skin-to-skin contact.
Contact with open sores or boils.
Contact with toys or surfaces that have been contaminated with the bacteria. A carrier who picks his or her nose could easily contaminate a toy or surface.
Use good hand-hygiene technique at all the times listed in Chapter 2.
Any skin condition that may cause skin breaks, such as eczema, is a risk factor for having a skin infection (including
Avoid sharing personal items, such as dress-up clothing.
Cover open or draining sores or boils.
Infectious disease specialists may recommend special soaps and/or baths for individuals and families who get recurrent disease caused by
Children infected with boils, abscesses, or cellulitis should have a culture taken by a health professional to determine the best antibiotic choice.
Children who do not have symptoms of infection may be carrying
Use good hand-hygiene technique at all the times listed in Chapter 2. Provide hand lotion to use following handwashing to reduce the drying effect of frequent hand hygiene.
Review Standard Precautions, particularly hand hygiene.
Identify children with red or draining skin lesions, cover the lesions, and report the problem to parents/guardians. Recommend seeking care from their child's health professional.
The child is unable to participate and staff members determine they cannot care for the child without compromising their ability to care for the health and safety of the other children in the group.
The child meets other exclusion criteria (see Conditions Requiring Temporary Exclusion in Chapter 4), or the lesions cannot be covered so that contact with others and surfaces with drainage does not occur.
Having a MRSA or MSSA infection or harboring MRSA or MSSA bacteria (carrier) is not a reason for exclusion unless other exclusion criteria are met.
Yes, when all the following criteria have been met:
When exclusion criteria are resolved, the child is able to participate, and staff members determine they can care for the child without compromising their ability to care for the health and safety of the other children in the group
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The information contained in this publication should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.
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