Methicillin-resistant Staphylococcus aureus (MRSA) infection is now widespread in the United States with around 2 percent of the entire population affected by the disease. In a recently published commentary, Doctor Kevin Kavanagh describes the events which resulted to this situations and makes the case for battling the problem through universal screening of Methicillin-resistant Staphylococcus aureus on admission to the hospitals of United States.
One of the renowned quote that ‘the Americans can be trusted always to do the right things after there is the exhaustion of all other possibilities’. This observations never fitted better than it did with the approach towards the control of Methicillin-resistant Staphylococcus aureus. After a series of iterations in policy, the US apparently has progressed from this infection is a severe threat to health which should be definitely controlled to one which we have no control over and it is as usual ‘not a big deal’.
The time-tested strategy for holding the outbreak of MRSA was firstly identifying the carrier and then isolating them as well as those who got infected. As a new doctor, I can recall when the whole ward was closed because of the outbreak of this infection. Then at the start of 2001, the healthcare industry left this standard using insufficient randomized controlled trials and the majority of the studies which were designed poorly.
After years of studying, the strategy of taking a daily bath with Chlorhexidine emerged. It was controversial in the beginning. What is actually required is to make a decisive readjustment of the resources of healthcare for the prevention of the spread of these unsafe pathogens to both the healthcare workers, as well as, the patients. Extra infectious disease nurses should be hired. There must be an implementation of a more transparent and better all-inclusive tracking system. There is also a need for medical screening to take place. If these reforms and measures are implemented, the infectious disease can be brought under control