MRSA Information

UPDATE FROM DEPAUW UNIVERSITY HEALTH SERVICES
Concern has been expressed in recent days – on this campus and at other institutions around the United States – about a form of Staph bacteria called Methicillin-resistant Staphylococcus aureus, or MRSA.  It is not a new phenomenon – MRSA was first diagnosed in 1961.  It is a problem health officials and athletic trainers at DePauw and other schools have been aware of and educating student athletes (who are most prone to MRSA infections) for some time. 
A report earlier this month by the Centers for Disease Control on the prevalence of Staph infections received widespread media attention, and has put a new focus on MRSA in the public consciousness.
DePauw has dealt with a few cases of Staph infection this academic year.  The University’s physician, Dr. Scott Ripple, reports that this number is consistent with incidents that have been reported in past years.  Nonetheless, with student and public concern over Staph infections high, DePauw has taken steps to thoroughly disinfect the locker rooms at Lilly Center, the James A. Hollensteiner Indoor Track, and Blackstock Stadium, and these detailed “supercleanings” will continue on a periodic basis as a preventive measure.
MRSA can begin as a reddened area on the skin, or resemble a pimple that can develop into a skin abscess or boil causing fever, pus, drainage, swelling, or pain. If you see a reddened area of your skin, a boil or abscess that is causing fever, local swelling and/or pain, you should see your physician urgently.  Questions about Staph and MRSA issues can be addressed to Dr. Ripple at sripple@depauw.edu.
It is again important to stress that MRSA is not new.  However, it is a health issue that is on the minds of students, faculty members and others in the University community.  In addition to the “supercleanings” outlined above, DePauw is reviewing its policies in regard to its physical education facilities and how they are used and maintained.  The institution may change other internal policies to ensure the greatest confidence in cleanliness and the best environment for healthy workouts.
Below is a list of frequently asked questions about MRSA with accompanying answers. 
What is MRSA?
MRSA is a type of Staphylococcus bacteria that is resistant to several commonly used antibiotics.
Is MRSA new?
MRSA has been associated with infections in hospitals and long term care facilities for several years. In the past few years it has become increasingly more common outside of this setting, especially in healthy young athletes.
What are the signs of MRSA?
The initial appearance of MRSA often resembles a pimple or ingrown hair. It may enlarge to form a boil that drains pus or an open area with a scab. The appearance varies with the individual.
How is MRSA treated?
Your healthcare provider can prescribe antibiotics or other treatments that are effective to treat MRSA. Over-the-counter antibiotic creams are not effective. If students suspect they may have MRSA they may be examined at the Wellness Center.
How can I prevent MRSA?
Since MRSA is spread through skin-to-skin contact or by touching surfaces, the best prevention is to wipe off equipment and surfaces before using them.  Do not share towels, clothing items or personal hygiene items such as razors. Showering as soon as possible after activity is recommended.  It is important to avoid squeezing, scratching or picking at scabs, sores, bumps or rashes.
Is DePauw University experiencing an epidemic of MRSA?
No.  The Wellness Center at DePauw University has not seen an increase in MRSA cases. There has not been a pattern of MRSA cases seen in users of our fitness center or in any housing unit.  None of our athletic teams have experienced significant outbreaks of MRSA.
What is DePauw University doing to prevent MRSA?
DePauw has had measures in place to prevent MRSA for several years. We have taken the recently increased awareness of this infection as an opportunity to discuss any ideas to optimize our approach to prevention across the University, including the Wellness Center, Athletics, Housing, Physical Plant, administration and other departments.
Where can I learn more about MRSA?
More information about MRSA can be found at the Centers for Disease Control's website:
http://www.cdc.gov/Features/MRSAinSchools/
Each year, the handbook that is provided to DePauw student-athletes has provided information on Staph and MRSA issues.  It follows:
Athletes should be aware of MRSA which is a Staph infection that is becoming increasingly more common in the athletic environment and is contagious.  MRSA may first have the appearance of a spider bite, abnormal pimple, or scab-like area on the skin and can progress to a boil that produces pus drainage.  Individuals with suspected MRSA infection need to notify their staff athletic trainer (and coach) and see the team doctor (or other doctor) as soon as possible.  The doctor will be able to diagnose and make the best treatment recommendations.
Preventative measures include:
  • Do not share towels, clothing, equipment, razors or other hygiene products
  • Shower and wash with soap shortly after practices and competitions
  • Sanitize hands frequently using the hand sanitizer dispensers in the facility
  • Wash athletic gear daily
  • Keep cuts and abrasions treated, covered and clean during and after practice
  • Avoid picking, squeezing or scratching scabs, abrasion, bumps or rashes
  • Keep nail tips less than one-quarter inch long
  • Do not wear jewelry during competition to avoid scratches
  • Spray down workout surfaces and exercise equipment in the fitness center after use
Again, we encourage any member of the DePauw community who has questions, suggestions or concerns regarding these issues to contact Dr. Ripple.