Date of Graduation

8-2008

Degree Type

Capstone Project

Degree Name

Master of Science in Physician Assistant Studies

First Advisor

Clara LaBoy MS PA-C

Second Advisor

Jonathon W Gietzen MS PA-C

Abstract

Purpose: The purpose of this study was to determine the incidence of Methcillin Resistant Staph Aureus (MRSA) infections among the Native American populations of La Push Washington. The study also examined the treatment of these infections and assessed whether they were treated in accordance with national and state guidelines.

Methods: A chart review was done over all the cases of cellulitis and abscess recorded from 2003 until 2008. The charts were examined for cases of soft tissue Community Acquired MRSA (CA-MRSA). The data was then assessed for prevalence of CA-MRSA, its reoccurrence, treatment, and the effectiveness of treatment.

Results: The data revealed that there were 42 patients with soft tissue CA-MRSA. There appears to be a trend of increased cases which reflects the trend for the rest of the state of Washington. Most of these patients were treated by national standard with incision and drainage as well as with antimicrobial therapy when appropriate. The data also showed a great number of recurrent infections despite being treated appropriately.

Conclusion: CA-MRSA is an increasing problem in healthcare. Appropriate treatment and patient education are key factors in overcoming these infections. More research is needed to determine if there is a specific cause for the relatively high rate of reoccurrence in soft tissue MRSA infections in La Push Washington. The rate of original infection seems to follow the trend of the rest of the state, but a comparison of reinfection was not obtained from Washington State.

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