Prevention, Treatment, and Containment of Methicillin-Resistant Staphylococcus Aureus Infections in County Jails
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MRSA infections often present as mild skin or soft tissue infections, such as furuncles, which occur spontaneously without an obvious source. Inmates with MRSA skin infections commonly complain of “an infected pimple,” “an insect bite,” “a spider bite,” or “a sore”. Many MRSA infections cause minor inflammation without pain and infected inmates may not seek medical attention. In the Texas Department of Criminal Justice (TDCJ) prison system, persons with circulatory disease, cardiovascular disease, diabetes, end-stage liver disease, endstage renal disease, and human immunodeficiency virus infection or acquired immunodeficiency syndrome had elevated rates of MRSA infection . Persons with a history of underlying illness, immunosuppressive therapy, emphysema/COPD, current smoking, and injection drug use are at increased risk of invasive MRSA infections ; however, even persons without such risk factors can develop invasive MRSA infections . This manual serves as a guide and recommendation to those seeking information on the aspects of infection control issues surrounding MRSA, and staphylococcal outbreaks, in a corrections setting.