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Managing the Threat of Methicillin-Resistant Staphylococcus aureus in Home Care

Grossman, Sheila PhD, APRN-BC; Mager, Diana DeBartolomeo CRN, MSN

Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional: June 2008 - Volume 26 - Issue 6 - p 356–364
doi: 10.1097/01.NHH.0000324309.38286.93

Severe fatal complications such as pneumonia, cutaneous abscesses, empyema, necrotizing fasciitis, and sepsis can result from methicillin-resistant Staphylococcus aureus (MRSA) even for healthy people. An overview of managing the threat of MRSA in home care is presented. The home healthcare nurse can be proactive with MRSA infections by following and teaching strict medical asepsis while assessing the slightest signs and symptoms indicating that a patient is deteriorating or not responding to the prescribed antibiotic or wound care. This article aims to increase awareness of community-acquired (CA)-MRSA, to offer suggestions for preventing CA-MRSA, and to describe methods for managing this infectious process in the home.

Sheila Grossman, PhD, APRN-BC, is a Professor and Director of the Family Nurse Practitioner Track at Fairfield University School of Nursing. She also works as a per diem nurse practitioner at the Trinity Health Care Center in Hartford, CT.

Diana DeBartolomeo Mager, CRN, MSN, is the Director of the Robin Kanarek Learning Resource Center at Fairfield University School of Nursing. She is certified in Home Healthcare Nursing, and works as a per diem nurse at Nursing and Home Care VNA in Wilton CT.

Address for correspondence: Sheila Grossman, PhD, APRN-BC, Fairfield University, North Benson Road, Fairfield, CT 06430–5195 (e-mail:

The authors of this article have no significant ties, financial or otherwise, to any company that might have an interest in the publication of this educational activity.

© 2008 Lippincott Williams & Wilkins, Inc.