Mrsa Essay Example

Mrsa Essay MRSA: An evolving â€Å"super-bug† epidemic MRSA stands for Methicillin-resistant Staphylococcus aureus (MRSA) and is a bacterial infection that is highly resistant to some antibiotics. In short, antibiotics have been used since the 40s to stop the growth of bacteria. However, the more antibiotics are used, the quicker the bacteria become resistant to it while each year more types of bacteria adapt and become resistant to antibiotics. With MRSA being so resistant to many of the antibiotics, classifying it as a â€Å"super-bug†, it makes treatment of skin infections and invasive internal infections much more complicated. This leads to many yearly deaths. In fact, MRSA statistics show that more people die each year from MRSA infections than the AIDS virus. Etiology: MRSA is a strain of Staphylococcus aureus bacteria, which is also known as the staph infection. It is also medically known as S. aureus and is a common type of bacteria that normally live on the skin and sometimes in the nasal passages of healthy people. This S. aureus strain does not respond to some of the antibiotics used to treat staph infections. The bacteria can cause infection when they enter the body through a cut, sore, catheter, or breathing tube or simply when it comes into contact with the skin. The infection can be as minor as a cut or pimple or it can be more serious when it involves the heart or lungs. However, serious staph infections are more common in people with weak immune systems such as the elderly or those who are already sick and hospitalized. MRSA infections are grouped into two types based on their causative factors. In Healthcare-associated MRSA (HA-MRSA) infections, people who are or have recently been in a hospital or health-care facility are affected. We will write a custom essay sample on Mrsa specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Mrsa specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Mrsa specifically for you FOR ONLY $16.38 $13.9/page Hire Writer A large percentage of hospital-acquired staph infections are related to MRSA bacteria. On the other hand, Community-associated MRSA (CA-MRSA) infections occur in people who have not recently been in the hospital within the past year. This type of infection has occurred among athletes who share equipment or personal items and children in daycare facilities. Members of the military and those who get tattoos are also at risk. A friend of mine acquired MRSA from a hot tub at a hotel resort while on vacation. This is also why it is important to cover toilet seats while using a public restroom or clean the gym equipment before and after you use it. Page 2 Epidemiology: MRSA has become a growing concern. Research indicates that this violent bacteria is evolving rapidly and cases even outside healthcare facilities are increasing. As many as 1. 2 million U. S. hospital patients are infected with MRSA each year, which is almost 10 times more than previously estimated. According to the Centers for Disease Control, in the year 2005, MRSA was responsible for an estimated 94,000 invasive life-threatening infections and close to 19,000 deaths. In the US alone, there were an estimated12 million doctor or hospital visits for skin and soft tissue infections suspected to be caused by staph aureus in the year 2003. The most recent statistics show that 20% of bloodstream infections in hospitals are now caused by MRSA. The common cause for this growing disease is that hospital staff who do not follow proper sanitary procedures transfer the bacteria from patient to patient. Some hospitals screen for MRSA and isolate such patients, but most US hospitals do not yet do this. On the other hand, statistics show that as hospital related MRSA is declining to due to improved precautions, community related MRSA is on the rise. Until recently, hospitals were the most likely place that people would get MRSA, but now the biggest MRSA health risk is related to community acquired MRSA. According to the Journal of the American Medical Association, CA-MRSA has become the most frequent cause of skin and soft tissue infections in the United States. The CDC reports that in 2007, 14% of people with MRSA infections had CA-MRSA. Pathogenesis: The most common symptoms of MRSA start with a red, swollen, and painful area on the skin. It is advised to recognize these signs and consult a doctor as soon as these symptoms arise. You should keep an eye on minor skin problems such as pimples, insect bites, cuts and scrapes (especially in children) and see a doctor if the wounds become infected. Other symptoms and signs that the infection is developing include drainage of pus or other fluids from the site, fever, skin abscesses, and warmth around the infected area. Symptoms of more serious MRSA cases that indicate the infection has spread include chest pain, chills, cough, fatigue, general ill feeling (malaise), headache, muscle aches, rash, and shortness of breath. The risk factors for the two different strains of MRSA differ. In the healthcare associated MRSA, the risk is obviously increased for elderly patients and those who are sick with weakened immune systems. The risk of MRSA is also higher among patients who have an invasive medical device inserted such as IVs and catheters. These provide a pathway for MRSA to get into the body. MRSA is also more prevalent in nursing homes. Carriers of MRSA have the ability to Page 3 spread it even if theyre not sick or show symptoms of infection. In terms of community acquired MRSA, those at higher risk include people who participate in contact sports since it spreads easily through cuts and abrasions and skin-to-skin contact. Also, are those living in crowded or unsanitary conditions. Outbreaks of MRSA have occurred in military training camps, child care centers, and jails. It is also said that homosexual men are at higher risk of developing MRSA infections. Diagnostic tools and techniques: After a doctor suspects MRSA, they will send a sample of tissue or a culture from the wound area and/or nasal secretion to a lab. The sample is placed in a dish of nutrients that encourage bacterial growth. It takes about 48 hours for the bacteria to grow in order to screen the results. However, newer tests still in research stages, can detect staph DNA in a matter of hours are now becoming more widely available. These new methods test for a gene that confers resistance to the antibiotics Methicillin, Oxacillin, Nafcillin, and Dicloxacillin and other similar antibiotics. Molecular tests for MRSA screening have the potential to detect nasal or wound carriage within hours instead of days required by culture, which then educes the risk of MRSA related complications. If either a culture or a molecular test is positive for MRSA, then the person is diagnosed with MRSA at the site that was tested. There are several conditions that can mimic MRSA before the area is tested for the bacteria. Some of the symptoms associated with MRSA are also associated with a yeast infection, diaper rash, acne, dermatitis, an ingrown hai r, and bed sores. Treatment: As stated by the U. S. Centers for Disease Control and Prevention: First-line treatment for mild abscesses is incision and drainage. Doctors will drain the affected hair and/or cut out the skin area that is affected by MRSA. This prevents growth and spread. Fortunately, most MRSA still can also still be treated by certain antibiotics. The CDC also states: If antibiotic treatment is clinically indicated, it should be guided by the susceptibility profile of the organism. When the tests are run to determine that the Staph bacteria isolated from a given patient are Methicillin resistant, these tests also provide information about which antibiotics can successfully kill the bacteria (its susceptibility profile). Penicillin was once used as an effective antibiotic treatment against the staph bacteria, but after using it for just a Page 4 decade, half of the staph bacteria became resistant to the antibiotic. Now less than 10% of staph infections will respond t o the Penicillin. Today, doctors use Vancomycin, which is a much stronger and more toxic antibiotic. Most moderate to severe infections need to be treated by intravenous antibiotics, usually given in the hospital setting. Prognosis: Since the beginning of 2010, the average adult death rate was about 5% of MRSA infected patients. A study in 2009 shows that children under 18 years old are at less risk of dying from MRSA. Their mortality rate is currently about 1% of all infected patients. Community acquired MRSA has far less complications than hospital acquired as long as the patient adequately responds to treatment and does not require hospitalization. However, patients with complications generally are at greater risk for a far worse outcome. Complications of MRSA can occur in all organ systems and can lead to permanent organ damage or death. They include kidney or lung infection, heart disease, bone infection, tissue damage, and blood poisoning. Of course, early diagnosis and treatment usually results in better outcomes and the reduction of further complications. It could take up to several months to recover from MRSA depending how much of the body is infected, complications, and how antibiotics respond. People who are infected are tested until the lab tests come up negative. Preventive Methods: There are several ways to lower a persons risk of acquiring both hospital and community associated MRSA. In hospitals, people who are detected with MRSA bacteria are often placed in isolation. Visitors and healthcare workers in contact with people in isolation are required to wear protective garments and follow strict hygiene procedures. Contaminated materials are also disinfected. Hospitals are required to follow strict procedures to prevent MRSA from spreading. There are several preventative methods for community related MRSA. Washing hands with soap is a major factor in preventing infection. You should wash them several times a day, especially after using restrooms or touching public materials such as payphones, rails, money, and so on. It is also important to have hand sanitizer for when no soap or water is available. Another method is to keep cuts and sores covered by bandages. It will prevent MRSA from infecting a wound or prevents wounds already infected from spreading. Its also said to avoid sharing personal items such as towels, razors, sheets, athletic equipment, and more. Prevention also includes showering after athletic games and practices and to use soap Page 5 and water and not share towels. Finally, its important to sanitize linens. You should always wash athletic cloths in hot water after each use and regularly wash bed sheets and bath towels. There is currently no vaccine to guard against MRSA, but several public facilities offer educational materials to prevent it. Various school campuses, health facilities, athletic organizations, and so on offer classes, brochures, and other resources to guard against MRSA and reduce an outbreak. In conclusion, as this strain of staph related bacteria continues to evolve and become resistant to more and more antibiotics, the number of cases of those infected outside of hospitals is on the rise. This infectious disease known as MRSA has become an epidemic that has led to more deaths in recent years than the AIDS virus. Research for immunization is currently being conducted, but in the meantime, it is crucial to your health to be more aware of the preventative methods. References: Medicinenet- â€Å"MRSA Infections†(pgs1 to 6): www. medicinenet. com/mrsa_infection/article. htm Mayo Clinic- â€Å"MRSA Infection† (pgs 1 to 9): www. mayoclinic. com/health/mrsa/DS00735 Beers, M. H. Berkow, R. (Eds. ). (2005). The Merck Manual of Diagnosis and Therapy (17thed. ). Whitehouse Station, N. J. : Merck and Company.

Social Activities Essay Example

Social Activities Essay Example Social Activities Essay Social Activities Essay Participating in any social activity is a dream of everyone especially an outdoor. Through the activities, one had the chance to meet with people from different parts of the world, socialize, share, have fun and discuss the things that they all believe are important to them.At the same time, social activities give one a sense of belonging, where you end understanding a certain culture and then start feeling that you really belong in the culture.Through social activities, we also tend to give to the society what we have never given to it, such as the acts of community cleaning gives one the chance to show the community that we need to have a clean environment.Personally, I have had an opportunity of participating in different social activities, but recently I found myself in one of the amazing social activities in China. This is something that will be part of my life forever because the experience was the perfect.China is a cool country with many natural scenes that provides a relaxin g moment to the residents. Most of the time, these people visit these places to have fun, but they have changed the fun at these places and now you can have any social activity there. The Chinese Martial Arts Tai Qi and Kung Fu is one of the best ways to exercise the culture of the Chinese people. This was the social activity that participated recently. It is the practice for the Chinese people, but they do not limit or hinder anyone to attend. As long as you are in China, everyone is invited to observe and take part in the activity and thus has been important to the Chinese people.The Tai Chi is made of gentle movements that allow the muscles of an individual to relax through the concentration and it also improves the balance and flexibility of an individual. There are the Kung Fu activities that teach people on how to fight and defend themselves in the case of anything. They belief that everyone must be readyto fight in case of any problem. During this time, people come together from different parts and it is here that they have the chance to participate in the activities. During my time, the Chinese Martial Arts: Tai Qi and Kung Fu took place in Beijing after my cousin took ma there.The number of people who attended the social activity was so many and everyone seems to be excited with what was going on during the activity. Having knowledge of different cultures has always been by dream and after attending this function, I was the happiest person ever. It was surprising how these people had mastered their moves and no one could confuse anything, this was interesting. They also seemed happy dyeing this activity as they served their foods and for sure, they love their culture I cannot disagree anymore. The most exciting thing is that I have a chance to interact with the Chinese people. What I know is that these people tend to have a different culture from the rest of the society ranging from the kind of food they consume and their cultural practices. Therefore, the fact that I had a chance to be part of this people, and it was great.Learning and interacting with people so that I can understand their culture has always been my prayer.There is nothing as good as having knowledge on what people do as their culture. In the society, we all must respect the culture of others in that we are not there to question their cultures, but we are there to appreciate and support their culture and this is exactly what I did.I did not have time to think and question myself what they were doing, but in the process I found myself enjoying and celebrating what they were doing. I can say the moves were nice and I was also motivated to try but it was anyway. At the same time, I also interacted with these people and to my surprise they are among the loving and friendly people I have ever met. We talk with them about my culture, and they told many things about China that I did not know. I also managed to make a number of friends who invited me to dinner after that and this was the interesting part of the activity. However, before they completed, they also invited the visitors to try and imitate their moves. Everyone who was foreign joined the field and tried this trick despite the fact that they were hard, we all struggled to get one or two things right. There is a lot that I have learned from the Chinese people after the activity. The problem with us human is we tend to judge people without first understanding who they really are. Personally, I had my own imaginations and perceptions about these people. I used to think that they are antisocial and rude, but after interacting with them there are nothing near to that. The food of the Chinese people has always been weird on my part. There was a time I was watching a video where they were eating raw tadpoles. This was disgusting and I could not imagine myself doing that, and I even vomited. Since that day, I hated these people, I always associated the kind if the food they are with their character.I even swore never to step in Chinese food restaurant because of the type of food they are. However, after interacting with these people, I have a different feeling. It is not that my culture or your culture is good than the other, will we have to do is appreciate the culture of others.The Chinese are happy with their culture, and food should not make us hate them. My feelings towards the Chinese people have changed and now I like them together with their food. The idea that I cannot step in a Chinese restaurant no longer exists as I am comfortable to eat. All in all, I appreciate the presence of social activity. There are many forms of social activities, the problem is as I grew up I only knew that social activity involves helping people like cleaning the local things, helping the old, Visiting children homes, visiting the sick in a hospital, and many others. However I have realized that there are many forms of social activity and even playing basketball is a form of social activity. The main aim of a social activity is to bring people together with the aim of socializing and have fun and the most important thing is that we learn something at the end. It is, therefore, important for the people to understand what the social activity is.Also, recommend that we should all participate in as many social activities as possible. This is important as it gives the sense of life. Instead of sitting and doing nothing, you can be somewhere doing something that can help you or someone else. It is also important to understand that through social a ctivities we have a chance to interact and meet with other friends. In conclusion,I have learned that through any social activity, we all have a chance to learn a lot. Ever since I attended the China social activity, I believe that I will always make sure I participate in at least one social activity every year. Through this , I am going to have a chance to learn and understand other cultures across the world and this is my primary goal.It is also important for the young people to avoid activities that can land them into problems like discos, the use of drugs. Through social activity, these young people have their mind occupied and they will not have time for their mischievous behaviors. I also understand that social activity can be a place of educating people on a certain thing in the society. For instance, as peoplehave gathered in their activities, one can take that chance to educate them on subjects like AIDs, teen pregnancy, drugs and many others.The message will help one and they can even end up changing their actions because of the message.

Starbucks Company. Audit Report Essay Example | Topics and Well Written Essays - 4000 words

Starbucks Company. Audit Report - Essay Example In this report, the focus is on ethical dilemmas in Starbucks Company. As at October 2011, Starbucks has 149, 000 employees, operating over 17, 000 Coffee Shops globally, spread in approximately 40 countries (Hoovers, 2011, p.1). Out of the outlets, The United States accounts for most of the outlets, meaning that the country forms the base of the company’s operations (Hoovers, 2011, p.1). The relative importance of the ethical dilemmas and the ways, in which the company deals with the dilemmas, shows its strength. Mostly, ethical organisations achieve success in their business undertaking and corporate citizenship. The combined factors have led to the success in Starbucks Company. Despite the improvements, which the company has made on its corporate ethics, there are various ethical dilemmas that it faces. 2.0 Ethical Dilemmas in the Company In essence, the ethical dilemmas of the company could be understood well using the stakeholder’s analysis to unveil the truth. Literally, stakeholder’s analysis is the detailed consideration of the people within, or outside the company whose influence in the business operation is significant. According to Crane and Matten (2010:62) â€Å"a stakeholder is a individual or a group which is either is harmed by or benefits from, the corporation; or whose rights can be violated or have to be respected by the corporation† ... The stakeholders, both internal and external are regarded as important since they contribute to the development of the company. In fact, the company has full influence on the stakeholders to maintain their public image. The chairman refers to the stakeholders of the company as skilled work-force in coffee industry. As an International company, the stakeholders embrace diversity of intellect, race, colour, taste, and religion without any form of discrimination, or prejudice. As any other company, Starbucks face a lot of ethical challenges during their operations. Those challenges either impact negatively or positively on the stakeholders and the communities of operation. Some of the ethical dilemmas facing the company include protection of private information, intellectual property, diversity and conflict of interest. The issues have been ranked according to their impact on the stakeholders. Rank Issue Stakeholder Why this issue has been ranked in this position 1 Data from customers C ustomers They are the most important Stakeholders. 2 Intellectual property Employees They make the organistion operate daily. 3 Diversity Employees They make the organistion operate daily. 4 Conflict of Interest Suppliers They supply necessities to the organisation. 2.1 Customers - Private Information being Held on Customers One of the ethical dilemmas that the company faced was the need to protect the information received from the clients concerning the business ethics and adherence to compliance requirements. Since data were collected from, the customers could threaten personal security, there was need to protect the identity and security of the person disclosing the data. Indeed, the information might threaten a person’s safety if confidentiality of the data is