CJ's Policy Paper

CJ Gradoville
Policy Paper
Background
Staphylococcus aureus has some obvious characteristics based on the name of the bacteria. The Latin word “aureus” means golden, which describes the golden colonies this particular bacteria grow in. The Greek word “staphyle” refers to a grape cluster, this helps describe the grape like cluster pattern the bacteria grows in. Approximately, about 25%-30% of the population is colonized with staph bacteria in the nose at any given time (1).
Methicillin-resistant S. aureus (MRSA) is a specific type of S. aureus bacteria and is a very dangerous bacterium. These strains of the common Staphylococcus aureus bacteria are very resistant to many antibiotics. According to Abigail Salyers, MRSA strains description “multiply resistant S. aureus would be more appropriate because MRSA strains are resistant to so many antibiotics (2). The only way MRSA bacteria are treated is with the antibiotic vancomycin. In Revenge of the Microbes, it was said the MRSA strains less susceptible to vancomycin began to appear in 2001. The first report of a fully vancomycin-resistant strain of S. aureus appeared in late 2003 (3). Researchers estimated in 2005, there were 94,000 life-threatening cases of MRSA and nearly 19,000 of these cases leading to death (4).
MRSA bacteria can be a problem for a group of people in small areas, especially athletes. Athletes can receive the infection by repeated skin to skin contact, leaving cuts or abrasions on the skin uncovered, sharing items and surfaces that come into direct skin contact, and have difficulty staying clean (5).
Policy
As the Head Football Coach at Melrose University, I will take many cautionary steps to help prevent the spread of MRSA in the football locker room. First, no personal items of any sort will be shared among players. This list includes razors, towels, shoes, clothes, equipment, and water bottles. This will help prevent the bacteria from spreading because of the close skin-to-skin contact. Every Monday the equipment manager will scrub the locker room with an EPA approved disinfectant, detergent-based cleaner or a 1:100 bleach diluted solution, focusing on any area where bare skin encounters the surface. This is going to eliminate any MRSA bacteria from surfaces. Also on Monday’s all shoulder pads and helmets will be sprayed with an EPA approved cleaner and allowed to dry overnight. All practice gear will be washed using hot water and heat dried to help kill any extra bacteria. All football players will be required to wear sandals into the showers in hoping to prevent the spread of MRSA through the touching of skin on the shower floor. All other normal cleaning maintenance will take place in the locker room.
I will work with the equipment manager and janitorial services to maintain these conditions. I will also perform random checks into the locker room after practices to see if the players are abiding by all conditions listed in the policy. If I witness any action that does not obey any of the points in the policy, I will decide any type of disciplinary action that needs to be taken to enforce my policy.
Conclusion
People may ask what type of cleaner or disinfectant is going to be used to clean or scrub the locker room. The EPA has a list of disinfectants on the internet that would work and is specifically for the S. aureus bacteria. People may also wonder what scrubbing the entire locker room after a known breakout may occur would accomplish. It would eliminate any possible MRSA bacteria that may located in a locker or any place that would not normally receive close attention when janitors normally clean.
We need this policy in place to help prevent the spread of MRSA among teams and athletes. The less reported MRSA cases we have, the less treatment we must perform, therefore, leading to more Methicillin-resistant S. aureus bacteria that are susceptible to vancomycin. The less we expose vancomycin to the MRSA bacteria, the slower the bacteria will become resistant to the antibiotic and thus possibly saving some lives in the process.
References
1.) Vines, Jennifer. "MRSA Frequently Asked Questions." 30 Oct. 07. Health and Human Services. 3 Oct. 08 <http://www.co.washington.or.us/deptmts/hhs/news/mrsa07.htm>.
2.) Salyers, Abigail A., and Dixie D. Whitt, eds. Bacterial Pathogenesis : A Molecular Approach. 2nd ed. New York: ASM P, 2002. 218-219.
3.) Salyers, Abigail A., and Dixie D. Whitt, eds. Bacterial Pathogenesis : A Molecular Approach. 2nd ed. New York: ASM P, 2002. 125.
4.) Boyles, Salynn. "MRSA Experts Answer Your Questions." WebMD. Ed. Louise Chang, MD. 24 Oct. 2007. 1 Oct. 2008 <http://www.webmd.com/news/20071024/mrsa-experts-answer-your-questions>.
5.) "About Methicillin-Resistant Staphylococcus aureus (MRSA) among Athletes." May 2008. Center for Disease Control and Prevention. 1 Oct. 2008 <http://www.cdc.gov/ncidod/dhqp/ar_mrsa_athletesfaq.html>.

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