This case involves a patient who presented to the hospital after a traumatic application of acrylic nails. The nail technician inadvertently cut the patient during the application and stopped the bleeding with a glue solution. Five days after the incident, she presented to the hospital with what first appeared to be a staph infection. After being administered antibiotics, it was revealed that the patient contracted a highly resistant MRSA strain. She was hospitalized for several months due to systemic complications.
Question(s) For Expert Witness
- 1. What is your experience with MRSA?
Expert Witness Response E-004446
I am very familiar with MRSA infections. I treat patients in my practice in both the inpatient and outpatient settings on a frequent basis. Methicillin-resistant Staphylococcus aureus (MRSA) infection is caused by a strain of staph bacteria that’s become resistant to the antibiotics commonly used to treat ordinary staph infections. Most MRSA infections occur in people who have been in hospitals or other health care settings, such as nursing homes and dialysis centers. When it occurs in these settings, it’s known as health care-associated MRSA (HA-MRSA). HA-MRSA infections typically are associated with invasive procedures or devices, such as surgeries, intravenous tubing, or artificial joints. Another type of MRSA infection has occurred in the wider community among healthy people. This form, community-associated MRSA (CA-MRSA), often begins as a painful skin boil. It’s spread by skin-to-skin contact. At-risk populations include groups such as high school wrestlers, child care workers, and people who live in crowded conditions.