Methicillin-Resistant Staphylococcus aureus: The Effects Are More Than Skin Deep.
J Pediatr
; 199: 158-165, 2018 08.
Article
in En
| MEDLINE
| ID: mdl-29759849
ABSTRACT
OBJECTIVES:
To assess the psychosocial effects of a methicillin-resistant Staphylococcus aureus (MRSA) diagnosis on the households of children with MRSA skin and soft tissue infection (SSTI). STUDYDESIGN:
We constructed and administered an interview to the primary caregiver within the home of a child with a history of MRSA SSTI.RESULTS:
Seventy-six households were enrolled. Survey responses were analyzed and grouped into 4 themes health behavior changes, disclosure, social interactions, and knowledge/awareness. The most common theme was disclosure; 91% of participants reported sharing their child's MRSA diagnosis with someone outside of the household. Forty-two percent of respondents reported a change in the manner in which household contacts interacted as a result of the index patient's MRSA diagnosis, including isolating the index patient from other children in the household. Many households reported adopting enhanced personal hygiene behaviors and environmental cleaning routines. Thirty-eight percent of participating households reported altering how they interact with people outside of their home, largely to avoid spreading MRSA to vulnerable individuals. In addition, many participants perceived that others regarded them with caution, especially at daycare, whereas other affected households were excluded from family gatherings.CONCLUSION:
Primary caregivers of children with MRSA SSTI reported changing their health behaviors, altering their interactions with people outside of their home, and feeling isolated by others in response to their child's MRSA diagnosis. The findings of our study highlight a need for community interventions and education to prevent the negative psychosocial repercussions associated with MRSA.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Social Behavior
/
Staphylococcal Skin Infections
/
Health Behavior
/
Health Knowledge, Attitudes, Practice
/
Soft Tissue Infections
/
Methicillin-Resistant Staphylococcus aureus
/
Interpersonal Relations
Type of study:
Observational_studies
/
Qualitative_research
/
Risk_factors_studies
Aspects:
Determinantes_sociais_saude
Limits:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Middle aged
Language:
En
Journal:
J Pediatr
Year:
2018
Document type:
Article
Affiliation country:
Macao