Which actions are most likely to reduce the spread of community-acquired methicillin-resistant Staphylococcus aureas (CA-MRSA) in a family in which only one member is infected? (Select all that apply.)

Question

a. Starting the noninfected family members on methicillin therapy.
b. Not sharing towels or bed linens with the infected person.
c. Washing the infected person's dishes separately from those of other family members.
d. Having the infected person wear a mask when in the same room with other family members.
e. Using good daily personal hygiene for all family members.
f. Washing hands with soap and water after any physical contact with an infected person.

Answer 1

B, E, F
MRSA is transmitted by direct contact from person-to-person and by skin contact with contami-nated linens, sports equipment, clothing, and the sharing of cosmetics or personal care items (e.g., shavers, hairbrushes). Avoiding contact with these items prevents disease spread. Starting noninfected family members on methicillin therapy is not effective because drugs are not used for prophylaxis against S. aureas. Even if they were, the organism is resistant to methicillin. Washing dishes separately and the use of a mask are not effective measures because the disease is not spread by contact with GI fluids or by the airborne route.