Wondering what everyones experiences is on patients who present with boils, furuncles and abscess like formations? Does the provider always culture? How do they decide?
From my own experience and observing those of my patients, I have noticed that some providers do not perform skin cultures (even if the formation is ready to be incision and drained.). They prescribed antibiotics and depending on how large or infected the area looks say "it's most likely MRSA." A lot of times, providers refuse to I&D because of the risk of causing a deeper infection as well.
Other providers say state that we clinically we do not know unless we get a culture so they perform a culture. I could see this benefit public health tracking as well as confirming the right treatment initially prescribed.
Also, it is unsettling to observe that most providers deduce that these skin infections are all infected with MRSA (whether its HA-MRSA or CA-MRSA). I work in a clinic and more cases of suspected MRSA are coming up in younger patients who have never worked in health care nor been patients in the hospital. Many times, the cultures do come back +. It is frightening. A while ago, I started a post on the future of nursing. I think in our future in nursing will reach a peak of technology and skill set.. then go back to the basic: infection control. Extreme diligence on the part of individuals and communities will be necessary to prevent spread of disease infection control more than today due to the increasing population, crowded spaces, difficulty accessing health care (debatable) and simultaneously, increased traffic flow through outpatient centers and ERs.