Hi everyone. I haven't posted in ages, but browse the posts here and there. Now I have something to share.
My poor 3 year old daughter has been diagnosed with community MRSA - she had multiple abscesses on the skin, treated with wrong drugs, until they finally surgically drained one and cultured it.
I never throught this would happen to either of my kids. Myself - maybe - constant contact with med-surg patients in the hospital setting, but my 3 year old.. it is just devastating. I know she will be ok, (hopefully she will not be psychotic or have kidney problems from Bactrim) but I only now fully understand what we are facing as a nation regarding MRSA.
I know the bird flu is a hot topic, but I almost feel like we are heading into an epidemic of MRSA if chldren and college kids are now getting it.
I personally do not know anyone outside of hospital who has/had this type of skin MRSA.
What is your experience in the community? Friends? Relatives?
Do you know of any new ways of approaching the problem besides using Linezolid and how are your employers reacting to this issue?
Why the nares? Are you telling me that if you come in contact with MRSA it can be inhaled through the nares and make a home there? Or is it from coming in contact with MRSA on your hands and then touching your nose? I've had a few pts with MRSA in the hospital and they were in for long term abx tx, usually IV vanco for 6+ wks.
To the OP, I'm so sorry your daughter contracted MRSA. I'm going to warn my kids to be extra careful now. Blech!
the bacteria Staphyloccocous Auereus is commonly found in the nares of humans, it lives there freely like E.coli live in the GI tract. HOWEVER, if that S.Auereus has a growth spurt, it can--A) get outside the nasal passages onto another opening in the skin (cuts, freshly shaved areas, even wide open pores), and/or B) mutate w/ another bacteria and form the dreaded Methicillin Resistant Staph Aureus, which will make the skin respond to this infection by localizing the germ and fighting it with all its might. Hence you have the warm, red inflammed skin, pus, etc. i agree that antibiotics have been and still are being misused, but that darned Bactroban/mupirocin WORKS wonders for an acute case. the scary truth is that MRSA is spreading rapidly and there is a worse one (though i dont hear about it too often, maybe its dying down--VRE--Vancomycin Resistant Enteroccoci, that is another biggie:uhoh3:
The protocol that I've seen used most, along with Vanco, is Bactroban to the nares BID (it frequently is colonized in the nares) & Hibiclens showers daily for 1 week.
chelli73
238 Posts
the bacteria Staphyloccocous Auereus is commonly found in the nares of humans, it lives there freely like E.coli live in the GI tract. HOWEVER, if that S.Auereus has a growth spurt, it can--A) get outside the nasal passages onto another opening in the skin (cuts, freshly shaved areas, even wide open pores), and/or B) mutate w/ another bacteria and form the dreaded Methicillin Resistant Staph Aureus, which will make the skin respond to this infection by localizing the germ and fighting it with all its might. Hence you have the warm, red inflammed skin, pus, etc. i agree that antibiotics have been and still are being misused, but that darned Bactroban/mupirocin WORKS wonders for an acute case. the scary truth is that MRSA is spreading rapidly and there is a worse one (though i dont hear about it too often, maybe its dying down--VRE--Vancomycin Resistant Enteroccoci, that is another biggie:uhoh3: