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A member asked:
I had surgery after 8 months of sinus infections. found out it is mrsa. is surgery safe with mrsa? i am on oral vancomycin; 250 mg (2 caps 4x 2 wk
8 doctors weighed in across 3 answers
Bad: Oral vancomycin is not adsorbed!
Answered 10/3/2016
5.6k views
MRSA and Surgery: Within the perioperative environment the guidelines, limited as they are, recommend that if at all possible MRSA should be eliminated prior to surgery. However, this is not always achievable and so it was suggested that vancomycin or teicoplanin are given prophylactically, patients are recovered in the operating theatre or isolated area to avoid possible contamination of the usual area.
Answered 10/4/2016
5.4k views
See below: If you have an MRSA sinusitis, oral vancomycin is not absorbed and would be totally inappropriate treatment. Oral Minocycline or septra (sulfamethoxazole and trimethoprim) which achieve good levels in sinus and nasal secretions and which are effective for 90% or so of MRSA strains would be my recommendation. I would also use Bactroban Nasal ointment for decolonization. Get a second medical opinion before having surgery.
Answered 6/30/2014
4.8k views
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