Can inhaling tobramycin kill mrsa ? i am a pedi trach patient. will it kill kleb oxytoca that is esbl?

MRSA: Mrsa stands for methacillin resistant staphloccous aureaus. This bacteria is most resistant to any antibiotic except vancomycin and teflor (not yet approved for pulmonary infections). Having MRSA may just mean your child is a carrier, not infected. Klebsiella is a totally different bacteria with different sensitivies, but also resistant to many antibiotics. An infectious disease specialist.

MRSA: Mrsa is resistant to tobramycin. Klebsiella is not. Inhalation of antibiotics is not a regular medical practice, but is sounds like your child needs some "experimental" medical care. And it sounds like you child is propably getting the best.

Tobi (tobramycin) Nebs: Inhaled tobi (tobramycin) is used mainly to reduce pseudomonas colonization in cf. As noted, it is not active against gram positives like staph (mrsa or not). Kleb may be suceptible, but is not usually treated in this way. Kids with trachs grow a lot of organisms; agree that sorting out "infection" from "colonizer" is key. Both MRSA and kleb are often found in cultures but may not be the specific problem.