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Doctor insights on: Decolonizing A Pregnant Patient With Mrsa

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What happens if the only two medications that are used to treat MRSA cause an allergic reaction in the patient, what would be the next step?

What happens if the only two medications that are used to treat MRSA cause an allergic reaction in the patient, what would be the next step?

Consult: I would recommend referral to infection diseases doctor and allergist to check for IgE or non IgE mediated allergy to the antibiotics. ...Read more

Dr. Corey Clay
4 doctors shared insights

Pregnancy (Definition)

When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more


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I'm pregnant and have been exposed to mrsa. What could MRSA do to my baby?

I'm pregnant and have been exposed to mrsa.  What could MRSA do to my baby?

Not a risk: You are exposed to MRSA every day & don't know it. Door handles, banisters, shopping carts, floors, countertops, all are common sites for this and other COMMON germs. MRSA has been around for decades and is oversold as a "bad" germ by talking heads on TV. It is responsible for >60% of common outpatient pustules drained in the office.There are lots of other germs I worry more about during pregnancy ...Read more

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What effects can a pregnant woman's MRSA have on an unborn baby?

What effects can a pregnant woman's MRSA have on an unborn baby?

Pregnant & MRSA: An unborn baby is not at risk of becoming infected with MRSA under normal circumstances. During the birth, the baby may be at risk of becoming infected with methicillin-resistant staphylococcus aureus, which is a serious staph infection, if the mother has an active MRSA infection. A healthcare professional will need to be consulted to determine the safest way for a pregnant woman, who is infected, . ...Read more

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I took care of a patient whose leg was oozing and a little bloody, It rubbed on my scrubs. The patient has MRSA. What should I do about my scrubs?

I took care of a patient whose leg was oozing and a little bloody, It rubbed on my scrubs. The patient has MRSA. What should I do about my scrubs?

Wash them.: MRSA is spread by contact, but as you already recognize, not everyone who is contacted will develop skin lesions of MRSA. Immunocompetent individuals are not at risk of contracting significant MRSA related disease, but may serve as carriers to spread the disease to someone less fortunate. ...Read more

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Me, my sister who is 11 weeks pregnant and my 2 children who are 3yo and 9mo had been exposed to a relative with MRSA what to do?

Nothing specific: As parents you need to be vigilant at all times as you inspect your kids during bathing & activities. Mrsa staph is everywhere, and accounts for >70% of the staph infections seen routinely in clinics around the country. I expect every child or adult has some exposure to MRSA strains every week, but most do not develop infections with it. ...Read more

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If my patient with MRSA, who sucks on her fingers, whacked my mouth with her wet fingers.. could I contract it too?

If my patient with MRSA, who sucks on her fingers, whacked my mouth with her wet fingers.. could I contract it too?

Infection vs coloniz: Rather complicated question. 1st, MRSA is everywhere. 90% of hospitals can find MRSA on a surface somewhere if you take enough swabs. 2nd, MRSA colonization (on the skin) doesn't mean "contracting" an infection (symptoms). MRSA has to bypass skin & get into the blood. (An open cut or wound from her "whacking" can do it). Lastly, your immune system plays a role. Some are susceptible; others aren't. ...Read more

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36 wk pregnant with MRSA infection in my urine. Help?

MRSA: Far more often than not, staph aureus in the urine is a result of staphylococci in the blood and should be addressed as such until proven otherwise. This organism can be extremely difficult to treat effectively and pregnancy does not make it easier. Strongly suggest you see an infectious diseases expert asap, and best wishes for a good outcome. Have a very good pediatrician for that great baby. ...Read more

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Currently using clindamyacin 1% topical for acne, how long can I use it for without risking mrsa? And is it safe in pregnancy?

Unknown: Mrsa is a bacteria that is resistant to some antibiotics that are in the penicillin family. It is considered a b category safe drug in pregnancy. That means animal studies show no risk or adverse fetal effects. But controlled human studies are not available for first trimester. No evidence of 2nd or 3rd trimester risk shown. ...Read more

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26 weeks pregnant have mrsa,had a nasal ointment treatment 2 months ago,retested now and still have it,why still there?i started treatment again t

26 weeks pregnant have mrsa,had a nasal ointment treatment 2 months ago,retested now and still have it,why still there?i started treatment again t

Infectious Disease: Chronic MRSA colonisation is a difficult problem to overcome. There are a variety of decolinisation protocols available typical prescribed an managed by Infectious Disease experts. This is not an easy problem to overcome otherwise hospitals would have solved this long ago. Schedule a visit with an ID expert to discuss what you have tried so far and what can be done next to improve the odds. ...Read more

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I'm an SLP in a skilled nursing facility. Just received dx of MRSA on my skin, received topical bactroban; 13 weeks pregnant, is the MRSA dangerous?

I'm an SLP in a skilled nursing facility. Just received dx of MRSA on my skin, received topical bactroban; 13 weeks pregnant, is the MRSA dangerous?

MRSA skin infection: MRSA can certainly be a bane to health care workers like you. It sounds like your case is mild, since u were only given topical therapy. Bactroban is fine in pregnancy, so with this you'll be able to clear it up. MRSA sometimes can crop up later - but if so, I recommend reaching out to an Infectious Diseases doctor who can certainly guide you. Once I treated a whole family with MRSA. See doc if Qs ...Read more

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Can inhaling Tobramycin kill MRSA ? I am a pedi trach patient. Will it kill Kleb Oxytoca that is ESBL?

Can inhaling Tobramycin kill MRSA ? I am a pedi trach patient. Will it kill Kleb Oxytoca that is ESBL?

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. ...Read more

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My father has MRSA that was inside his knee from a surgery. I am pregnant and with a 3 yr old. Should we stay away until it is gone?

My father has MRSA that was inside his knee from a surgery. I am pregnant and with a 3 yr old. Should we stay away until it is gone?

It's not Ebola: MRSA has been overhyped by the media for decades. You will find in in your environment in almost any location. Shopping carts, door knobs, countertops, your own body are all likely contaminated. It is also relatively easy to treat and cure. There is no reason to treat any known case as if they had a terrible contagious disease. Normal personal hygiene can help avoid infections. ...Read more

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My cycle was 3wks late with pregnancy symptoms,2wks past due negative hpt.At 3wks past due I spotted for 3days.Low hcg?Clindamycin 2mons ago for MRSA

My cycle was 3wks late with pregnancy symptoms,2wks past due negative hpt.At 3wks past due I spotted for 3days.Low hcg?Clindamycin 2mons ago for MRSA

Not sure of cause.: Reasons for missed/late periods: low body weight, obesity, marked weight ^ or v, over-exercise, endurance athletics, breast-feeding, ^ stress, illness, eating disorders (bulimia or anorexia), anovulatory cycle (no egg released), travel, hormone irregularities, drug use, meds (i.e., birth control) or medical problems (i.e. PCOS). #1 reason is pregnancy. ...Read more

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What would cause your legs to be leaking water soaking your socks patient has CHF and mrsa?

Edema: An accumulation of an excessive amount of watery fluid in cells or intercellular tissues. You need restrict fluid in take and eating less salty foods. Please see your cardiologist to sort this out. Best luck! ...Read more

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Niece has mrsa. I'm 18 weeks pregnant. Contact with her ok or no contact. Her most recent staph infection was within past week. Want to visit 7/4.

OK: There is MRSA randomly in your surroundings daily. A patient that has been identified and treated is actually less likely to "expose" you than you are to be exposed randomly. This is not e.Bola virus or the plague, although the press often plays it up to be.Normal hygeinc practices limit your risk of acquiring it. ...Read more