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Doctor insights on: Decolonizing A Pregnant Patient With Mrsa

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Dr. Darrin Cunningham
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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Is decolonization recommended for a person with staph?

Is decolonization recommended for a person with staph?

Depends: On the type of staph species and if you are getting frequent skin infections. ...Read more

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It is possible that a carrier of a staph infection reinfect my son who is MRSA colonized?

It is possible that a carrier of a staph infection reinfect my son who is MRSA colonized?

Staph aureus: Colonization is not infection. You can possibly interrupt the carriage state using nasal Mupirocin ointment twice a day and washing only with soap containing chlorhexadine for a month or more. This will reduce or clear carriage state in about 50% of persons. It can be gotten again from others who touch you when they are colonized. ...Read more

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My 5yo trachee has been positive for esbl kleb o. Now each aspirate also isĀ + for "staph" - is it MRSA & docs are evasive? Isn't MRSA justĀ esbl staph

Colonizers?: The major question in trach cultures is always whether the organisms are causing illness. Sputum cannot be sterilized and always has colonizing organisms, with staph being most commonly found; resistance patterns in colonizers is less important. Discomfort with this complexity may account for the perception that a doc is not giving a "straight" answer. ...Read more

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Which antibiotics would you prescribe a patient with septicemia, gram pos. cocci?

Which antibiotics would you prescribe a patient with septicemia, gram pos. cocci?

Depends: "Gram positive cocci" are a particular class of bacteria, such as Streptococcus and Staphyloccoccus. Usually, these are treated with the penicillin family of drugs. But, other antibiotics work for them too. ...Read more

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What antibiotic is used to treat a post op wound with klebsiella, non enteroccal strep & e coli in a diabetic?

What antibiotic is used to treat a post op wound with klebsiella, non enteroccal strep & e coli in a diabetic?

Depends: On where the post-op wound is located and the reason for the surgery, the manner in which the cultures were collected, the sensitivities to antibiotics as determined in the laboratory, things to which the patient may be allergic, and a variety of other factors. It is unusual to see multiple different organisms without some reason. Discuss with surgeon and infectious diseases consultant. ...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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Swab on surgical wound tested positive for MRSA. No antibiotics have been started. Is this contagious to visitors?

Swab on surgical wound  tested positive for MRSA. No antibiotics have been started.  Is this contagious to visitors?

It could be.: Swab cultures only tell you what is on the surface of the skin/ wound. If the site is not showing the other signs of infection( redness, swelling, warmth, drainage) then you my not have an infection. We refer to it as a colonization or contamination. Topical Bactroban (mupirocin) my help clear it. As far as passing it on I would suggest not sharing a bath towel and wash you stuff seperately from your family. ...Read more

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Should the patient with a wound culture that has salmonella be isolated?

Should the patient with a wound culture that has salmonella be isolated?

Yes: They should be under contact isolation as they may also be infected with salmonella in the stool. Once the infection has been treated and when the wound culture and 2 separate stool cultures are negative for salmonella they could be taken off of isolation. ...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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A friend has an active MRSA infection. How long after start of antibiotics will he be contagious? I had complication s from MRSA in 2007 and fear it.

ASK treating DR!!: Each case can range in severity and i would discuss this with the treating physician. Regulations and procedures are changing daily and i would be sure the treating physician gives you patient specific recommendations. ...Read more

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How high is my chance of getting infected with MRSA while visiting in a hospital?

How high is my chance of getting infected with MRSA while visiting in a hospital?

Small: Wash hands before and after visiting with soap and water amd you will dramatically decrease your small chance of getting infected. This is same advice given to health care workers ho rarely become infected with mrsa. ...Read more

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Are you contagious with MRSA once on antibiotics?

Are you contagious with MRSA once on antibiotics?

MRSA: Once on antibiotics for a few days, as long as the antibiotic is proven (lab sensitivity test) to be effective against your strain of mrsa, you should not be contagious. However, MRSA is very hard to eradicate and can recur, causing us to question whether it is really gone. Dilute bleach baths can help reduce re-infection and spread. ...Read more

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Is a sty contagious? If stys form because of staph, can someone else get a staph infection or MRSA by being in contact with someone with a sty?

Is a sty contagious? If stys form because of staph, can someone else get a staph infection or MRSA by being in contact with someone with a sty?

Can be: General contact is not enough, but if secretions from that eye are transferred to another person they can get an infection. Understand that styles are not generally infectious, but result when the oil producing glands in the lid get obstructed, and expand because they can not empty themselves and may actually split open, releasing the oil the produce into the soft tissues of the lid. ...Read more

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What to do for staph aureus kidney infection diagnosed with nonsterile collection technique?

What to do for staph aureus kidney infection diagnosed with nonsterile collection technique?

Hopefully nothing. : If it was a non-catheterized specimen, this could very well be contamination. If you are not having any UTI symptoms, you really don't need to do anything. ...Read more

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Mrsa and sex is a MRSA carrier legally obligated to disclose this fact to any one before having an intercourse with them?

I : I do not believe there is a legal obligation here, however i may be wrong. Please pose this question to the lawyers here on avvo.Com. From a medical standpoint, i think it is the responsibility of the carrier to inform their partner, especially if the intention is to have intimate contact. A person colonized with MRSA can have a normal sexual relationship, however hygiene precautions should be taken. Handwashing is actually the best way to prevent the spread of mrsa. Take care. ...Read more