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Yes: Some patients become colonized with MRSA and are at risk for recurrent infections. This can be overcome with a series of chlorhexidene gluconate cleansing treatments, mupiricin ointment to the nares for a number of days and antibiotics as indicated. 2 negative cultures of the nares are felt to indicate the MRSA is resolved. ...Read more
What happens to colonized resistant bacteria (eg: esbl kleb) when trachee decannulated? Technical & references/links appreciated.
Varies with patients: If a person had a trach and got it removed, and then healed up and resumed normal, natural clearing of mucus and microorganisms, that person should be able to be free of bacteria in the trachea and lungs (regardless of whether the bacteria is antibiotic resistant or not, because the human body doesn't know about antibiotic resistance). If the person remains abnormal, then some bacteria may remain. ...Read moreSee 1 more doctor answer
See below: Staphylococcus are a genus of bacteria usually divided into coagulase negative and positive. The coag positive staph are staph aureus which cause many infections. Mrsa are resistant to the semisynthetic penicillins like methicillin. Mssa are sensitive to these antibiotics. Coag neg staph include many species like staphylococcus epidermidis which colonize normal skin and infrequently cause disease. ...Read moreSee 2 more doctor answers
MRSA: This depends upon where the infection is located and its sensitivity to specific antibiotics and the length of time that will be necessary to treat the particular type of infection it is causing. ...Read more
What are the differences between MRSA (methicillin-resistant staphylococcus aureus) or c-diff (clostridium difficile)?
Totally different: They are totally different bacteria. Mrsa causes disease by invading the body, multiplying and causing tissue injury. Clostridium difficile causes disease by overgrowth in the intestinal lumen and producing toxins that injure the colonic mucosa causing diarrhea and colitis. ...Read moreSee 1 more doctor answer
Safeguard: Healthtap Doctors are asked not to endorse specific brands or product lines. ...Read more
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 moreSee 2 more doctor answers
Not in US: Avian, or bird flu, is not currently a threat in the us and do not normally infect humans, but sporadic human infections have occurred. H5n1 is a highly pathogenic avian flu virus, that if recombined with human inf. A could result in human-to-human transmission. Best protection:avoid source of exposure (prolonged contact with sick or dead infected poultry, personal protective equipment, hand wash. ...Read more
4/22/15 revision of MOM hip. 5/6/15 incised drain pustule 6" from incision, Augmentin (amoxicillin and clavulanate). 5/12 dislocation. 5/18 told it was MRSA, bactrum. Is this OK?
Mrsa skin infection: Looks like mom has MRSA skin infection which requires contact isolation and oral/iv antibiotic depends on culture report. The patient needs to be on contact isolation/private room until infection is cleared and need to apply bactroban (mupirocin) ointment daily on both nares for mrsa eradication. Mrsa infection could be deadly, so always remember frequent hand wash. ...Read more
CA-MRSA: Treatment of MRSA infection depends on where the infection is & how ill the patient is. For eg, treatment for MRSA infection in the blood is differs from MRSA infection on the skin. It also depends if it's hospital or community acquired. If uncomplicated skin infection, eg abscess, i&d, bactrim, (sulfamethoxazole and trimethoprim) clidna, zyvox are a good start until antibiotic sensitivity is available at 48 hours. ...Read more
With kid trachees, colonized with pseudo, esbl kleb oxytoca & staph, what inhaled abx could be used prophylaxi? (obv. Working with pulmo) tobi (tobramycin) allergy
Wrong word: "normal" isn't really the proper descriptor - serious infections are never normal. Mrsa is, however, a *common* problem in nursing homes -- unfortunately. Good facilities are always on the lookout for infections of any kind in their residents, and when they find them, they treat them promptly. ...Read more
My 5yo trachee has been positive for esbl kleb o. Now each aspirate also is + for "staph" - is it MRSA & docs are evasive? Isn't MRSA just 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
I bought 2 oral b battery operated toothbrushes. What is the proper care for a battery operated toothbrush?
MRSA: Mrsa is a form of staphylococcus bacteria that is resistant to a specific group of antibiotics. It is prevalent in all settings, not only the nursing home. Many people are colonized with the bacteria; this does not mean they are infected. Make sure that you do your best to wash your hands as frequently as possible. ...Read more
Yes: Residents should be able to refuse an influenza vaccine as consent is required. Although influenza vaccine should be strongly encouraged as the benefits outweight the risks. Influenza can blow through a nursing home causing serious and life-threatening illness; the more vaccinated, the better in order to reduce potential for spread. ...Read more
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