Doctor insights on:
Mrsa And Dialysis Patients
Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more
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
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
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
Patient has active MRSA infection since surgery 1 month ago. Surgeon wants to set the fracture with titanium next week. Won't this aggravate the mrsa?
Don't Really Know: Have spent a bunch of time researching your question and can find no good answer. It is reported to improve renal function in some patients and there are many testimonials to its benefits. However, the peer reviewed medical literature is a bit sparse on the subject. Before doing anything, i would strongly recommend you talk with your kidney doctor. ...Read more
Increased pigment: Kidney failure often causes increased pigmentation similar to tanning. The mechanism may be related to molecules and toxins that build up and are incompletely removed by dialysis. The pigmentation usually causes no problems. There can also be small deposits of calcium in skin, itching, sores from scratching and other skin problems in dialysis patients that can cause more severe symptoms. ...Read moreSee 1 more doctor answer
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