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Doctor insights on: Multiple Antibiotic Resistant Coagulase Negative Staph Nasal Culture

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Had deep nasal culture done and large amounts of Coagulase negative staph found. Could this be causing my nasal turbinates to swell and be irritated?

Had deep nasal culture done and large amounts of Coagulase negative staph found. Could this be causing my nasal turbinates to swell and be irritated?

Probably not: This is usually a normal bacteria in the nose and on the skin and probably not the cause of your nasal congestion etc. An allergy problem is more likely. ...Read more

Dr. Neal Kraus
535 Doctors shared insights

Staphylococcal Infection (Definition)

This is an infection caused by Staphylococcus aureus - and it often is quite dangerous because the organism, the 'germ' has alot of virulence to it... it's very nasty in other words. You can see an ID doc to find out more about Staph infections, since they are experts in diagnosing and treating ...Read more


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Swollen nasal passages for three months. Nasal swab found large amount of coagulase negative staph. Doctor wants me to take keflex. I was on keflex for 5 years low dose to treat e-coli UTI which is now resistant to keflex. Wont staph be resistant to?

Swollen nasal passages for three months. Nasal swab found large amount of coagulase negative staph. Doctor wants me to take keflex. I was on keflex for 5 years low dose to treat e-coli UTI which is now resistant to keflex. Wont staph be resistant to?

No: A person doesn't get resistent to an antibiotic, but a germ can. If you have not been on keflex in the past months it would likely kill off some of the germs on your body. However; I find coag negative staph to be a normal skin contaminant and not worthy of any treatment. Use of a simple OTC nasal steroid spray like rhinocort would help with most causes of nasal membrane swelling. ...Read more

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Would oral antibiotics be able to eradicate staph in the nose?

Would oral antibiotics be able to eradicate staph in the nose?

Not best: Usual therapy is Mupirocin ointment by prescription. Very effective but likely to recur. ...Read more

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I was tested Positive for Staph in my nose..... I was given antibiotics and the scab is till there..... It's on the right side only. HELP!!!!

I was tested Positive for Staph in my nose..... I was given antibiotics and the scab is till there..... It's on the right side only. HELP!!!!

Nasal infection: You have provided us with no information about you, especially your age and medical conditions. The scab is there because you continue to digitally traumatize the area. Keep the scab moist by continuing to keep it covered with antibiotic ointment and avoid removing the scab. The scab is not a sign of infection, but mucosal trauma. It is normal to have Staph in your nose, that is not infection. ...Read more

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If I have a staph infection in the hair follicles of my nose, what kinds of antibiotics should I be using to treat it?

If I have a staph infection in the hair follicles of my nose, what kinds of antibiotics should I be using to treat it?

What kind of Staph?: Staphylococci have variable susceptibility to antibiotics. You need to see your doctor to get a culture and antibiotic sensitivity done for proper choice of antibiotics. ...Read more

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Staph infection on nose around piercing is still growing, how long will it take to see improvement on antibiotics?

Staph infection on nose around piercing is still growing, how long will it take to see improvement on antibiotics?

Staph nose infection: An infection can sometimes be hard to clear when there is a "foreign body" present. That's because the germs use it to their advantage-- kind of like a fortress to them. Given that this infection is on your face you may want to just remove the jewelry and try later after it is healed. Staph are very dangerous bacteria- I don't play around with them! Sorry. ...Read more

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I've been diagnosed with staph infection (MSSA) in my nose 2x within the past 6 months. Treated with antibiotics but comes back. Will it ever go away?

I've been diagnosed with staph infection (MSSA) in my nose 2x within the past 6 months. Treated with antibiotics but comes back. Will it ever go away?

Who's checking: Do you have frequent bouts of impetigo? Most doctors don't check their patient's noses for serious infections unless you show signs of serious illness. You might want to see an infectious disease maven. You live in NYC. You can always have a virtual consult if you want a more detailed discussion. ...Read more

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What happens to dead tissue on my nose after staph infection clears up. This is days 6 of antibiotic. Infection is almost gone. 1/2"sq black spot left?

What happens to dead tissue on my nose after staph infection clears up. This is days 6 of antibiotic. Infection is almost gone. 1/2"sq black spot left?

See remark: As a physician, I say give it"tincture of time"...meaning this should subside with time. The so called dead tissue will will eventually comes out as you blow your nose.
If it does not, let us know ...Read more

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Is > 100, 000 col/ml staph coagulase negative beta lactamase positive in urine culture an infection or skin contamination?

Is > 100, 000 col/ml staph coagulase negative beta lactamase positive in urine culture an infection or skin contamination?

Skin contmaination: Coag negative staph on urine culture is not of pathological significance. Please consult the site below for preparation for specimen collection to avoid contamination.
http://www. Webmd. Com/a-to-z-guides/urine-culture. ...Read more

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Blood cultures done for swollen fingers/neck pain. 2 cultures drawn same site. Results " growth of coagulase negative staph" dr. Says contaminated? ?

Blood cultures done for swollen fingers/neck pain. 2 cultures drawn same site. Results " growth of coagulase negative staph" dr. Says contaminated? ?

Second opinion: Any thing is possible. If done by your family physician or specialist ask for another specimen to culture. If truly contaminated then procedure was not done with sterile technique. ...Read more

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Culture of absess/ulcer Results: staph aureus, moderate growth, d-test negative. What does this mean? Is santyl w/o antibiotics effective treatment?

Culture of absess/ulcer Results: staph aureus, moderate growth, d-test negative. What does this mean? Is santyl w/o antibiotics effective treatment?

Test: resistance to: clindamycin, an antibiotic (i.e. against+life+thing). Study: https://www. Google. Com/#q=what+is+d+test for an overview. Since some SA are MRSA, d-test goal=to see if the SA exhibit MRSA (SA resistant to multiple antibiotics; including clindamycin) characteristics. Bigger issues: Why the Ulcer? Tissue will not heal without enough blood supply & immune system. Santyl+/-antibiotics only tertiary help. ...Read more

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I have gram negative bacili present at 5000CFU/ml. & coagulase negative staphylococcus > 10, 000 CFU/ml. Do I need any antibiotics or not?

UTI diagnosis: DIagnosis of a UTI is dependent on many factors: 1. the symptoms (fever, painful urination, bloody urination, abdominal pain, back pain); 2. microscopic testing of the urine (how many white cells, how much proein, how much blood, other chemicals); finally 3. the culture. Only interpreting all of these together can a physician accurately diagnose a UTI. Consult your doctor for your specific case. ...Read more

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Dr prescription famciclovir & mupirocin. Culture shows negative 4 staph. I've been putting this in my nose per doc but it specifically says not to. Is it ok to?

Dr prescription famciclovir & mupirocin. Culture shows negative 4 staph. I've been putting this in my nose per doc but it specifically says not to. Is it ok to?

It is: Famciclovir is an antiviral drug specifically to treat herpes simplex and Mupirocin is a topical antibacterial agent. The package insert describes the fact that they were not used on mucous membranes in the fda testing. If you have had no irritation, the short term used for a week should be fine. Stop its use if any irritation develops. Return to your prescribing physician for followup in a wee. ...Read more

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How does a man contract a coagulase negative staph as an uti? In other words. How does a man contract this bacteria? Please list possibilities

How does a man contract a coagulase negative staph as an uti? In other words. How does a man contract this bacteria? Please list possibilities

The don't: Usually they don't. It's far more likely that the penis wasn't cleaned adequately before urine collection and/or that the urine sample wasn't a midstream sample. ...Read more

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Coagulase negative staph in urine contageous?

Coagulase negative staph in urine contageous?

No: Coagulase negative staphylococcus species are normal inhabitants of everyone's skin. A bladder infection with these bacteria is not contageous. ...Read more

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If a person has a nasal swab done & it cultures positive for "staph lugdunenis" but has no apparent signs of infection/illness what should be done?

If a person has a nasal swab done & it cultures positive for "staph lugdunenis" but has no apparent signs of infection/illness what should be done?

Interesting: This coagulase negative staph (not a staph aureus) can, however, behave like one. If you have recurrent abscesses, it could be the cause. If not, no therapy clearly needed but intranasal Mupirocin (bactroban) is not unreasonable. ...Read more

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Rash bikini line for 4 mo. Tried oxistat, tried antibiotic safe for breastfeeding, tried alcortin A; been cultured -staph and GBS. What could it be?

Rash bikini line for 4 mo. Tried oxistat, tried antibiotic safe for breastfeeding, tried alcortin A; been cultured -staph and GBS. What could it be?

Candida or allergic: Try lotrimin (clotrimazole) cream for fungal reaction first, if that is not working after a week or so, try hydrocortisone 1% ointment, one ir the ither should work, if neither is helpful, go see a dermatologist for more answers ...Read more

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Is it possible for a staph infection to become resistant to antibiotics?

Is it possible for a staph infection to become resistant to antibiotics?

Yes: Unfortunately almost all bacteria are able to develop resistance to an antibiotic. Particularly when used unnecessarily. Check with your doctor if this is a concern. ...Read more

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Had a nasal culture. Golden staph positive. I have puss on my tonsils. Can staph cause puss too or just strep?

Had a nasal culture. Golden staph positive. I have puss on my tonsils. Can staph cause puss too or just strep?

Any bacteria: Streptococcus is only one of many bacteria that can cause pus. Pus is the body's immunological reaction to a bacterial pathogen. The three most common bacterial pathogens responsible for upper respiratory tract infections, are 1.) s. Pneumonia, 2.) non-typable haemophilus influenza, and 3.) moraxella catarrhalis. All three can lead to the immune system producing pus. ...Read more

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Develp a small lump which was having pus near tonsil. Took antibiotics it got shrink&no pus but shrinkedpack still there? Why? Culture:staph aureus

Develp a small lump which was having pus near tonsil. Took antibiotics it got shrink&no pus but shrinkedpack still there? Why? Culture:staph aureus

Depends: If you actually do have a small abcess it isn't unusual for it to shrink but not resolve with just antibiotics. Often it has to be lanced (cut open) to drain and completely resolve. Alternatively, it may actually be just a 'crypt' which is an area of food and mucus accumulation in pockets often found in tonsils. The surrounding area may have been infected and now just the crypt material remains. ...Read more

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Swollen turbinates for last 6 months. Dx vasomotor Rhinitis. Positive nasal swab for Coag Negative staph. Could this be cause of Vasomotor Rhinitis?

Swollen turbinates for last 6 months. Dx vasomotor Rhinitis. Positive nasal swab for Coag Negative staph. Could this be cause of Vasomotor Rhinitis?

Definitely not: A culture like that is essentially useless. Staph CN organisms in this setting are 'just along for the ride' and have nothing to do with your sinus disease. That might have been different if a true pathogen was found (like Strep) but I'm pretty sure this is just what we call 'normal flora'. The sinuses are not a sterile place, so there are ordinary bacteria there. I would seek more about ALLERGY. ...Read more

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I was diagnosis with endoscapy/culture for H influenza Bacteria. Now I have NON MRSA staph. How did I get staph in my sinuses when already on antibiotics?

I was diagnosis with endoscapy/culture for H influenza Bacteria. Now I have NON MRSA staph. How did I get staph in my sinuses when already on antibiotics?

Different antibiotic: For different bacteria. Different bacteria often require different antibiotics to control their growth. Non-MRSA staph in the nose is not a disease and may not require any treatment depending on your health conditions. ...Read more

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Negative for gonorrhea and chlamydia. Still discharge and pain in vagina. Feel need to pee. Bv test showed staph. 4 different antibiotics and no cure?

Negative for gonorrhea and chlamydia. Still discharge and pain in vagina. Feel need to pee. Bv test showed staph. 4 different antibiotics and no cure?

Herpes?: This is too complex for a clear on this sort of forum. Keep working with your doctors. If not under the care of a genitourinary medicine (GUM) or infectious diseases specialist, that might be worthwhile. Also, make sure you were tested for herpes, which could cause such symptoms. Good luck! ...Read more

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Penicillin-resistant staph infection in eyes spread through head. Single antibiotics have failed. What would be the best antibiotic cocktail to take?

Follow directions: If you truly have a resistant staph infection you probably need IV antibiotics and at very least IV vancomycin should work. Is an infectious disease specialist involved? Have cultures with antibiotic susceptibilities been done? ...Read more

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Have staph infection on side of knee, not mrsa from culture. ER DR said he didn't lance all pus. Almost pain free from antibiotic. What happen pus inside?

Have staph infection on side of knee, not mrsa from culture. ER DR said he didn't lance all pus. Almost pain free from antibiotic. What happen pus inside?

May be none: If you can bend your knee without pain, the likelihood is that the joint was not affected. It would help to lose weight, not easy.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex.
Get HPV vaccine. ...Read more

Dr. John Leander Po
1,117 Doctors shared insights

Antibiotic (Definition)

An antibiotic is a medicine that slows, stops, or kills germs. The germs are usually bacteria causing an infection in a person, so the person uses antibiotics to help his body get ...Read more


Dr. Jack Mutnick
1,167 Doctors shared insights

Nasal (Definition)

NaSal is a nasal preparation which is a kind of ...Read more