3 doctors weighed in:

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

3 doctors weighed in
Dr. Timothy Ashley
Internal Medicine & Pediatrics
2 doctors agree

In brief: 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.

In brief: 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.
Dr. Timothy Ashley
Dr. Timothy Ashley
Thank
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