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-   -   Physicians: Community Associated MRSA (http://www.cougarguard.com/forum/showthread.php?t=15910)

Archaea 01-15-2008 03:06 PM

Physicians: Community Associated MRSA
 
is the medical community much concerned?

http://www.cdc.gov/ncidod/dhqp/ar_mrsa_ca_public.html

Zulu451 01-17-2008 12:12 AM

Very much so. In the community where I practice, when a patient presents with a suspected staph infection (abscess), I will drain the abscess and treat empirically for MRSA with either vancomycin or clindamycin. Reason being that about 30% of these will be MRSA and you can't afford to loose 3 days of treatment waiting for your cultures to come back. About 98 % of the community acquired MRSA is sensitive to clindamycin which also comes in an oral form.

creekster 01-17-2008 12:14 AM

Quote:

Originally Posted by Zulu451 (Post 175249)
Very much so. In the community where I practice, when a patient presents with a suspected staph infection (abscess), I will drain the abscess and treat empirically for MRSA with either vancomycin or clindamycin. Reason being that about 30% of these will be MRSA and you can't afford to loose 3 days of treatment waiting for your cultures to come back. About 98 % of the community acquired MRSA is sensitive to clindamycin which also comes in an oral form.

When the 2% turns into 50% how will it be treated? Anyhting in the pipeline?

Zulu451 01-17-2008 03:00 AM

MRSA is still > 99% sensitive to Vancomycin. If this fails the next is Linezolid (Zyvox).


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