Physicians: Community Associated MRSA - cougarguard.com — unofficial BYU Cougars / LDS sports, football, basketball forum and message board

Archaea · 01-15-2008, 03:06 PM

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

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).

01-15-2008, 03:06 PM	#1
Archaea Assistant to the Regional Manager Join Date: Aug 2005 Location: The Orgasmatron Posts: 24,338	Physicians: Community Associated MRSA is the medical community much concerned? http://www.cdc.gov/ncidod/dhqp/ar_mrsa_ca_public.html __________________ Ἓν οἶδα ὅτι οὐδὲν οἶδα

01-17-2008, 12:12 AM	#2
Zulu451 house-elf 3rd class Join Date: Jun 2006 Location: Boston, MA Posts: 386	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.

01-17-2008, 03:00 AM	#4
Zulu451 house-elf 3rd class Join Date: Jun 2006 Location: Boston, MA Posts: 386	MRSA is still > 99% sensitive to Vancomycin. If this fails the next is Linezolid (Zyvox).