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Q: MRSA
asked by: DoctorQuestion on May 3rd, 2008
we are headed into the 4th week of this situation! I stressed my concerns reguarding mrsa may have returned after hernia surgery 6 weeks ago. Do you link this problem could be link to mrsa reinfection? Not having insurance doing a swab or bld work for mrsa is not the issue its having it ordered by the doctor. what is the likley hood that a reinfection will occur in a patient already having a weak immune system?


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Dr. Nikola Gjuzelov , MD
replied on May 9th, 2008
Infectious Diseases Answer A4080
What kind of problem did your husband have with his hand? Did he have an injury complicated with an infection or something else?


There isn’t such a diagnosis as “torcilitis”!


MRSA is an abbreviation for Meticilin-Resistant Staphylococcus aureus. MRSA can cause infections with the same severity and localization as the other Staphylococcus aureus types but the main problem is that its treatment is very difficult because MRSA is resistant to almost all antibiotics except to vancomycin.


Pain in the shoulder is usually not caused by any bacterial infection including MRSA. Its therapy includes painkillers, anti-inflammatory drugs and muscle relaxant.


Colonization and infection are not the same. Colonization with MRSA means that the patient only carries the bacteria without causing an infection. MRSA usually colonizes the nasal cavity, throat and skin in the anal-genital, inguinal, and armpit area of the body. Fortunately, only 10% of MRSA-carriers develop any infection. MRSA usually causes intra-hospital infections of the operative wound, bones and sepsa. MRSA rarely causes infections in patients that are not hospitalized (treated only in the ambulance). Surgical intervention by itself can’t cause a MRSA-infection. The patient was either colonized by MRSA previously or got infected in the hospital.


In order to prevent spreading of the MRSA among patients in a hospital, medical protocols require that every patient that has been colonized or infected with MRSA at least once in the past should be microbiologically checked for presence of MRSA during every next reception in a hospital. If MRSA is detected again such patient should be isolated from the rest of the patients.
People with a weak immune system can get any kind of infection not only MRSA.





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