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Does MRSA Infection Spread Through Open Wounds?

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Posted on Thu, 21 Jan 2016
Question: Sorry – that I disturb you !


I want to ask you again one question about MRSA – because you are good understanding expert


1.     If the wound is deep after surgery is infected by MRSA bacteria it can spread and transmit to blood stream and cause blood stream infection.

But for some case it could be wound infection but in some case blood stream infection

So it is important how good person immune system to fight against infection – and how fast medical notice that there is infection and start antibiotic therapy?

2.     If i get cut wound outside hospital just in some casual case and wound gets infected by MRSA and my immunity is ok – infection wont spread to blood stream in first 24 h – and if i get to hospital in time i will avoid serious problems ?

3.     How deep could be the wound that could cause series problems?


Thank you very much !!
doctor
Answered by Dr. Shoaib Khan (13 minutes later)
Brief Answer:
Always here to help sir

Detailed Answer:
Hello once again sir.

Thank you for your kind words.

1. Yes

Yes

Yes, exactly!

2. No it will/should not. Yes you will.

3. The depth does not necessarily matter much; the main point is exposure to the layers under the skin; but yes, the deeper the wound the more risky it is

Hope this helps.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (56 minutes later)
In hospital those who get MRSA blood stream infection ( as the most part of case are blood stream infection) have develop it so rapid as medical personal can not catch it and get antibiotic therapy in time ?

Because

They immune system is so weak that they develop blood stream infection so fast – that medical personal can not catch it ?



Or it is problem of regular wound care – and follow the surgical wound in time?
doctor
Answered by Dr. Shoaib Khan (2 minutes later)
Brief Answer:
Majority due to poor immunity, very very rarely poor wound care contributes

Detailed Answer:
Hi.

Yes in majority of cases, it is so rapid and not easily diagnosable earlier due to the poor immunity. But some times, very rarely poor wound care also contributes (but very mildly).

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (4 hours later)
1.CA MRSA - virulent and aggressive than HA MRSA but it is no a big threat for healthy people ? It could spread faster than HA MRSA but healthy people immune system will slow down spread of it while sick people will develop it rapidly.



2. So I should no worried about text articles where it is said that CA MRSA spread faster, virulent and more aggressive that HA MRSA.


3. As I USA invasive MRSA statistics:

Ca MRSA - 15, 138

HA MRSA - 58,812
http://www.cdc.yyyyyv/mrsa/yyyyyyg/


. So as most case of CA MRSA is skin infection, and US it is widespread it could be more than 1 million skin infection so we could conclude that from 1 million 15 thousand is invasive…..so it is not so dangers….and develop as invasive infection only in sick an weak persons.
doctor
Answered by Dr. Shoaib Khan (13 hours later)
Brief Answer:
Good clarifications I must say

Detailed Answer:
Hi sir.

1. Yes; yes. Both of them are aggressive and virulent, but for healthy people there is a much much lesser risk than for the sick people

2. Not really, as long as you are healthy

3. Yes, we can make such an assumption (approximate but not exactly accurate conclusion). No, it is not all that dangerous for the healthy and more economically stable population

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (20 hours later)
Thank you for your help an support !!

Just one question – could you ask for advice in forum
We know that people who are colonized with CA MRSA in their nose if they are healthy and follow the hygiene get free from MRSA colonization without decolonization – it is written in literature. The question is about its mechanism – is it because as MSSA overtake CA MRSA – because it is more natural bacteria better adapted to live in natural environment. AS it would be logic conclusion why people get free from CA MRSA colonization.

Thank you very much for your help
doctor
Answered by Dr. Shoaib Khan (31 minutes later)
Brief Answer:
Quite logically possible, yes

Detailed Answer:
Hi sir.

Yes, it is most likely the scenario taking place. But it is also because of the overpowering immunity of a generally healthy individual, which prevents it from making an impact or causing more dire consequences without decolonisation itself.

Best wishes.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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Does MRSA Infection Spread Through Open Wounds?

Brief Answer: Always here to help sir Detailed Answer: Hello once again sir. Thank you for your kind words. 1. Yes Yes Yes, exactly! 2. No it will/should not. Yes you will. 3. The depth does not necessarily matter much; the main point is exposure to the layers under the skin; but yes, the deeper the wound the more risky it is Hope this helps. Best wishes.