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MRSA a hospital acquired bacterial infection - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Environmental and Occupational Hazards
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   I am a nurse who acquired MRSA after a hip revision. I was treated with Vanco for 18 days IV thru a port in my chest. 3 yrs later Iwas the lucky recipient if Mrsa systemically and almost died. That was last Sept. They removed all ports of course and even tried a PICC line that was infected after 3 days. Incidentally I have had Crohns since I was 16, and 8 bowel resect thru the years. I turned out to be allergic to zyvox and levoquin. Soooooooooooo, my husband wants to know why I keep getting sick, and we do not understand the mechanics of this horrid infection,
. Can you help us to understand why I can go long periods seemingly healthy and then out of the blue I get sick. Sorry about long story.
Doctor :   hi,
Doctor :   Dr here
Doctor :   Let me read your query for few minutes to be able to have a good discussion here.
User :   Hello
Doctor :   Can i ask you some details , so that i can help you well ?
User :   Of course
Doctor :   What was your TLC during the infections ?
User :   Sorry, TLC?
Doctor :   Also tell me about the DLC
User :   Dlc?
Doctor :   Total LEUCOCYTE count
Doctor :   and Differential Leucocyte count
User :   Do not know, WBC 13, to 0000
Doctor :   and DLC ?
User :   They kept very quiet about lab, sort of hiding stuff
Doctor :   And why is that ?
User :   Hated dealing with person who asked questions with knowledge
Doctor :   oh , its not acceptable
User :   Seriously
Doctor :   anyway , i would like you to look into the DLC
User :   They told my mom I. Was too sick for the stress of answers
Doctor :   the increase in the TLC shows good cellular response to the infections
Doctor :   but the DLC will suggest what types of inflammatory cells are involved in the defense
User :   I was in isolation for 12 days in sept, and 4 yrs ago they opened my leg for I and D 3 times
Doctor :   based on which we can comment on whether its a reinfection newly every time or the same infection reactivating
User :   They say my immune system is shot because of the Crohns and prolonged use of steroids
Doctor :   frequent minor operational procedures are also cause of reinfection
Doctor :   and MRSA is one common infection acquired by hospital ( nosocomial infection )
User :   Hubby says I either have MRSA or I dont
Doctor :   sinc the cellular response is good ( WBC) i do not blame the immune system , but yes it too is a chance due to steroids
User :   My nose is always pos for 'MRSA
Doctor :   and i do consider it to be acquired by the hospital surroundings
User :   Is he right that you either have it od don't and if he's wrong, how do I make him understand the mechanics of the disease?
Doctor :   I am sorry i didnt get your last question
User :   My husband says I either have MRSA or I don't, how do I make him understand the colonization of this disease?
Doctor :   A culutre and sensitivity test of the throat swab or a nasal swab will be sufficient i think
User :   As I said before my nose cultures are always positive
Doctor :   that is a straight evidence for the infection
User :   He does not believe it can lie dormant, I tried to tell him it loves to.
User :   Colonize on metals like my hip
Doctor :   it will stay dormant , it is one type of bacteria which do not go into latency
Doctor :   may me metals or also the granulation tissue in the healing
Doctor :   and it needs the culture to be negative to consider eradication from body
Doctor :   and the infectivity and the virulence varies based on various factor
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