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Suggest treatment for CA-MRSA skin infection

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Posted on Mon, 2 Nov 2015
Question: Please sorry –
Your previous answer
1. This is from my experience sir; and as stated by you from literature you have read, not all patients need hospitalisation, this simply means only the serious ones require hospitalisation and antibiotic coverage
So in summary – from your answer – it means that most people with CA MRSA skin intention don’t need hospitalization!

Is it so ?

You can say in short answer – Yes !!!
doctor
Answered by Dr. Shoaib Khan (12 hours later)
Brief Answer:
Doctors visit mandate, hospitalisation not always

Detailed Answer:
Hello once again sir.

Yes, it is true that not all individuals require hospitalization per se, but a doctors visit is mandatory, so that the doctor can himself/herself decide the mode of treatment and whether or not hospitalisation will be required.

Hope this helps. Please do not hesitate to writw back to me for any further help.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (29 minutes later)
The question is about proportion ?

The most people don’t need hospitalization with CA MRSA

Only rarely hospitalization is needed

As it said in literature – as I understand form your experience !

Is it so !!?

Just answer YES
doctor
Answered by Dr. Shoaib Khan (5 minutes later)
Brief Answer:
Not all answers can be as simple as just a yes or a no

Detailed Answer:
Hi.

Some answers cannot be so sttaight forward and with just a yes or a no, please understand. But the answer is Yes in my case because this is only from my experience; I have worked in private hospitals most of my life, where most of the patients coming in are from a good and sound financial background and not those who have poor hygiene or a poor financial background.

If I would be working in a rural region like a district village in XXXXXXX my answer would be No, as most of the patients with CA MRSA skin infection would require hospitalisation in those conditions.

Hope this is more clear to you sir.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (16 minutes later)
Thank you !

so I understand the key is environment - from what environment comes patient

and his higien and immunity !

Thank you
doctor
Answered by Dr. Shoaib Khan (1 hour later)
Brief Answer:
Yes

Detailed Answer:
Yes sir, you are right!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (21 hours later)
Sorry that I disturbed you !
As I would like to know everything I have some questions answer me shortly

1 . unlike people with MRSA, most if not all pets will naturally eliminate MRSA colonization if reinfection is prevented
https://yyyyyyyyyyyyyyyyyyyyyyytrue
Why pets better naturally clean MRSA ? its their nature – or other reasons ?
2. People who don’t have immunity problems and follow hygiene will naturally clean MRSA because as one doctor said MSSA will overtake MRSA because it is mutant and not so well live in environment as MSSA. Is it so ?
3. Soft tissue infections with PVL-positive CA-MRSA can occur without any previous wounds, and initially may appear very similar to a spider bite.
http://www.yyyyyyyyyyyyyyyyyy/files/2008/04/M3-Myyyyyyyyyy.pdf
I think it is reare when people have week imune system and they dont folow higien !
Is it so ?
doctor
Answered by Dr. Shoaib Khan (9 hours later)
Brief Answer:
Please do not apologise for writing to me, I look forward to it

Detailed Answer:
Hi sir.

Please do not apologise for writing to me, I am always here to help, so you need not think twice before writing to me.

1. I honestly did not understand your question. I did however go through the paragraph mentioned in the link provided by you. Let me explain this for you:

Individuals infected with MRSA, should be careful while interacting or handling their pets as they can transmit the infection to the pet. If at all MRSA is colonised in the pet, and in the meantime the individual (human) recovers, this pet can cause the re-colonisation or re-infection in that individual (human).

So it is important to avoid activities like kissing the pet, allowing the pet to lick their face or any area with broken skin; and make sure hands are washed well before handling the pet

2. Yes, I do agree

3. Yes, it is indeed a rare occurrence; and from all the discussion we have had, I need not inform you as you are already very well versed in the field, but there are numerous factors in play for such an occurrence.

Hope this helps sir. :)

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (2 hours later)
Those who become colonized with HA MRSA and are healthy and good immune system don’t have risk of invasive MRSA. As doctors explained me! An you said me once ! it tis true ?



There was one publication where 28 % of colonized children had HA MRSA – but others had CA MRSA, they all had contact of health care.
Children with both types of methicillin-resistant S aureus colonization had increased contact with health care, compared with children without colonization.
http://www.yyyyyyyyyyy/0000

If the kids are healty they dont have risk of invasive HA MRSA ?

They are younger thats why become colonized wit HA MRSA ?
doctor
Answered by Dr. Shoaib Khan (12 hours later)
Brief Answer:
Yes, healthy have little or no risk to the invasive form

Detailed Answer:
Hello once again sir.

From the recently shared information, there are 2 facts I would like to point out:

1. Was it mentioned anywhere what kind of patients were in the health center when these children visited? Children who developed HA MRSA would have been exposed to that particular infection-causing organism; and those who developed CA MRSA may have been exposed to that particular infection-causing organism wherever they visited in the health center (i.e. whatever they were exposed to); along with of course other factors like children have a lower immunity than adults, other hygienic and environmemtal factors

2. Yes, if kids are healthy then chances are always less for an invasive form of the disease.

3. Age does play a role, but along with other factors as well. But yes, because they are younger this could have been a contributing factor

Hope this helps sir. :)

Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (5 hours later)
1. No matter what colonization you have CA MRSA or HA MRSA if you are healthy the riks of invasive infection is low, is it so ?
2. Healthy people are low risk of HA MRSA colonization – it colonize low immunity persons. It is so ? When HA MRSA can colonize healthy people ? For example with dirty hands of HA MRSA I touch my nose will it colonize me, or not ? Do healthy people get free from colonized HA MRSA fast ?
3. now I study biomedicine biomedical laboratory assistant – and I go to hospital for practice, I m afraid that I can get home HA MRSA to my 2 years old kid, risk is low ?
4. And can my home cat get HA MRSA if he is health and then transmit to my kid ? Or not if he is healthy cat ?
5. And as you said – if my kind is healthy and he get somehow HA MRSA he wont get invasive form of it ?
One thing I must understand HA MRSA is harder to transmit and don’t well transmit aoutside body, is it so ?
doctor
Answered by Dr. Shoaib Khan (3 hours later)
Brief Answer:
All queries addressed sir, please feel free to write to me again

Detailed Answer:
Hi.

1. Yes

2. Yes, but not always. When there is low immunity, etc. If your immunity if low. Yes, but it also depends on how soon you are diagnosed, the earlier the diagnosis, the sooner and better the outcome/recovery

3. Keep well to maintain good hygiene, wash hands regularly, and I would also like to point out that the transmission is rare, and the infection-causing organism is very fragile and does not survive easily under various conditions

4. If you get HA-MRSA, and your cat does not have such a good immunity then it can colonise HA MRSA, and it can be a source of transmission; but then again all the other factors need to be considered as well like:

+Low immunity
+Pre-diagnosed conditions that can cause lowered immunity
+Medications that can cause immunosuppression

5. Yes, if at all he gets it also, the invasive form is rare and unlikely.

Yes, that is true.

Best wishes.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (4 hours later)
Sorry !

I know I must stop reading about MRSA – in badly influence on me ! but still some things I want to understand
I was reading one publication about duration of MRSA colonization and it was said –
Data have shown that individuals remain at increased risk of MRSA infection and death until they are no longer colonized
http://xxxxxxxxxx/xxxxxxxxxx/60/10/1497.full#ref-8


And this statement was referred to this publication
The most common infections were pneumonia (accounting for 39% of MRSA infections), soft-tissue infection (14%), and central venous catheter infection (14%)
http://xxxxxxxxxxx

So they are talking about people who have weak immune system ?
Not for these cases when healthy people get CA MRSA skin infection treat it keep colonized and after that get invasive MRSA ( I have not heard such cases about) As we have talked low immunity is the reason for invasive MRSA. So I understand they wrote this publication putting facts together without explanation. One material is about week patients who are risk for invasive MRSA of long colonization and other is about CA MRSA skin infection persons.

As I have read and doctors have said that healthy MRSA colonized persons are at low risk – they don’t need decolonization
doctor
Answered by Dr. Shoaib Khan (2 hours later)
Brief Answer:
Do not worry about it, but do not obsess about it either

Detailed Answer:
Hi.

No problem at all sir.

Yes, they are talking about individuals who have been colonised and have a weak immune system.

Yes, this write up is about those with a poor immunity and other influencing factors that make an invasive form more likely.

There are many different publications sir, not all have been certified and well discussed; which is why even doctors do not believe every publication as long as it is from a reliable source (e.g. pubmed).

Yes, most of the healthy ones do not need decolonisation and will recover soon on their own.

Best wishes sir. :)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (6 hours later)
Thank you very much you help me a lot !!

just one question about my question and your answer

1. Healthy people are low risk of HA MRSA colonization

2.it colonize low immunity persons. It is so ?

3. When HA MRSA can colonize healthy people ? For example with dirty hands of HA MRSA I touch my nose will it colonize me, or not ?

4.Do healthy people get free from colonized HA MRSA fast ?


Can you please shortly answer to each question ! From previous answers i didn't understand some things !

doctor
Answered by Dr. Shoaib Khan (9 hours later)
Brief Answer:
I am more than happy to help you always sir :)

Detailed Answer:
Hey.

You are always welcome sir.

1. Low risk yes, but still possible

2. Yes, more likely

3. Not necessarily, but it does increase the chances

4. Yes

Hope this is more clear. Also, I see that you have queries about many other health-related issues as well; feel free to write to me about that as well as I am always here to help.

Best wishes sir. :)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Dr. Shoaib Khan

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Suggest treatment for CA-MRSA skin infection

Brief Answer: Doctors visit mandate, hospitalisation not always Detailed Answer: Hello once again sir. Yes, it is true that not all individuals require hospitalization per se, but a doctors visit is mandatory, so that the doctor can himself/herself decide the mode of treatment and whether or not hospitalisation will be required. Hope this helps. Please do not hesitate to writw back to me for any further help. Best wishes.