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Suggest treatment for recurrent Staphylococcal infection

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Posted on Fri, 19 Dec 2014
Question: Had staph infection on scalp years ago and it never completely went away. I'm having a reoccurrence of the same issues. Pulse bumps, smelly scalp, itchy dry scalp, 2-3 hairs growing out of one follicule, extreme pain.

What can I ask doctor for to help fight this? Last dermy have tetracycline but that doesn't cure.
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Answered by Dr. Muhammad Sareer Khalil (1 hour later)
Brief Answer:
MRSA susceptibility, antibiotic empiric cover, debridement if necessary

Detailed Answer:
Hello and Welcome

I appreciate your concern

Empirically antimicrobial therapy cover all likely pathogens in the context of the clinical setting, till susceptibility reports are available for which samples should be taken before therapy is initiated

Topical mupirocin, chlorhexidine gluconate washes, and oral rifampin plus doxycycline for 7 days can be a good empiric regimen.

Recently community-acquired MRSA infections that have been susceptible to various non–beta-lactam antibiotics. As such, patients with serious staphylococcal infections should be initially started on agents active against MRSA until susceptibility results are available.

Adequate antiseptic measures and wound drainage/debridement should be carried out if necessary, in combination with the antibiotics. If its a recurrent infection then systemic antibiotics should also be used in addition to topical ones.

Please consult your doctor before taking any medication

Let me know if you have any query


wishing you best of health

thanks
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2919 Questions

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Suggest treatment for recurrent Staphylococcal infection

Brief Answer: MRSA susceptibility, antibiotic empiric cover, debridement if necessary Detailed Answer: Hello and Welcome I appreciate your concern Empirically antimicrobial therapy cover all likely pathogens in the context of the clinical setting, till susceptibility reports are available for which samples should be taken before therapy is initiated Topical mupirocin, chlorhexidine gluconate washes, and oral rifampin plus doxycycline for 7 days can be a good empiric regimen. Recently community-acquired MRSA infections that have been susceptible to various non–beta-lactam antibiotics. As such, patients with serious staphylococcal infections should be initially started on agents active against MRSA until susceptibility results are available. Adequate antiseptic measures and wound drainage/debridement should be carried out if necessary, in combination with the antibiotics. If its a recurrent infection then systemic antibiotics should also be used in addition to topical ones. Please consult your doctor before taking any medication Let me know if you have any query wishing you best of health thanks