HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Why Children Are More Susceptible To MRSA Infections?

default
Posted on Mon, 10 Aug 2015
Question: Hello some time ago I asked you a question about CA MRSA

As one doctor who I asked told that sfafilacoc ( MRSA and MSSA) can spread in body fasts
And as you and other doctors explained if person immunes system is stronger then it will fight against infection it will spread slower in body.

So i understand that there is no one MRSA spreading time it can spread faster in weak immune system parsons

MRSA may progress substantially within 24–48 hours of initial topical symptoms. After 72 hours, MRSA can take hold in human tissues and eventually become resistant to treatment.
https://en.wikipedia.org/wiki/Methicillin-resistant_Staphylococcus_aureus


So you cannot say it will spread in 24 or 48 h, but faster you get to doctor then it is better to star treatment early ?
And it is said that MRSA can spread fast in children, because I have small 2 years kid – he is healthy !
Why MRSA can spread faster in children?
As I understand if I follow 48 h for early symptoms and go for doctor it will be enough fast for kid to avoid invasive CA MRSA !
Is it so ???
doctor
Answered by Dr. Shoaib Khan (22 hours later)
Brief Answer:
I am traveling, which is why the delay in response

Detailed Answer:
Hello once again sir.

I hope you have been keeping well. I am really sorry for the delay, I have been traveling and I am out of the country so it took me time to respond to your query, my apologies.

Yes, it is of course better to start the treatment as early as possible; not just with this situation but with any medical condition.

Children until the age of 12-14 years usually have a weaker immune system as compared to adults, which is why it is easier for them to get the infection in the first place and is also more difficult to treat them at the same time.

Again, the earlier you suspect CA-MRSA the better it is for any child, but yes about 48 hours after initiation of the symptoms should be an average period sufficient to help treat the child adequately enough, hopefully. There are many other factors also in play here, like if the child has some underlying condition, environmental factors, etc.

Hope this helps.

I may reply late, but I will reply by the end of the day as I am continuing to travel until the 20th night.

Best wishes sir.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Shoaib Khan (3 hours later)
Thank you for your help !

You answer when you can !

About grown people
So as we discussed previously people with immune system problems may develop rapidly invasive CA MRSA infection, but people with good immune system will develop skin infection.
For example on with weak immune system in 48 h develop invasive CA MRSA
And healthy person with strong immune system in 48 h develop skin infection
Is it so ?

So basically if in 48 h after CA MRSA early symptoms I go to doctor for medical help I will avoid invasive CA MRSA problems, is it so ??

doctor
Answered by Dr. Shoaib Khan (4 days later)
Brief Answer:
yes sir, most of the statements are quite right, sorry for the delay

Detailed Answer:
Hello once again sir.

Thank you for your patience, I was travelling non-stop for the past 4 days, and so had issues with my connectivity.

Yes, agreed to the first statement. Yes sir, I agree with that but as I said the duration cannot be determined as it takes a different amount of time from one person to another. But other than the duration, I agree with the rest.

Yes, the earlier the better sir, but if we consider a duration of 48 hours, you should be able to avoid the invasive form of CA MRSA, I agree

Best wishes and my sincere apologies.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Shoaib Khan (24 minutes later)
Thank you very much !

I will ask some more qestions littel bit later
doctor
Answered by Dr. Shoaib Khan (16 hours later)
Brief Answer:
Of course sir

Detailed Answer:
Sure sir, you know you can always depend on me.

Please forgive my response this time as I was travelling to XXXXXXX and thus had a very tough and busy schedule, settling down now.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Shoaib Khan (21 days later)
Hello
!!

I think you remember my questions about CA MRSA !!

I would like to ask some more question!

One material in internet there is written that in children MRSA can spread to invasive CA MRSA in four days
But staph happens to like warm, damp, salty places. There are plenty of cases in which children have an average sports [injury] and four days later they are in the intensive care unit struggling for their lives.
http://healthland.time.com/2011/02/25/mind-reading-can-we-protect-ourselves-from-the-superbug-mrsa/

The author is journalist and she is not big expert in medicine…but as you explained to me MRSA can spread fast in children so
As from you answer
Again, the earlier you suspect CA-MRSA the better it is for any child, but yes about 48 hours after initiation of the symptoms should be an average period sufficient to help treat the child adequately enough, hopefully. There are many other factors also in play here, like if the child has some underlying condition, environmental factors, etc.

You said that children till age 14 could be effective treated in 48 h after early symptoms !
It is before developed invasive CA MRSA, is it so ?
So I understand If I get my children (he is healty) to hospital in 48 h I will save his life from invasive CA MRSA.
Is it true ? It is better to start treatment soon as possible in every case !!

And children with good health are low risk of CA MRSA pneumonia if they are colonized wit CA MRSA in their nose !!
Is it so ?
doctor
Answered by Dr. Shoaib Khan (33 hours later)
Brief Answer:
All queries addressed sir, please feel free to write to me again

Detailed Answer:
Hello once again sir.

Of course I remember you.

Yes, of course they can be effectively treated before the CA MRSA develops.

Yes, you should save his life (if he is otherwise healthy; i.e. no other influencing factors).

Yes, it is better to start treatment as soon as possible in EVERY case, including cancers.

Yes, children with otherwise good health are at a low risk for developing CA MRSA if they are colonised in their nose; in comparison to those with a poor immunity.

Best wishes sir.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Shoaib Khan (12 hours later)



About CA MRSA development you mean invasive CA MRSA ?
So 48 h is the time before developed invasive CA MRSA ?
So as this article write about CA MRSA development to invasive CA MRSA in 4 days the key to save the child is to star treatment before invasive CA MRSA – and it could be done in 48 h, is it so ?
But staph happens to like warm, damp, salty places. There are plenty of cases in which children have an average sports [injury] and four days later they are in the intensive care unit struggling for their lives.
http://healthland.time.com/2011/02/25/mind-reading-can-we-protect-ourselves-from-the-superbug-mrsa

And by this answer you mean also CA MRSA pneumonia for kids who are colonized in nose ?
Yes, children with otherwise good health are at a low risk for developing CA MRSA if they are colonised in their nose; in comparison to those with a poor immunity.

So kid with good health could develop CA MRSA skin infection, while kid with poor immunity will develop CA MRSA pneumonia ? That’s what you mean by this answer ?

And I was asking you about PSM toxin how fast it spread and you wrote me back
-     Your answer
I have an alternative, as you must have read in many documents about the PSM toxin causing severe infections and even causing death in individuals with poor immunity. The death in such patients can be averted and also avoided with a good and strong regimen of antibiotics.

Whereas, in septic shock death is usually expected before day 28 from the infection. In majority of cases, death takes place within the first week from sepsis.

So comparing these two facts side by side, we can figure out that sepsis/septic shock will spread faster than the PSM toxin itself in healthy people.

My question. If I’m healthy CA MRSA with PSM wont spread in 48 h to invasive CA MRSA ,
So treatment should start in 48 h, before invasive CA MRSA ? This time 48 h early treatment is related also to PSM toxin ? And is 48 h also time for children before develop invasive CA MRSA with PSM toxin ?

doctor
Answered by Dr. Shoaib Khan (11 hours later)
Brief Answer:
Hope this helps sir

Detailed Answer:
Hi sir.

-Yes I do.
-Not necessarily, as I said there is no fixed time and it depends on so many other factors
-Yes, that would be the key, and yes it would be best if the treatment would start before the first 48 hours.
-

-Yes, this too is correct from my understanding
-Yes, this should be the case in majority of cases, but there can be exceptions at times, which cannot always be explained; as there are some cases that cannot be explained


-Yes, if you are healthy then CA MRSA with PSM toxin should not spread to the invasive form within 48 hours; but sir you also need to understand that some cases do not go by the book. We expect some cases to go about rules, like to one I just stated above, but there have been very rare exceptions of people with very good immunity who start with the invasive form within 24 hours also (some times).

Yes, the time frame can also be related to the PSM toxin.

Yes, it is about 48 hours for children as well, but it can be shorter some times as children usually have a less strong immune system when compared to adults.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Shoaib Khan (37 hours later)
Hello!!


I have question about your answer !!

1.     Your answer

-Yes, if you are healthy then CA MRSA with PSM toxin should not spread to the invasive form within 48 hours; but sir you also need to understand that some cases do not go by the book. We expect some cases to go about rules, like to one I just stated above, but there have been very rare exceptions of people with very good immunity who start with the invasive form within 24 hours also (some times).



The doctor whom I visited and you previously answered that those who are healthy and rapid develop invasive CA MRSA have immune system defects !! so this is the case what you mean by healthy person who can rapidly develop invasive CA MRSA in 24 h


Your previously answer !

"And those who considers to be absolutely healthy and develop serve invasive CA MRSA infection have some immune system defect"

Yes, a few individuals who appeared to be healthy previously and are infected with CA MRSA have some immune system defect. But if you discuss the medical history of such individuals, you will find a long and frequent list of infections. So you cannot consider these individuals healthy at any point.


So if don’t have such immune system defect CA MRSA wont spread very fast in my body !!

Is it so ??

2. And by this answer you mean also CA MRSA pneumonia for kids who are colonized in nose ?
Yes, children with otherwise good health are at a low risk for developing CA MRSA if they are colonised in their nose; in comparison to those with a poor immunity.

So kid with good health could develop CA MRSA skin infection, while kid with poor immunity will develop CA MRSA pneumonia ? That’s what you mean by this answer ?
Sorry i missed ask one thing

- , like to one I just stated above, -

About what case are you talking about? – About soldier who got invasive CA MRSA
As I remember he ignore early symptoms, that’s why he develop invasive CA MRSA, no because he had immune system defects !!

-Yes, if you are healthy then CA MRSA with PSM toxin should not spread to the invasive form within 48 hours; but sir you also need to understand that some cases do not go by the book. We expect some cases to go about rules, like to one I just stated above, but there have been very rare exceptions of people with very good immunity who start with the invasive form within 24 hours also (some times).
doctor
Answered by Dr. Shoaib Khan (33 hours later)
Brief Answer:
Need not ponder over these rare cases, you will never encounter them

Detailed Answer:
Hi.

Yes I completely agree with all those statements, but the rare rare cases that I mentioned are something that are hardly even documented.

Yes, it is a possibility.

No, I am not talking about the soldier, but about a few medical cases which cannot be explained, but this is not important and need not be discussed or pondered over.

-Yes, with this statement as I mentioned, it is not important and these cases are extremely rare and we only get to read about 1 or 2 published in a lifetime, so this is not really relevant here.

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
Dr.
Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Why Children Are More Susceptible To MRSA Infections?

Brief Answer: I am traveling, which is why the delay in response Detailed Answer: Hello once again sir. I hope you have been keeping well. I am really sorry for the delay, I have been traveling and I am out of the country so it took me time to respond to your query, my apologies. Yes, it is of course better to start the treatment as early as possible; not just with this situation but with any medical condition. Children until the age of 12-14 years usually have a weaker immune system as compared to adults, which is why it is easier for them to get the infection in the first place and is also more difficult to treat them at the same time. Again, the earlier you suspect CA-MRSA the better it is for any child, but yes about 48 hours after initiation of the symptoms should be an average period sufficient to help treat the child adequately enough, hopefully. There are many other factors also in play here, like if the child has some underlying condition, environmental factors, etc. Hope this helps. I may reply late, but I will reply by the end of the day as I am continuing to travel until the 20th night. Best wishes sir.