MRSA Infection (cont.)
If MRSA is so resistant to many antibiotics, how is it treated or cured?
Fortunately, most MRSA still can be treated by certain specific antibiotics
(for example, vancomycin (Vancocin), linezolid (Zyvox), and others). For MRSA carriers, mupirocin
antibiotic cream can potentially eliminate MRSA from mucous membrane
colonization. A good medical practice is to determine, by microbiological
techniques done in a lab, which antibiotic(s) can kill the MRSA and use it alone
or, more often, in combination with additional antibiotics to treat the infected
patient. Since resistance can change quickly, antibiotic treatments may need to
change also. Many people think they are "cured" after a few antibiotic doses and
stop taking the medicine. This is a bad decision because the MRSA may still be
viable in or on the person and reinfect the person. Also, the surviving MRSA may
be exposed to low antibiotic doses when the medicine is stopped too soon; this
low dose may allow MRSA enough time to become resistant to the medicine.
Consequently, MRSA patients (in fact, all patients) treated with appropriate
antibiotics should take the entire course of the antibiotic as directed by their
doctor. A note of caution is that, in the last few years, there are reports that
a new strain of MRSA has evolved that is resistant to vancomycin (VRSA or
vancomycin resistant S. aureus) and other antibiotics. Currently, VRSA is not
widespread, but it could be the next "superbug."
Where are other MRSA information sources?
http://www.pnas.org/cgi/content/full/99/11/7687
http://www.aafp.org/afp/20061201/tips/18.html
http://www.cdc.gov/ncidod/EID/vol11no06/04-0831.htm
http://www.kaisernetwork.org/daily_reports/rep_index.cfm?DR_ID=45809
Last Editorial Review: 2/18/2008
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