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shannoncarr1975 07-27-2008 10:57 AM

Mrsa ?
I have read sooo many stories of MRSA just never going away. My son is on his second round of antibiotics for MRSA. After all I read, all the lysol and bleach just won't keep it away. I don't know what to do. do we just give up and pop them as they come and make sure to keep those area's clean and not do anything else? This bacteria is hard core!

janewhite1 07-27-2008 06:21 PM

Re: Mrsa ?
Have you thoroughly cleaned the house and the inside of his nose (look into that)

shannoncarr1975 07-29-2008 09:41 PM

Please help, 10 year old son with MRSA again...
Yes, I basically fallow my son around and spray with bleach or lysol if it can't be bleached... as soon as he is out of the shower and cleans his hands, I clean the entire bathroom again. He is designated to washing his hands in the bathroom sink where no one else is allowed to use. I do the bleach and hot water on all of his clothes and mine. hot heat in the dryer. Any other suggestions? Just tonight I believe the core of his sore came out leaving him with a bee bee gun size hole in his bottom. So this is good, does this mean his oral antibiotic and nasal antibiotic is working...? He also uses the nose stuff for his sores. So if there is anything else I can do, please please let me know, I don't want him to go thru this again. He is only 10. When they squeezed his boil today he literally screamed like a girl, it was horrible. But i do think it is why the core came out...I hope so! Thanks anyone for any help!!!!

janewhite1 07-30-2008 06:42 AM

Re: Mrsa ?
It sounds like you are doing all the right things. Now that the abscess is going away, the antibiotics should be able to get at the rest of the bugs in him.

You may want to consult with an infectious disease specialist if it doesn't seem to be helping.

harka 07-30-2008 07:40 AM

Re: Mrsa ?
People are very concerned with being carriers of MRSA (Methicillin resistant Staphylococus aureus), but to be honest, it's not really as big of a deal as everyone says it is, UNLESS you are having repeated invasive infections (which it sounds like your son is having). I am sorry to hear that your son is having so much trouble.

It is actually quite normal for 30-40% of the population to be carriers of SOME type of Staphylococcus aureus at SOME point in life. We classify Staph aureus as either MRSA or MSSA (Methcillin sensitive Staph), the difference being the latter we can treat with staphyloccal penicillins and cephalosporins, while the former is resistant to these.

With your son, it's not so much that the MRSA is the problem; rather, it's the fact he is having repeated infections. MRSA is no more virulent than MSSA, and many people carry it with no symptoms. The only time(s) that MRSA is a problem is your son's case with the infections, and if you're a patient in a hospital in Canada where we are still a the point where <10% of our Staph isolates are MRSA and we're trying to stop its spread.

So Janewhite gave some very good advice about cleaning the house, but to be honest, you would essentially have to burn the house down in order to completely clean every surface. Additionally, you can try to isolate your son from your family, but in close living quarters it is almost impossible to do that. Likely (though not definitely) all the people living in your house are carriers of MRSA, and there's no problem with that.

In your son's case, has he been getting a lot of boils? As janewhite mentioned, has he seen a pediatric infecious diseases specialist? If he hasn't yet, I would ask for him to be referred to one. For the infection to go away, first all the main sites in his body need to be drained. "Popping" a boil is not enough if it is really big. It needs to be lanced and thoroughly cleaned out or the infection will come back. After that is done, and he has been treated for an appropriate amount of time with antibiotics which treat MRSA, and he has no recurrent infection, THEN he can be decolonized for MRSA.

MRSA decolonization includes a 7 day course of: nasal mupirocin (bacitracin) three times a day, TWO antibiotics to clear the GI tract (usually doxycyline or septra and rifampin), chlorhexidine baths daily, and a triclosan shampoo on day 4. Then you have to reswab the person weekly for 3 weeks, and if they're all negative, the person is decolonized.

The other HUGE issue is the fact that your son is 10 years old and is getting repeated Staphyloccal infections. The reason I say he sees an ID specialist is that there may be a deficiency in his immune system predisposing him to gram positive infections. Am I saying he has AIDS or HIV? Not at all!! But there are some immune deficiencies in childhood which need to be ruled out.

I hope that, in addition to what janewhite said, was helpful.

shannoncarr1975 07-30-2008 09:03 PM

Re: Mrsa ?
Thanks so much for all the information. I actually have a appointment with the ID doc tomorrow. I am excited. I truely hope he can help us. I wonder because my son's boil, although, looks much healthier, has a hard area around the boil. I hope this doesn't mean he will still need to be lanced. Do they numb you for that? I wish they'd just put him to sleep for it. He screams with such agony when they squeeze the boil, I feel horrible for him. The regimine that you speak of sounds very familiar to me, I must have seen it somewhere else. I am going to print out a copy and take it with me. I am also going to ask about supplimenting his diet with garlic. I have read that it is extremely good for the immune system. My son has a rash in the groin area that is finally clearing up, that is where I think the bacteria got in, not to mention at the time he got it, he was taking antibiotics for strep, so, his immune system was already probably weak. I worry about the antibiotics, I read that taking so many make him much more suseptable to C. Diff infections as wells as a few others. This of course worries me, so I'd like him to be off the meds soon. Along with the antibiotics, he is doing the nasal antibiotic already. 2 times daily for 5 days, different from what you recommended. The ID dr. will learn of all of this tomorrow and will probably keep him on the AB's longer, I am suspecting. I bought some hebiclens from the pharmacy but took it back because it said on the bottle " do not use in the groin area" and " use only on subcutanious lesions" well, his infection is in his groin area and because they are boils, they are not subcutanious so i returned it. we have been using antibacterial soap though that is safe in those areas, I hope. I hope I am doing all the right things for my son, I would hate to be the reason for his reacurrances. Luckilly because he can't play with friends right now he is stuck in the house but only wants to play his computer games so, I have let him sort of isolate himself and play as long as he wants so there is little contact with much more than the computer desk and chair, I even let him eat there, lol.. This won't be allowed forever, but I thought why not, that way he is really only contaminating that area and the bathroom. Don't get me wrong, i don't only clean those area's, I do clean every where. Anyway, i needed to rant, and I wanted to let you know everything I was doing so that may be you can tell me if I am doing the right stuff... thanks again for your input


harka 07-31-2008 07:53 AM

Re: Mrsa ?
How old is your son?

rose4me 07-31-2008 09:12 AM

Re: Mrsa ?
One thing that I always supplemented for my children, when they were on antibiotics of any sort was to give them Primadophilus For Kids or Primadophilus for children. If the child is young, the primadophilus comes in a powder to be mixed with juice or milk, if they are a bit older like your son, it also comes in a chewable. Ask around at your local health food store, they know what has the best potency available is and what the customers request the most. I use acidophilus and keep it in the fridge for gastro upsets. It is critical to keep the flora in your son's digestive tract balanced. It will aid in recovery. I swear by it. I'll be praying for you too. You are a good Mom.

shannoncarr1975 07-31-2008 10:28 AM

Re: Mrsa ?
Asher is his name, and he is 10 1/2.. He went to the ID doc today, surprisingly enough, she really did act like it wasn't that big of a deal.. She told Asher not to even tell his friends that he has MRSA. She said I don't even need to tell the school. HE can play with friends, even go into the local pool (the chlorine is good for it). Even if he has an open sore he can play with friends as long as it is covered. She said the only way to pass it really is if someone would touch a open sore that has pus on it, to just wash his hands. May be it's not that big of a problem with other people but a big deal obviously to the person who has it because it isn't as hard to pass as i first thought. what is it, 30% OF people have it on their skin anyway, so it's not like he would be the only person touching things and leaving it behind. It's important for everyone to keep good hygiene. Thats what I got from her anyway.. I do feel somewhat better since talking to her. I will still be vigilant about cleaning and making sure I keep a eye on him. But i don't think I am going to stress like I was before. I hope that is the right thing.


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