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Is Hospitalization Required For Patients With CA-MRSA Infection?

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Posted on Wed, 28 Oct 2015
Question: Thank you doctor very much for your help!

You are very great as a person


To basic questions !

1.     As I know CA MRAS rarely should be hospitalized – most case skin infections are traded with clean of absence. Is it true ?

As mentioned in literature
With skin infections caused by CA-MRSA, antibiotics are rarely needed. Once the wound is open and drained of pus, it will normally heal on its own.

XXXX



Soldier where followed for CA MRSA for period of 8 weeks and 38 % of those who had CA MRSA colonized developed MRSA skin infection !
And from 9 – 6 needed hospitalization for CA MRSA skin infection treatment

XXXX


What is possible reason why these person needed hospitalization ?

– because as it said most case CA MRSA skin infection hospitalization is not needed. So they had some specific reason !



2.     If I m get to hospital for treating CA MRSA and I get HA MRSA !

You said -

You are otherwise in good health in such a scenario, but we have to remember that you already have CA-MRSA, and acquiring HA-MRSA just complicates things, so we cannot be sure whether you will get the simple form or the invasive form. Your immune system should be able to fight the infection better than those who are in poor general health, but there are chances that the infection might be a little more than just mild.

So the key to avoid HA MRSA invasive infection is my immune system and keep good hinge.

And if I m not in bad shape – it is more likely I will get HA MRSA skin infection than invasive form !

Is it true ?
doctor
Answered by Dr. Shoaib Khan (6 hours later)
Brief Answer:
I hope you are in good health, best wishes

Detailed Answer:
Hello once again sir.

I hope you have been keeping well. Thank you for the kind words.

1. Yes, it is true that we should not always use antibiotics in patients with CA-MRSA skin infection; but we rarely follow that rule and usually end up prescribing antibiotics, because in most cases we doctors do not like taking a chance.

The reason why so many soldiers from those 9 who were colonised with the infection required hospitalisation is simply because of their environment. The soldiers live in a poor environment, with poor hygiene, common toilets or no toilets at all, inadequate medical supplies, improper clothing, poor weather conditions, and so on.

2. Yes, good hygiene, good overall health, good body mass, good diet and food intake, no pre-diagnosed conditions, etc.

Yes, quite likely.

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)
This case with soldiers was in USA – and condition there should be better than in other countries.

Of course risk factor is crowding environment and hygiene – and in text was said that previous use of antibiotic was risk factor….and I think other factors may be


So as I understand each case is individual and there is hard to find one answer
Once you wrote me –

Yes, this is an individual case, but it is true that most of the individuals do require hospitalization.

And in literature it said

With skin infections caused by CA-MRSA, antibiotics are rarely needed. Once the wound is open and drained of pus, it will normally heal on its own.

XXXX


1. So how it will be ?

I think most case hospitalization is not needed – is it so ?


2. And what is the criteria when hospitalization is needed – when skin infection is large, and it is going under skin, and wound is large ?

doctor
Answered by Dr. Shoaib Khan (19 hours later)
Brief Answer:
At least a doctors visit will be required; mostly complications

Detailed Answer:
Hello once again sir.

Honestly, we can never really accurately predict and imagine the situation and circumstances there.

Yes, but with the text you stated mentioned that the wound needs to be opened, drained of pus, which is not something that will usually happen on its own, and will mostly require a medical personnel to go about it. So either way, at least a doctors visit is required. All/most of the infection-causing organisms are in the pus, which is why it requires to be drained, thus helping early and rapid healing.

1. As mentioned in my explanation above, at least a doctors visit will be required, even if not hospitalisation

2. Criteria would include:

+Poor general health
+Poor healing
+Long time taken for healing
+Not healing on its own or not responding to the antibiotics prescribed
+Complications

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)
Of cores doctor visiting is needed – who will see how bad is situation!

Your answer -
At least a doctors visit will be required; mostly complications


By complication you mean when skin infection is larger and spreading?


1. All cases CA MRSA need doctor visiting – but I think in general public only few need hospitalization??


Once I visited my relative in hospital – and a saw mistakes for nurse ( bad hygiene) , that’s why I don’t what to become hospitalized with Ca MRSA.

2. Do you think if I follow my possible CA MRSA – and get early as possible that is the key to avoid hospitalization ?


3. We was talking that CA MRSA can progress in 48 h in healthy people but it can take longer time period 4 – 6 days. The better immune system slower progress infection is it so? And 48 h is the time that infection wont spread faster than 48 h !


4. The CA MRSA can colonize some place on body nose, armpit, groin – to avoid colonization of these places I should not touch them with dirty hands? And if I touch other parts of body it is unlikely they gone colonize there ?


doctor
Answered by Dr. Shoaib Khan (11 hours later)
Brief Answer:
All queries addressed sir

Detailed Answer:
Hello once again sir.

Yes, by complications I mean the skin infection gets larger, does not heal on its own, etc.

Yes, all cases require a doctors visit and as a mandate some amount of treatment (whether in the form of a simple incision and drainage, or just antibiotic therapy or even admission into the hospital).

1. Yes, all require a doctors visit and treatment in different forms, but not all require admission

Some government hospitals and very very rarely private hospitals have poor hygiene; otherwise most private hospitals pay a lot of attention to general hygiene and cleanliness

2. Yes.

3.To a certain extent yes, the better the immune system, environmental conditions and other factors, slower and less serious is the progression

4. Yes, keeping your hands clean with regular washing of hands is a very good way to prevent this.But colonisation can take place in other places as well, just that places like the nose, axillary region, groin, etc; are more common

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 (6 hours later)
So in summary

1.     If most case CA MRSA skin infection don’t need hospitalization, just doctor visit – it is from literature …..?


2. If I m not in bad shape in hospital with - ok – immunity and get HA MRSA it will wont be invasive – because my body can fight against infection !?
doctor
Answered by Dr. Shoaib Khan (1 hour later)
Brief Answer:
It is from my experience sir; yes it should not be

Detailed Answer:
Hello sir.

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

2. Yes, it should not be invasive sir

Hope this helps. :)

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
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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Is Hospitalization Required For Patients With CA-MRSA Infection?

Brief Answer: I hope you are in good health, best wishes Detailed Answer: Hello once again sir. I hope you have been keeping well. Thank you for the kind words. 1. Yes, it is true that we should not always use antibiotics in patients with CA-MRSA skin infection; but we rarely follow that rule and usually end up prescribing antibiotics, because in most cases we doctors do not like taking a chance. The reason why so many soldiers from those 9 who were colonised with the infection required hospitalisation is simply because of their environment. The soldiers live in a poor environment, with poor hygiene, common toilets or no toilets at all, inadequate medical supplies, improper clothing, poor weather conditions, and so on. 2. Yes, good hygiene, good overall health, good body mass, good diet and food intake, no pre-diagnosed conditions, etc. Yes, quite likely. Hope this helps sir. Best wishes. :)