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Suggest Treatment For MRSA Bacterial Infection Of The Respiratory Tract

Posted on Fri, 19 Sep 2014

Question: my daughter is 10 years old, two months ago we were in a hospital with pneumonia, after that she started to have yellow passages between the nose and the troat,every morning she spit yellow nasal snots and during the day white,we made nasal laboratory testing and it showas staph heamolyticus coa MRS+, we made treatment 10 days with BAKTROBAN but no results,WHAT MUST DO I NOW?it is not possible me to leave her stay like this and to wait ....

Answered by Dr. Sumanth Amperayani (26 minutes later)

Brief Answer:
Looks like staphylococcal colonization

Detailed Answer:
Hi.... what I assume by your statement that it was MRS infection is that your daughter is having a MRSA bacterial colonization of her upper respiratory tract. To be XXXXXXX with you, many people in general population have this colonization. There is no need to treat this. Warm saline gargles are the best way for symptomatic improvement.
I have a few questions for you -
1. Does she have any fever now?
2. Was there any blood culture positive result during her pneumonia episode?
3. Have any CXR or radiographs taken during the episode and if so can you upload them ?
4. Does anybody else in the family have similar symptoms & if so for how long?

Kindly get back to me with answers to above questions.

Regards - Dr Sumanth

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Sumanth Amperayani (10 hours later)

she had a feaver 37.1 two weaks afer the hospital only in the afternoons ,then it stoped, for the blood i do not know we made CRP TESTING and it was normal 0.7
we did not test me and my husband for this after the hospital i made a picture on the lungs and everything was clear
what is the risk if she has this bakteria

Answered by Dr. Sumanth Amperayani (45 minutes later)

Brief Answer:
Not bacterial infection

Detailed Answer:
Hi...without any fever now, it is highly unlikely that she is still harboring a bacterial infection. She seems to be in the recovering phase. Do not worry.

CRP of 0.7 is negative - nothing serious is going on.

CXR is clear means it is not pneumonia.

SO, DO NOT WORRY. SHE IS NOT HAVING ANY SERIOUS BACTERIAL INFECTION.

You can send her to school and warm saline gargling will help a lot.

I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below.
www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Sumanth Amperayani (54 minutes later)

how long will she has these yallow snots and how many times of the day to make garglings,and when she starts school she may become ill how i will be shore that this is not from the bakteria what must i do , is there any nasal drops for this, and finally how can i finish forever with this bakteria

Answered by Dr. Sumanth Amperayani (22 minutes later)

Brief Answer:
Saline nasal drops and snots culture & sensitivity

Detailed Answer:
Hi coming to your queries -

1. Yellow snots are not suggestive of bacterial infection and it may take 4-6 weeks to completely settle down.
2. Warm saline garglings can be done thrice a day till this problem settles.
3. If you want to be doubly sure that it is not bacterial infection, you can give the snots she is bringing out for Grams's stain and culture and sensitivity testing in a laboratory.
4. No nasal drops for this condition. But if she is having nasal block you can use saline nasal drops 1 drop in each nostril 4-6 times a day if there is nasal block.
5. This is not bacteria. But if you are still concerned, after the culture and sensitivity reports come, if there is a bacteria, the report will suggest which medicine has to be used and then you can approach the doctor.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Sumanth Amperayani (7 hours later)

I did not understand , you think thah the snots are not from staph heamyliticus,

Answered by Dr. Sumanth Amperayani (19 minutes later)

Brief Answer:
Not due to staph/ bacteria

Detailed Answer:
Hi..no please. They are not due to staph infection. When you wanted to be 100% sure...I suggested to go back for a snot or sputum culture and Grams stain.

Why I am telling that it is not bacterial is that...in any recovering viral illness, it is very common for the sputum to be yellowish due to accumulation of white blood cells called neutrophils during the body's fight with viral illness.

Even if the sputum grows something, it will usually be a commensal organism which is normally found in every human being's throat area. So do not worry.

I suggest you give the sputum / snot for Grams staining and culture and sensitivity and wait for the results and then we will go ahead with the further steps based on the test results.

I am happy to help once you get back with the test results as suggested by me. If you are in doubt regarding this rest or anything I have suggested, you can consult your paediatrician and get his opinion too based on my suggestions.

Regards - Dr. Sumanth

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar