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MRSA & Hip replacement
Started by Dr. Ruth
Posted: November 5, 2010 at 17:52
Need names of good doctors for revision needed to handle MRSA detected again after
2 years ago surgery.
How is it to live without a hip for 2-3 months? then they will put in a new one??

17947
Re: MRSA & Hip replacement
Reply #1 by ladyk
Posted: November 6, 2010 at 02:38
Dr. Ruth -

Internet referral is a risky way of handling a matter as serious as what you describe. Researching everything will serve you best.

That said... we have a forum member who experienced the very scenario you have described. She does check in from time to time, and I'm sure she will share her experience. In the meantime you’re welcome to read through Nancy’s topics/posts as the log remains on forum concerning some of her struggles and her ultimate triumph~ http://www.mrsa-forum-usa.com/index.asp?action=list&search=Nancy+r
I know Nancy’s team is out of Maryland, worth the day trip in my opinion.

Best wishes, and I hope you gather some helpful information on forum.
ladyk

PS Since you’re addressing yourself as Dr. - are you actively practicing, and your specialty please? I trust you understand the level of integrity we attempt to maintain on this forum. Thank you for your support.

17948
Re: MRSA & Hip replacement
Reply #2 by Nancy R
Posted: November 10, 2010 at 13:30
Dr. Ruth:

I can, without hestitation, recommend Drs. Michael Mont and Ronald Delanois at Sinai Hospital in Baltimore, MD. They performed a revision on me. I had the original prosthetic removed, an implant inserted and then went 10 weeks without any hip. I was able to move around with crutches and a walker. By the 9th week, I could actually walk around my kitchen without any aid.

My replacement hip was then inserted. I have had no further MRSA problems.They saved my life. When I presented, I was so sick no other doctor would touch me. I urge you to contact them. They are considered to be the best in the world. I just love these guys. Approximately a year post op, I went back for a check up. Dr. Delanois was ecstatic to see how well I was doing. It was only then that he told me I was one of the two sickest patients they had ever treated. In fact, they didn't even think I would survive, but felt they had to try. They are THAT good. Here is his contact information:
For an appointment call:

Dr. Ronald E. Delanois, M.D.
Adult Reconstructive and Sports Surgeon at:

(410) 601-8500 or (410) 601-8573

or e-mail your requests and questions to:
rdelanoi@lifebridgehealth.org

Center for Joint Preservation and Reconstruction
Sinai Hospital of Baltimore
2401 West Belvedere Ave
Baltimore, MD 21215


17958
Re: MRSA & Hip replacement
Reply #3 by LARAINE
Posted: September 14, 2011 at 01:22
My mother is having a total hip and has been diagnosed with MRSA in her and is being treated for it. Can she still have the Surgery on Monday
19485
Re: MRSA & Hip replacement
Reply #4 by John
Posted: September 15, 2011
I have had two hip replacements L and R the last one went very bad
got mrsa and had several sugerys and months of vancomyson has been
about 9 mo so far so good also some one left a sponge in the first one
that also got mrsa
19493
Re: MRSA & Hip replacement
Reply #5 by ladyk
Posted: September 15, 2011 at 17:44
LARAINE -

In answer to your question... NO.

Does your mother have an Infectious Disease specialist? If not, it would assist her to have one whose expertise is in the field of infectious diseases (of which MRSA is one). It is always best to have another set of eyes and opinions in the field of concern - keeps everyone on their toes! In my opinion… surgeon and an adept Infectious Disease specialist ‘should work in concert’ for best possible results.

Any invasive procedure must be postponed if your mother is MRSA positive. Common protocol is nare/nostril culture to determine carrier status, if positive antibiotic cream to nares 5-7 days, followed by re-culture. Only when she is negative would procedure be re-scheduled. As an extended precautionary measure I would suggest she use Hibiclens antimicrobial cleanser in shower, concentrating on designated op-site for week prior - should her procedure be re-scheduled. This will decolonize her skin should MRSA bacteria be present. If she decides to do Hibiclens showers, this product carries caution - DO NOT GET INTO EYES & EARS. Hibiclens can be purchased OTC at most pharmacies, although the pump foam makes it much easier to work with rather than the liquid you would commonly find in local pharmacies. Or you could find a pump dispenser and pour liquid into it to create foam. http://www.cfamedical.com/cart.php?m=product_detail&p=1654

*Hospital should pre-screen culture ‘prior’ to any procedure, check into this for the protection of your mother and others. Share MRSA history with physicians if they are unaware. Your mother would be most vulnerable to MRSA cross contamination, and many other hospital acquired pathogens.

If the importance of this caution isn’t clear, you might consider reading threads/posts by Nancy R. MRSA got into her hip replacement site where hardware had to be removed, and a spacer placed until her team could get MRSA infection under control. She was one of the lucky ones… she didn’t lose her life, but the road she faced was a grueling one! These types of infection complications are not uncommon whenever MRSA and invasive procedures are concerned. Here is a link to Nancy’s threads. http://www.mrsa-forum-usa.com/index.asp?action=list&search=Nancy+R


If we can help you through, let us know.

Best wishes to you and your mother.

ladyk

19498
Re: MRSA & Hip replacement
Reply #6 by ladyk
Posted: September 15, 2011 at 18:17
John -

MRSA is a pathogenic (disease causing), contagion. Being this bacteria is an aggressive opportunistic pathogen, I’m not surprised to see such a complication with any invasive procedure we as humans might have to endure today. Leaving a sponge in surgical site is unacceptable, as these must be counted before suturing. Personally speaking… I find another hospital!

I am a bit surprised to see you write you had ‘months of Vancomycin’ antibiotic therapy… reason being, in recent years we are seeing much more VRSA (Vancomycin Resistant Staphylococcus Aureus). You are a lucky survivor to be able to say ‘so far so good’ and I hope this continues for you.

How is your walking ability?

Best wishes,
ladyk

19499
Re: MRSA & Hip replacement
Reply #7 by Nancy
Posted: January 13, 2012 at 14:07
I had a total hip replacement in April 2010,I got Mursa afterwards.i still have pain
in my hip,should I seek out other Dr.Im very concern about it.Before surgrey
they said if anyone got Mursa they would have to go in and clean site out,they
did not do this..I feel something should have been done then.what do you thing
on this matter?
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Re: MRSA & Hip replacement
Reply #8 by Frank Natale
Posted: March 1, 2012 at 22:31
John, I hope you continue to improve and do well. I am sorry to hear about what you
had to endure. I agree that leaving a sponge in is unacceptable. If you haven't already, I
believe you should contact an attorney regarding that matter. I don't know what state
you reside in or where the surgery took place but all states have time limits within
which to do something about negligence. The fact a sponge was left in MAY say
something about why you acquired MRSA at that location. If you need help locating a
qualified and experienced attorney who will not charge you anything to review your
case, please contact me. My name is Frank Natale and I can be reached at (724) 658-
5822.
20586
Re: MRSA & Hip replacement
Reply #9 by Carol
Posted: January 19, 2014 at 21:41
I had a total hip replacement in 2012 and contracted MRSA in the hospital. The hospital where I had the total hip replacement has a B rating for patient safety and infection control based on their statistics and their rating has not improved. I did not know this when I was admitted to this hospital. You can check your hospital's infection control grade by typing hospital safety score in you web browser.

I still have thigh pain after 2 years and I have had several health problems since MRSA and the mega antibiotics required to get rid of MRSA. I sent a letter to the hospital administration regarding my observations of problems contributing to spread of hospital super germs like MRSA but I have not received a response and probably never will. For example, I was admitted to the hospital the second time for treatment of MRSA and not placed on restricted protocol until 2 days later when the culture results came back. A soiled MRSA bandage fell on the floor soiled side down, no special precautions were taken. The soiled bandage was thrown in regular trash, the spot where the bandage fell was not cleaned up and people from several departments walked across the area tracking germs around the hospital; to further spread the MRSA germs housekeeping dust-mopped my room and then spread the MRSA germs down the hall to every room. I asked the RN (the employee badge said RN) if a special cleaning solution was needed to clean the spot where the soiled bandage fell and the RN replied no.

The sloppy employee handling of infection control is one of several reasons patients are contracting MRSA and other super germs in hospitals. I have talked with all of my personal physicians, as well as, the hospital regarding patient safety and infection control. Some physicians were concerned, some were indifferent and one was defensive which surprised me.

Until admitting physicians and patients demand that hospitals do better, MRSA and other super germs are going to continue to be a problem. Of course this is a difficult problem but doing nothing is not the answer to better infection control and patient safety.

If you are going to have surgery or be admitted to the hospital for care, check your hospital safety score and talk to your physician about your concerns. There are a few hospitals in the USA that have an "A" rating in patient safety and infection control.
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