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Carrier of MRSA
Started by Annie
Posted: April 3, 2007 at 08:06
I had an operation in may 2006 and was mrsa free, i was due to have another op 5th april 2007 and it has been cancelled because i am a carrier of mrsa becasuse the swabs from my nose come back positive. I have asked doctors, nurses you name it how i am a carrier now and i was not 11 months ago. No one seems to be able to tell me. My doctor said you cant catch it, so how did i get to be a carrier? She also said that i will never get rid of it, but a nurse told me it is easy to get rid of with washes etc I am worried that when i do go for my op i am going to get sick.Also i worry about passing it on to my 2 year old son and partner. Can anyone give me some advice?
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Re: Carrier of MRSA
Reply #1 by ladyk
Posted: April 5, 2007 at 16:59
Dear Annie -

I have to say it is a step in the right direction that you were pre-screened for MRSA before your second surgery. The hospital where your upcoming surgery was scheduled is definitely doing the right thing. This is a proactive protective measure those of us who are MRSA positive have been fighting for, along with resting pressure on hospitals across the nation to report HA infections to the public. At the moment pre-screening and reporting is a self policing system, the CDC only “suggests” reporting but has not made this mandatory state by state. More and more clinics, urgent care facilities, and hospitals are following in the footsteps of Penn state who are requiring pre-screening and mandatory reporting of their state’s hospital acquired infections, so the public is aware of that particular hospital’s infection rate before we serve ourselves up and take the risk of acquiring one of these often times deadly bacteria. Although it is not mandatory as of yet to pre-screen in every hospital, it is the best way of detecting who is and who isn’t a carrier as well as who is MRSA infected. Holding off your surgery was for your benefit, as well as everyone you come into contact with in the hospital environment. Being a carrier means you have contracted the MRSA bacteria from somewhere out in your environment, and it has colonized more than likely in your nostrils, since you have not mentioned lesions. This is far easier than you might think... all it takes is a contaminated individual who lets say is a carrier as you are now, you rub your nose with your bare hand, since MRSA colonizes your nostrils this is one way the bacteria is transferred, then you touch a table or seat at a local restaurant with that contaminated hand, the spot is touched by the next unsuspecting patron who sits where you just sat, touches the spot you left behind and rubs their nose or an open cut... the MRSA bacteria can be spread that easily. Anywhere out in public from store cart handles, doors, restrooms, seats, etc. etc. are places where you may contract this bacteria.

Decolonizing MRSA:
Bactroban 2% - is used on a Q-tip and rubbed inside each nostril where MRSA colonizes 2x daily for 5 days, also use after showering/bathing with Phisohex wash directly on lesions and perineum which is another place MRSA colonizes. Use care disposing of contaminated items such as Q-tips/etc.

This will be in vain if you do not decontaminated your environment. Use great care in hand washing many many times a day, and use alcohol based hand sanitizer when unable to wash hands. Thoroughly clean everything possible with bleach... counters, sinks, faucets, toilets, tub/shower, etc. Lysol spray is something I use on light switches, door knobs, remote controls, etc. There is a new product buzzing about called "PS" which claims to rid MRSA bacteria from surfaces as well. Wash clothes/linens separate from infected person in hot water and use dryer to dry items. Don't share personal items, towels, etc. DO NOT SHAVE... as you know shaving causes tiny nicks in the skin surface and we all know just how opportunistic a bacteria MRSA is, any avenue break in the skin surface and it will capitalize on, and you will risk becoming infected.

"Since MRSA is contagious" cross contamination, reinfecting one's self and others will be minimized if you follow the above routinely. It is not a one time effort. Since you have obvious concern for your family I wanted to let you know I live with my husband and young adult daughter, neither have contracted MRSA in this past year I've been infected. It is possible to protect those who you live with and those who you come in contact with. In addition to this, there should be utmost concern in becoming healthy by rebuilding your immune system in order to be better equipped in fighting off bacteria, and hopefully keep you at carrier status rather than progress to infection status.

It is a slow process, but these are some things you can do to gain control back, be diligent.

Staph aureus is in our environment naturally, as it has been for centuries. Some write of Staph aureus being around since the dinosaur age, perhaps beyond. This bacteria has proven it is quite adaptable mutating favorably to its environment. Since Staph aureus has mutated it has found a more favorable feeding establishment which is what bacteria do. Sad thing is, it has us on the menu. If you think about everything we as humans touch in a day, an hour even, I’m sure the figures would astonish us. Take that and consider every human who is a MRSA carrier or MRSA infected with a dirty hand who cross contaminates by way of touching public objects. Final step is when an uncontaminated person re-touches that particular site. And there you have it. Epidemic. Since bacteria hold no favoritism toward age, sex, race, degree of health, etc. it is a formidable opponent. You’d think we as the purported intelligent species could pull it all together and expose ALL OUR situations for the facts as they are “proven” to be known about MRSA... that we as a human host are “more than likely” to contract a contagious strain of this pathogenic Staph aureus bacteria. The bacteria as old as time has one upt us. Playing catch up remains to be seen.

Hope this helps you Annie.
ladyk
9642
Re: Carrier of MRSA
Reply #2 by Annie
Posted: April 5, 2007 at 21:24
Thankyou ladyk. I no that screening me is the best thing to do and why it is done i totally agree with it. It is up untill i readwhat you replied no doctor or nurse could tell me exactly how i was not a carrier and then 11 months later i am. You have explained this and i appreciate it very much. I will do eveything i can to follow what you say but it is so hard with having a husband, house, working and a 2 year old to look after. I am starting the treatment next this tues and then i have 3 swabs which have to come back negative so fingers crossed. One thing i did find funny was that i was told by the nurse that after the swabs i can arrange my op, this could be quite a few months and i asked what if i became a carrier again in that time waiting for the op and she told me that wont happen!I find this strange as they all keep telling me anyone can get it at any time! I have lost all faith in the doctors and nurses because do they really know.
Thank again your reply was interesting and helpful, glad i found this site and asked. My problem just seems miner compared to eveyone elses.
Annie
9647
Re: Carrier of MRSA
Reply #3 by ladyk
Posted: April 6, 2007 at 17:14
Your welcome Annie. I understand that it may seem hard to keep up with a protective routine while caring for a young family and working. But it really isn’t all that difficult once you start. Should you or a family member become infected, that is when things become hard. Right now things are in your hands. Since you are a carrier and not infected it is easier to do than you might think. Since you are a carrier and MRSA colonizes in your nares, don’t pick your nose, use care in discarding tissues as they are contaminated, and wash your hands every time you blow or touch around your nose. This could protect your child from contamination. About the hand washing, well it is impractical to believe we can wash our hands every single time they need it, but alcohol based hand sanitizer is a great product for those times washing isn’t a possibility. You know how your hands feel weird after shopping, (mine do for some reason) like you should wash them, or you pick up a finger food and wish you had washed your hands first, this stuff is great. Best part of it is it kills bacteria you might pick up on your hands via cross contamination and this could save you a whole lot of trouble, or your little one, or even your partner as men are not immune with all the hand shaking they do whenever they meet. Before I tried it I thought it was a sticky product with little value. Now I carry it with me. It goes on really wet with a cool alcohol feel and as you rub your hands together it dries in seconds. Simple as that. Also since you are not infected with open lesions, it is not imperative you wash your clothes separately, even though I probably would knowing all I have learned over this past year. And when you clean there is a product called Clorox Clean Up pump spray, this is the bleaching of surfaces I do. Best to keep up bathrooms, sinks, kitchen faucets and counter tops as mentioned. Lysol spray light switches, door knobs, remote controls, etc.

Building your immune system will help you to feel healthy and assist your body through your next operation, and can be done by taking two products to start. One called AlliBiotic CF, the other called LiquiMax. These are the two main products I use faithfully which has given me back enough energy to function in my day. I would suggest next time your with your child at Ped office ask doctor what is acceptable to give little one. Please do not give child these meds as their little bodies may not be able to tolerate and could cause more harm than good to their young systems. A doctor’s approval will keep your babe safe when it comes to supplements.

Please let us know how things work out for you, I’m glad you found the forum too and if information here helps you to remain safe and infection free that would be the perfect scenario. Also some food for thought...
as a Mom I understand completely how life has a way of coming at a young family in fast forward speed. Your family needs you, and you have a little one who depends on you. As a Mom I also know everything gets handled before Mom, by the time the day rolls around to Mom having a minute it’s time to go to bed and start all over the next day. Your being a MRSA carrier should be looked at as “now is the time for Mom to take a few necessary minutes for yourself” to assure you will be around and healthy for a long time. Far better to be on the preventive end, rather than on the end of being seriously infected. Write anytime and ask away. Glad to help.

Best wishes,
ladyk

PS You are correct, you can decolonize nares with negative results and then become re-contaminated.
9652
Re: Carrier of MRSA
Reply #4 by KAREN
Posted: April 10, 2007 at 13:38
My 6 month old grandson was just around a CF person with MRSA. We were told after the fact and were also told that she is only contagious if she is ill, which she is not right now. This is all new to me and I am sick with fear. Please offer and advice or facts as soon as possible. Thank you
9666
Re: Carrier of MRSA
Reply #5 by LindaA
Posted: April 11, 2007 at 16:26
Karen,
Anytime you're around a carrier, there is a possibility of contracting it from them, under the right conditons. Did this person hold your grandson? If not, then, unless you, or your grandson had an opening of some sort on their person and you touched this person, or any of her personal things, then you will probably be OK. MRSA needs to have an opening to enter from someone who is colonized, but not actively in the middle of a MRSA infection. But it doesn't take much of an opening to enter and become infected, especially if your immune system isn't strong and healthy. Something as little as a hangnail or a papercut is enough for the infection to enter, grow, and progress. And there is also the airborne kind, so if she coughed or sneezed on or around someone, the possibility of becoming infected is there, especially if you are fighting a cold, sinus infection, just finished taking antibiotics, or recently gotten over an illness. In future, always have hand sanitizer on your person and use it for everything. (shopping carts, restroom door handles, handles, remotes, phones, keyboards, etc.) Hope this helps answer questions for you. LindaA
9669
Re: Carrier of MRSA
Reply #6 by nyker
Posted: April 11, 2007 at 20:53
Karen,

When a person is colonized but not infected, there is a 0 percent chance on contacting mrsa from that carrier if and only if the carrier is continuing to use a decolinization regimen. That doesn't mean, either, that the carrier is decolinized.

My specialist confirmed that if I didn't have an outbreak after approximately 3 boths, and continued to religiously wash with Phisohex and apply bacitracin daily, I as a carrier, cannot be contagious.
9671
Re: Carrier of MRSA
Reply #7 by nyker
Posted: April 16, 2007 at 20:00
Last Year, I dicussed the use of over the counter bacitricin with my specialist (the chief of infectious disease at Kaiser Permanente) and the possibility of becoming resistant. He stated he knows of no studies or patients he has had that have become resistent.

Please provide proof to the contrary, and I will show this to him.

As for Phisohex, I wash with it approximately 3 or 4 times a week. I try to use tea tree oil soap when I'm not using phisohex. It was taken off the market in the 70's and it's toxic content was reduced by 1 per cent. It was problematic for babies, although I know of many adults who used it thourghout adolcence (including my brother) who didn't have a problem. I do not suggest the use of Phisohex day and night.

I will not limit my use of bactricin, as the last time I did that, that is what did me in.

The specialist is Dr. Roger Bittar, of Kaiser in San Diego. If you take issue with his suggestions, again, please provide proof as to a better method or specific examples as to people becoming resistant.
9701
Re: Carrier of MRSA
Reply #8 by nyker
Posted: April 16, 2007 at 20:08
Also, no I am not being misinformed about my "Carrier Status". As I said before, it's best to assume one still is a carrier. Also, even if one decolonizes, one can get reinfected.

For that matter, in another post, you inferred that "mrsa infection free" writers to these post were not being careful in potentially harming others.

This was hurtful, given the fact the I am zeolous in washing my hands with endure, opening door with paper towels, refusing to shake hands with people. Apperantly, it troubles you that the specialist said "0 percent chance of being contagious" after 3 months without it and constantly using the decolinization regiment. Let me clarify, he said "virtually 0 percent". My mistake.

I fear getting this again from someone who has NEVER HAD A BREAKOUT AND DOESN'T KNOW HE/SHE IS A CARRIER than for me to give it to someone else. I am manically careful, contrary to your inferences. The only alternative is to live a life of seculsion in a cave somewhere.
9702
Re: Carrier of MRSA
Reply #9 by nyker
Posted: April 16, 2007 at 20:30
Clarification: You inferred I'm not careful in this post, as well as another post.

Also, Dr. Bitar is the Chief of Infectious Diseases at Kaiser.
9703
Re: Carrier of MRSA
Reply #10 by ladyk
Posted: April 18, 2007 at 17:30
nyker -

I’m sure you would want to have factual information presented to you during your battle with MRSA. Just as when you and I came to this forum, it is as true today, for those who are new and desperately seeking accurate information in this really scary place we have all found ourselves in. Accurate information is for the benefit of every one. I have tried to explain some known facts about MRSA to no avail, and I’m concerned seeing repetitive misinformation. I stand by what I’ve said before, I’ll research and put up the warnings “every single time” attempting to protect those of us who frequent this forum seeking sound advice and help. If I don’t know the answer firsthand from my own personal battle with MRSA, I’ll search until I find a consensus of medical opinions based on factual science as it is today (since scientific data changes). Most of us as MRSA positives want and need to learn and share new findings, along with updated scientific data which is for all our benefit. I learn every time I look into a topic. I was floored to learn, and it serves as a warning to others that “Dioxin” found in Phisohex is a danger beyond the neuro-toxins, not only does it have carcinogenic properties, it creates hormonal changes as well, capable of disrupting reproductive, endocrine and immune functions across multiple species as well as causing nerve and liver damage which are real concerns, whether one wishes to be moved to change is their ultimate choice. We as teenagers had Phisohex in our medicine cabinet too. Learning about Dioxin content in Phisohex was something I had not known previously... it’s found in Agent Orange! I’ve used Phisohex during outbreaks myself, and have told others how it worked for me. It did work. Now, I’ll say look at both products but I’ll be switching to Hibiclens, if it doesn’t help, then go to Phisohex but limit your usage (as I have posted) and attempt to ween yourself as close to off as possible knowing the warning. I’ve also come to this forum for information, and to weep too. Just like you probably did, and just like those before us and behind us will probably do too. I’ve found some superb support here. And I need to add, that I research my own statements to the extent of confirming before I write, and sometimes even after I write when I question the information on a particular topic. I’ve changed my mind, changed my view point at times, and have corrected mistakes after searching deeper “getting to know MRSA up close and personal” since that happens to us over time.

I have the proof you requested, but sort of wanted to make a deal with you... first off, this is about us. You, me, every one afflicted with MRSA, every one who has/had someone afflicted, and those who are not yet afflicted. From the US, Canada, to the UK and every single place people are. I think by now everyone has an idea Staph Aureus has been around as far back as man, of which holds its own debate still on the table. This was not my first response to your posts, but when your interested, maybe with a glass of wine~~~ I’d like to invite you to re-read my post looking at its content with a different frame of mind. Check the urls. Everything is there. Just think about it. The proof you asked for beyond what is already written will follow.
ladyk

PS I do take issue with any doctor who does not appear to take into consideration the resistant factor making such claims as using an antibiotic every day of your life and 0 percent non-contagious making it impossible to infect someone while using his regimen. If this were true don’t you think the medical community would be elated and there would be no epidemic of MRSA permeating the globe right now? I’m not sure you aren’t misinformed concerning carrier status since some of your comments reflect otherwise. On that alone whatever cautions of being careful are worthy. I have no idea why anyone would view cautions as hurtful. We all fear MRSA. If this makes one extraordinarily careful then that is a good thing. My inferences are due to some of your comments which do not hold up to facts. Hence the caution. I don’t care if Dr. B is chief of the universe, if he actually said what you have written, he is irresponsible in assisting you to believe that which is proven otherwise.
9722
Re: Carrier of MRSA
Reply #11 by nyker
Posted: April 18, 2007 at 18:56
Sorry, I'm not hear to make deals, but to help people. And, no, I don't need a glass of wine to read your posts.

Also, you're mis-reading my post, perhaps because you are so intent on making your view point.

After you've lived with this for three years, as I have, perhaps you will be more open to other points of view, particularly those who've fortunately have had success in being infection free for a long while.

9725
Re: Carrier of MRSA
Reply #12 by nyker
Posted: April 18, 2007 at 19:06
Regarding cautions as "hurtful": You misread my post. I stated that your inference that I WAS NOT TAKING PRECAUTIONS" WAS HURTFUL. I thereafter enumarated the precautions I was taking.

Also, I've reviewed the same urls as you have, and you tend to slice and dice the information to fit you viewpoint.

I wish everyone success in battling mrsa in whatever way they feel is appropriate and effective
9727
Re: Carrier of MRSA
Reply #13 by nyker
Posted: April 18, 2007 at 20:05
I had asked for proof regardning the bacitricin making one LESS RESISTANT to MRSA infection. Much of this information, such as "Topical use of bactitracin should not replace appropriate surgical management or other measures. If a deep seated infection is present, systemic antiinfective therapy should be considered" really doesn't have relevance to your assertion that this will make the bacteria more resistant.

Nor does this:Human Toxicity Excerpts:
A 50 yr old woman suffered an anaphylactic allergic reaction after the application of an ointment containing bacitracin to a skin graft donor site.
[Reynolds, J.
Your point was that I'm setting myself up for greater resistance with the use of bactricin--you still haven't shown this. I will look into the information with the specialist and will set up an appointment with him if you provide specific, relevant proof. I'm making an appointment with him anyway to assess how I've been able to success in avoiding a breakout within the last 14 months.

9731
Re: Carrier of MRSA
Reply #14 by nyker
Posted: April 18, 2007 at 20:54
After reading your prior posts I also need to clarify a few points: 1. Regarding the use of vanco, what the specialist said was that the patients with my type of mrsa strain are still COLONIZED, not decolonized. Many people mistakenly think they are decolonized after vanco. That was my mistake.

Also, ONCE AGAIN, I CLARIFIED THIS BEFORE: The specialist said there is virtually a 0 percent chance on being contagious" I will ask him about this again, since I did make an appointment with him in May.

Additionally, you are stating I am making misrepresentation when I stated "my id insists he's had patients decolonize. No, that is not a misrepresentation--that is what he stated. I am merely stating what he stated. I have not proof of it NOR DO YOU as to whether they decolonized. As I stated before, I always assume I am colonized anyway.

One issue you need to consider: The more often you have breakouts, THE GREATER THE POSSIBILITY YOUR BACTERIA WILL BECOME MORE RESISTANT!!! Please consider the dangers you pose to others when not doing all you can to prevent a future more virulent break out. That's what I think about first and foremost.

That said, I will let everyone know if I have continued success. Please wish me well everyone who is reading this.
9734
Re: Carrier of MRSA
Reply #15 by Arrow
Posted: April 19, 2007
Please tell me. I see bacitracin mentioned in the treatment of MRSA but I have not seen this in the hospitals in which I have worked. Only Bactroban has been used for MRSA in my experience. Can someone clarify?
9735
Re: Carrier of MRSA
Reply #16 by LindaA
Posted: April 19, 2007 at 03:23
NyKer,
I would like to comment, if I may about the disagreement between you and LadyK.
First, I don't agree that a person is 0 percent chance on being contagious. Now, let me explain why I believe this. As we all know and have agreed upon, that a person can be a carrier and show no signs of a MRSA infection. That person is a carrier because doctors cannot prove beyond a doubt that it isn't just laying dormant in you body somewhere waiting for the opportunity to flare up. And we know that if it flares up, it is most likely because our immune system has been compromised in someway that has caused it to weaken and allow the MRSA to become dominant once again. I think all of agree with this so far. OK, so say that you're with someone that is fighting a cold or has been on a round of antibiotics or has a cut or abrasion. If that person has been in personal contact with you as in hugging or handshaking, there is absolutely no way that you would know beyond a doubt that you didn't compromise that person. Granted, that is also not your fault, but I don't believe that I myself don't still carry the infection in me although I've been infection free since october, and that, under the right conditions, someone could become compromised and infected because of me. My infectious desease Dr. told me that as long as you are healthy, and that the people you're around are healthy, then you shouldn't have to worry about spreading it,but there will always be that risk that it can be spread.

The other thing I wanted to comment on was whether constant use of the bacitracin is good or not for you. You know that I'm a certified herbalist and the first thing I was taught is that the human body has a tendency to build up resistances to thing that are used constantly. When my kids were on allergy shots and had to also take oral meds to control their allergies, we had to change their oral medicine about every 3 to 4 months because their bodies would build up a resistance and lose their efficiency. But when we changed to another med for 3-4 months, then we could go back to the other medicine and it would work fine again for 3-4 months. The human body does this with everything. That is why, for example a person is taking a thyroid med for several years, and then they have to increase the dosage or change to another thyroid because the blood tests show what you've been on isn't working anymore. I understand the need you feel to stay on the bacitracin for fear of an ourbreak if it isn't used. My suggestion would be to find another antibiotic cream, even the triple antibiotic ointment bought over the counter, and use it as a maintainance med. Then your body will not build up a resistance to the bacitracin and will be there when your body really needs it. Better yet, find 2-3 product for the cleansing part and then the ointment, and rotate them out every few months, and continue your regimen to keep your immune system strong and healthy. There are even some excellent herbals for both uses. Nyker, you have aquired a wealth of knowledge from all of your experiences with MRSA, as I have, and knowing what I know as a natural health consultant, I would feel better about you keeping a clean record, outbreak wise, if you had a few more products you could use and rotate in and out so your body won't develope a resistance to something you're relying on. I think you've been very lucky so far if you've been using the same thing all this time, because eventually, you're body will build up a resistance and all of a sudden what was working great, just won't. I trust no doctor who says you can stay on antibiotics, in any form, indefinately and not suffer any concequeces from it, because I have personal knowledge that that isn't true from my own personal experience as well as close friends and family. I hope you don't take offense to this post, I only wanted to help you out. LindaA
9740
Re: Carrier of MRSA
Reply #17 by ladyk
Posted: April 20, 2007 at 17:32
arrow-

Answer to your question...
Bacitracin is an OTC (over the counter) antibiotic ointment much like Neosporin, used in ointment form for topical treatment of a variety of localized skin and eye infections, as well as for the prevention of wound infections. In the United States a popular brand name Neosporin contains Bacitracin as one of its antibiotic agents along with Neomycin and Polymyxin B.

Since Bacitracin is an antibiotic ointment, as with all antibiotics, if over used it may decrease the effectiveness (as the studies show) of this treatment and may “increase the risk that the bacteria will no longer be sensitive to Bacitracin Ointment and it will not be able to be treated by this or certain other antibacterial medicines in the future.” Not sure you’d ever see an OTC product like Bacitracin widely used in the hospital arena.

Bactroban is the antibiotic ointment of choice for the treatment of soft tissue MRSA infections, as well as attempted decolonization. *Bactroban holds the same antibiotic resistant cautions of over use as Bacitracin.
From above information you can see under Reply #19 study results showing Bacitracin to be inferior.

1st link: [“Bacitracin ointment was ineffective in eliminating S. aureus from the anterior nares and had a postreatment carrier rate equal to the control rate.”]

Control rate being equal to no treatment at all, Bacitracin was ineffective.

2nd link: A randomized prospective study of 5-day treatment with topical {Bactroban}/Mupirocin or Bacitracin for the elimination of Staphylococcus aureus nasal colonization in healthcare workers (HCWs). Nasal cultures were obtained from 141 HCWs, 37 (26%) of whom showed S aureus. {After 72 to 96 hours of treatment} the organism was eradicated in 15 (94%) of 16 by Mupirocin and in 8 (44%) of 18 by Bacitracin (P=.0031). Similar efficacy was demonstrated at 30 days. {Bactroban}/Mupirocin may be more effective than Bacitracin for eradication of S aureus in healthy HCWs.”]

This study is showing Bacitracin is inferior in decolonization being 8 of 18 who eradicated Staph aureus vs Bactroban/Mupirocin rate of 15 of 16 who eradicated S. aureus.

3rd link: [“The roles of topical Bacitracin ointment and Phisohex soap for bathing were not evaluated, but rarely eradicated carriage in our patient population. Failure of intranasal Bacitracin to eradicate nasal MRSA carriage has been reported.”]

This study show failure of Bacitracin to eradicate nasal carriage was reported.

4th link: [“The usual regimen (mean, 6.0 days) was oral trimethoprim-sulfamethoxazole, 160/800 mg twice daily, oral rifampin, 600 mg once daily, and bacitracin ointment three times a day. Eradication succeeded in 40 patients, 9 relapsed, and MRSA persisted in 7. Twenty-four of 25 nares sites were cleared but only 16 of 22 other sites. MRSA infection eventually developed in 36%. No adverse reactions to the eradication regimen were noted. Although this treatment for MRSA carriage was safe and effective, decreased efficacy outside the nares and relapse limited its value.”]

This study shows after treatment 9 relapsed and 7 cases persisted. Twenty-four of 25 nares were cleared but only 16 of 22 other sites. Out of 40 patients 36% developed MRSA infections eventually. Decreased efficacy beyond nasal colonization and relapse limits its value since we are colonized in other areas of our bodies not just nares.

5th link: [“Unfortunately, as with many antimicrobials, mupirocin resistance is emerging in S. aureus. Several other interventions for the clearance of S. aureus nasal carriage have also been explored, including Neosporin ointment and Polysporin ointment (19), bacitracin (46), and other antibiotics (26, 53). These alternative interventions have proven unreliable for eradication of nasal colonization by S. aureus. New interventions for S. aureus nasal colonization are clearly needed.]

This study shows antimicrobials (such as Bactroban, etc) resistance is emerging. Alternative interventions such as Neosporin, Polysporin, and Bacitracin have proven unreliable for eradication of nasal colonization by S. aureus.

The other studies below these five... depict important warnings such as toxicity (1), not covering “masking” infection when surgical management is necessary (2), interactions which may mask clinical signs of bacterial infections (3), warnings of limited duration of use (4), warning range of allergic anaphylactoid reactions (5).
.
Bottom line... Bacitracin is an inferior product according to the studies, as well as it being an “antibiotic ointment” which carries with it ALL the issues of the resistant factor, just as Bactroban does.

Hope this helps to clarify.
ladyk
9746
Re: Carrier of MRSA
Reply #18 by Annabel
Posted: October 6, 2007 at 22:31
im a carrier of mrsa
and having a sexual relatioship with by bf does this mean ive given it 2 him?
11371
Re: Carrier of MRSA
Reply #19 by m laidlaw
Posted: October 16, 2007
I am a Flight Paramedic and about 2 years ago had bumps on my butt that were dx as mrsa. Not sure how that happened but 1.5 years later I got it in my thumb so bad I needed surgery on it. Not sure how that happened. Now my 16 month baby has it and I can only think it came from me, not sure how that happened. I wash my hands , have no active sores and dont truley understand being a carrier.
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