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Too Cute
Hi Doc

My dad's foot was almost healed from surgery he had in May, when all of a sudden it started to ooze yuck. His infectious diseases provider hospitalized him, and, after running some cultures, he was found to have MRSA (Methecillin Resistant Stapholococcus Aureus - that's for the non-medical readers icon_smile.gif ). He was put on IV Vancomycin 250ml daily and will be on it for the next four to six weeks as an outpatient.

1. Does it pose a danger to little Sammy - now 4 mos old - or can I feel ok in taking him down to see my folks? In the hospital, all the staff had to use "contact precautions", but the ID doc said I should be ok. Then my dad got home, and my mom's hospice nurse said I had to wear gloves any time I touched my dad for anything, and to wash after that, and before I went near my mom. So I'm confused.

2. On the MRI, this looked like it was just starting to get into the bone, but it had been asymptomatic until about four days before it started to ooze. Do infections really move that fast?

3. Am I fighting a losing battle - is my dad, a diabetic, likely to lose his foot?

Thanks,
T.C.
BigO
What was the original surgery for?
Jason
MRSA (superbug) is completely avoidable, its a hospital bug brought around due to the cleanliness of such places.

My grandad caught this in hospital and eventually died from it and unfortuantely it is becoming one of the biggest hospital related killers.

Ihave heard of stories such as going in to hospital for an ingrowing toenail, catching MRSA having to have their leg amputated and eventually dieing from it as MRSA was in the blood stream.

I don't wish to alarm you but it is a serious disease and I have seen the full efeects of it.
queen bw
How are staph and MRSA spread?

Staph bacteria and MRSA can spread among people having close contact with infected people. MRSA is almost always spread by direct physical contact, and not through the air. Spread may also occur through indirect contact by touching objects (i.e., towels, sheets, wound dressings, clothes, workout areas, sports equipment) contaminated by the infected skin of a person with MRSA or staph bacteria.

How can I prevent staph or MRSA infections?

Practice good hygiene

1. Keep your hands clean by washing thoroughly with soap and water

2. Keep cuts and abrasions clean and covered with a proper dressing (e.g., bandage) until healed

3. Avoid contact with other people’s wounds or material contaminated from wounds.

Hope this helps, as long as the wound stays covered and proper hygiene is use, it should be Ok for Grandpa to see the little one.
Too Cute
QUOTE(BigO @ Jul 31 2004, 06:52 AM)
What was the original surgery for?

Osteomyelitis resulting from a callous which had been improperly excised and the site became infected.
Aladoc
The above answers are good but it is not completely avoidable. Sometimes you have bad luck, sometimes your immune system is depressed. The four weeks of Vancomycin should cure it. Watch the levels carefully so you don't get any nephrotoxcity. It is more likely in diabetics.
Too Cute
Thanks, Doc, and all, for your advice.

Didn't realize that there might be a problem with nephrotoxicity - thanks for the heads up.
Aladoc
Had a two year old today grow out MRSA form a furuncle on her bottom. And do I have problems. Only one drug to be used as an outpatient. I hate this resistent bacteria.
Mandark
QUOTE(Aladoc @ Aug 10 2004, 12:42 AM)
Had a two year old today grow out MRSA form a furuncle on her bottom. And do I have problems. Only one drug to be used as an outpatient. I hate this resistent bacteria.

Researchers are developing molecular "daggars"

The actually stab and bust up bacteria!!

QUOTE
New clothes stab bugs with molecular daggers

19:00 02 April 03

Exclusive from New Scientist Print Edition. Subscribe and get 4 free issues.


Tiny molecular daggers that latch onto fibres stab and destroy microbes have been created, meaning "killer clothes" may soon be available. Anti-fungal socks could take on athlete's foot while, on a more serious note, military uniforms could kill anthrax.

In the past, glass surfaces coated with miniature antibacterial saws have killed bacteria. But now a molecule that "stabs" microbes has been developed by Robert Engel, of Queens College at The City University of New York, and colleagues.

The molecular dagger has two sections. The stubby end, or dagger handle, is made of two interlinked, nitrogen-rich carbon rings. The "blade" is a carbon chain up to 16 atoms long, populated only by hydrogen atoms. It has a strong affinity for fatty surfaces.

To attach the daggers to a material, a solution of the daggers is used to coat the fabric. The nitrogen on the rings latch onto proteins in wool and silk, and carbohydrates in cotton. They do this by ousting hydrogen and oxygen complexes and attaching themselves instead. The result? A surface armed with minuscule fat-seeking blades.


Spills their guts

When bacterial or fungal spores approach the fabric, their negatively charged fatty membranes are attracted to positive charges on the nitrogen-rich rings and to the fat-seeking blades. This forces the bug or spore onto the blade, which then penetrates the bacterial membrane.

Once inside, this charged end wreaks havoc and kills the spore by disrupting the delicate bonds inside. Each spore encounters a number of these molecular chains and eventually breaks up. "The bacteria effectively spill their guts," says Engel.

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Weblinks

Robert Engel, CUNY

Shantha Sarangapani, ICET

225th National Meeting, American Chemical Society



"It's like resting on a bed of nails", adds his colleague JaimeLee Iolani Cohen of Pace University in New York. Household detergents, also mixtures of fatty and charged groups, disperse dirt and germs in a similar way but cannot be anchored to clothing.

In tests on silk, wool and cotton seeded with different fungi and bacteria, including culinary yeast and Candida, the yeast that causes thrush, all of the pathogens were destroyed. By varying the length of the blade's carbon chain, the coating could be "tuned" to kill superbugs such as Pseudomonas aeruginosa. So to ensure the deaths of as broad a range of organisms as possible, the fabrics are coated with daggers of a mixture of chain lengths.

Military uniforms treated with the daggers might one day spike anthrax spores. But the US Army fears that the robust pathogen could nestle in clothing fibres and spread - perhaps years after an attack. Shantha Sarangapani, who develops protective clothing for the US Army, says: "The New York group has modified some of our fabrics but I need to get them independently tested. Anthrax is a good survivor, so we will have to wait and see."

Engel's research was presented at the American Chemical Society's annual meeting in New Orleans.


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