Multiple Options Available for Treatment of MRSA
A fairly recent review article from American Family Physician (AFP), summarizes these alternatives. Linezolid (Zyvox) can be used for all types of MRSA infections, but is especially useful in treating hospital acquired MRSA pneumonia. One article found that it was actually superior to Vancomycin in this setting. Daptomycin (Cubicin) can be used for all complicated MRSA infections EXCEPT pneumonia.
Patients who develop simple MRSA skin infections outside of the hospital can usually be treated with trimethoprim/sulfamethoxazole (Bactrim), doxycycline, or possibly a fluoroquinolone such as gati- or levofloxicin.
In patients found to have methacillin susceptible S. aureus (MSSA), the treatment should be easier. Oral dicloxacillin or IV nafcillin or oxacillin (known as semi-synthetic penicillins) are preferred. Oral cephalexin (Keflex) or IV cefazolin (Ancef) (known as 1st generation cephalosporins) are a good alternative. In this setting, Vancomycin should be reserved for patients who are allergic to penicillins.
The article goes on to describe aspects of treatment specific to the various body systems that may be infected by S. aureus. ...very good reading.
Published by Scott Merritt
A new resident physician in med-peds in Albany, NY. View profile
MRSA and CAMRSA: What You Need to KnowMethicillin Resistant Staph Aureus (MRSA) is commonly acquired in hospitals. This article explains what MRSA is and how to protect yourself against this formidable bacteria. - Prevention and Treatment of MRSA with Manuka HoneyIn many randomized controlled trials, scientists have concluded that Manuka Honey is capable of killing MRSA and healing Staph infections.
- Why Worry About MRSA? What You Should Know About MRSA Infections and TreatmentMRSA infection is the cause of huge concern in hospitals around the globe. Here we will discuss why there is so much concern and examine how MRSA is treated.
- Guidelines Released to Treat Cancer Patients Who Are at Higher Risk for Blood ClotsMany cancer patients are at a higher risk of developing blood clots as a side effect of their cancer treatment. An international team of researchers has published new guidelines on preventing and treating blood clots...
- StaphAseptic: An Over-The-Counter Wound Treatment to Help Prevent MRSA InfectionsMethicillin-resistant Staphylococcus aureus more commonly known as MRSA has gained a lot of attention in the last couple of years and more awareness within the last several months.
- MRSA (Methicillin Resistant Staphylococcus Aureus)
- MRSA; What You Should Know
- 2009 MRSA Update
- MRSA: Past, Present, and Onward
- MRSA: Another Medical Scare?
- MRSA: More Threatening Than Sars and Bird Flu
- Staphylococcus Aureus: The Golden Staph