Doctors Lounge - Pediatrics Answers
Forum Name: Pediatric Topics
Question: 12 month old preemie with MRSA
|katied - Thu Aug 28, 2008 2:02 pm||
25 week preemie 1#8oz.now 12 months (trach tube, ventilator and G tube for feeding) with staph septicemia and now MRSA in ear and trach tube - being treated with the fourth round of oral antibiotics - tobrymycin and now bactrim - should she have had or now have IV antioiotics - thank you
|Dr. Chan Lowe - Sun Aug 31, 2008 9:45 pm||
This is a difficult question to answer. Typically, IV antibiotics are used when there is failure of oral antibiotics, the infection is spreading quickly or too severe to respond to oral antibiotics.
MRSA is a bacteria that can live normally on the skin (termed colonization), particularly when there are items such as tracheostomies or g-tubes in place. if cultures are continually positive without signs of infection, this may be colonization. Often with colonization, repeated courses of antibiotics do not clear the bacteria. This would not be a major issue except that the colonized bacteria occasionally can cause an overt infection.
If there is a significant infection that has been resistant to oral treatments it may be time for some IV antibiotics. My best advice would be to discuss this with your child's doctor to see if IV antibiotics may be of benefit.
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