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Re: MRSA after a c/section-scary From: Meenan, Anna (annam@uic.edu) Sun Oct 28 20:05:32 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Lynn Montgomery: "ABOG- AGAIN!" Previous message: rmodugno@aol.com: "MRSA in the USA and C.difficile in the UK" In reply to: Betsy Hyde: "Re: MRSA after a c/section-scary" Next in thread: art fougner, md: "Re: MRSA after a c/section-scary" Reply: art fougner, md: "Re: MRSA after a c/section-scary" I'm pretty sure it's increased incidence, Betsy. I NEVER saw MRSA outside the hospital or nursing home until 2 or 3 years ago and have seen LOTS of it since then. A small pimple or folliculitis I would say observe, maybe put polysporin or bactroban on it, but anything that reaches a size that could be I&D'd should be I&D'd. I believe the recommendation is not to use antibiotics once it's been drained, as that is usually curative, but if there is any significant surrounding cellulitis, I usually start Bactim. If the patient is near term and Bactrim is contra-indicated, vanco or gent can be used, though they will have to be admitted for IV treatment. I agree with Steve, the swelling in the incision should have been I&D'd the first time it was noted, and with temps of 103, the pt. should have been in the hospital. Anna Meenan, MD >On Oct 28, 2007, at 12:31 PM, Meenan, Anna wrote: > >> If a boil on a healthy 12-year-old kid can be MRSA, why not a >>swelling in a post-op wound? >> > >I don't know if the increased reporting on community-acquired MRSA >represents increased incidence or just increased >recognition/reporting. > >I know that I frequently have patients who complain of a pimple or >folliculitis. If there is not a large area of induration, I just >tell them to use warm soaks and otherwise leave it alone. If >community aquisition of MRSA is increasing, should there be greater >investigation of these lesions? > >What are others doing? > >Betsy Hyde CNM >Branford, CT Next message: Lynn Montgomery: "ABOG- AGAIN!" Previous message: rmodugno@aol.com: "MRSA in the USA and C.difficile in the UK" In reply to: Betsy Hyde: "Re: MRSA after a c/section-scary" Next in thread: art fougner, md: "Re: MRSA after a c/section-scary" Reply: art fougner, md: "Re: MRSA after a c/section-scary"

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