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Re: MRSA at termFrom: DoctorJoe@aol.comTue Oct 24 20:16:57 2000
In a message dated 10/24/00 7:47:22 PM, nd84md@aol.com writes: << have had two patients whose routine cultures come up positive for MRSA. anyone have much experience in treating these patients? both are now near term and asymptomatic.treat now or wait until in labor? our LD nurses are scared to death and i am hoping for some information to reassure them. thanks. >> A small percentage of persons (5% comes to mind, but I don't remember why I know that) are positive for (i.e. carriers of) Staphylococcus aureus. These people, if they are asymptomatic, are generally not identified and not treated. Nor should they be sought out and treated for any particular reason. However, if someone has surgery or some other invasive procedure, they MAY become infected, hence NEED treatment. Usually you waits and sees. The fact that these patients have methicillin resistant S. aureus infection won't necessarily change the course of their clinical care. If they are asymptomatic, don't sweat it. If they come to c-section or have some other invasive problem, THEN you may have trouble. But until then, what else to do?
>From a logistic standpoint, I would pass the organism itself past the ID Joe P.
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