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Re: MRSA after a c/section-scary From: Meenan, Anna (annam@uic.edu) Mon Oct 29 12:36:36 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: ABOG- AGAIN!" Previous message: Richard Chudacoff: "Re: ABOG- AGAIN!" In reply to: art fougner, md: "Re: MRSA after a c/section-scary" Next in thread: ainsron: "Re: MRSA after a c/section-scary" Reply: ainsron: "Re: MRSA after a c/section-scary" Reply: Joanne Bulley, MD: "Re: MRSA after a c/section-scary" Reply: Doc Peró: "Re: MRSA after a c/section-scary" Interesting, Art. Oh, and can we please wash our hands more? My niece is a patient at a very prestigious hospital in LA-LA land, with PPROM at 25 weeks, and NO ONE is washing their hands when they come into her room to do patient care activities. I told her to put up a sign that says "My paranoid aunt in Illinois wants to know: Did you wash your hands?" Anna Meenan, MD >Man's best friend? >http://www.azcentral.com/news/articles/1028staphinpets.html > >Art > >At Sun, 28 Oct 2007, Meenan, Anna wrote: >> >>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 > >-- >art fougner, md >"May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: R. Daniel Braun: "Re: ABOG- AGAIN!" Previous message: Richard Chudacoff: "Re: ABOG- AGAIN!" In reply to: art fougner, md: "Re: MRSA after a c/section-scary" Next in thread: ainsron: "Re: MRSA after a c/section-scary" Reply: ainsron: "Re: MRSA after a c/section-scary" Reply: Joanne Bulley, MD: "Re: MRSA after a c/section-scary" Reply: Doc Peró: "Re: MRSA after a c/section-scary"

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