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MRSA: Should the Dr. put me on iv anitbiotic's?


I was diagnosed with MRSA and the Dr. only put me on one antibiotic. I'm curious to know whether or not i need to be on something through an iv. My concern is because i have Bacterial Endocarditis. Will this one anti. do the trick or should i get on something else?

I would say that it depends on the mrsa. If it is respritory, you should be on isolation. The precautions for this is for anyone and everyone around you to wear a mask. Use universal precautions. wash hands all the time. it also depends on how soon he caught the infection. your doctor is a doctor for a reason. trust him and you will get better

Registered Nurse here; Okay I'm not a doctor, just a nurse. 24 years in critical care and emergency room. Plus I have had 4 outbreaks for the first time in my life this year of MRSA. Now personally I would get a second opinion and get it fast. I have never seen a patient with Bacterial Endocarditis, which is inflammation of the heart muscle, not be treated at least for 24 to 48 hours with I.V. antibiotics, specifically Vancomycin.

The anti biotics effective against MRSA are only available IV or IM, there are no effective oral treatments. A good page on MRSa is
http://www.netdoctor.co.uk/diseases/fact...

High dose antibiotics are administered by the intravenous route to maximize diffusion of antibiotic molecules into vegetation(s) from the blood filling the chambers of the heart. This is necessary because neither the heart valves nor the vegetations adherent to them are supplied by blood vessels. Antibiotics are continued for a long time, typically two to six weeks.
The chosen antibiotic must be specific for the organism causing the condition. This is determined by the blood culture and the sensitivities tests.
Surgical removal of the valve is necessary in patients who fail to clear micro-organisms from their blood in response to antibiotic therapy, or in patients who develop cardiac failure resulting from destruction of a valve by infection. A removed valve is usually replaced with an artificial valve which may either be mechanical (metallic) or obtained from an animal such as a pig; the latter are termed bioprosthetic valves. Infective endocarditis is associated with a 25% mortality.
Please see the web pages for more details on Bacterial endocarditis.

It depends on the antibiotic. Zyvox (linezolid) is highly effective against MRSA. In fact, it is equally effective whether given IV or taken PO.

Bactrim is an oral med that is effective against community acquired MRSA in the skin, but not in the heart.

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