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MRSA - Treatment

Alternative Names

Methicillin-resistant Staphylococcus aureus; Community-acquired MRSA (CA-MRSA); Hospital-acquired MRSA (HA-MRSA)

Treatment:

Draining the skin sore is often the only treatment needed for a local skin MRSA infection. This can be done at the doctor's office.

More serious MRSA infections, especially HA-MRSA infections, are becoming increasingly difficult to treat. Antibiotics that may still work include:

  • Clindamycin
  • Linezolid (Zyvox)
  • Tetracycline (doxycycline)
  • Trimethoprim-sulfamethoxazole (Bactrim, Bactrim DS, Septra, Septra DS)
  • Vancomycin (Vancocin, Vancoled)

It is important to finish all doses of antibiotics you have been given, even if you feel better before the final dose. Unfinished doses can lead to further drug resistance in the bacteria, or can cause an infection that seemed to be cured to return.

Other treatments may be needed for more serious infections. The person will be admitted to a hospital. Treatment may involve:

  • Fluids and medications given through a vein
  • Kidney dialysis (if kidney failure occurs)
  • Oxygen

Support Groups:

For more information about MRSA, see the Centers for Disease Control web site: www.cdc.gov.

Expectations (prognosis):

How well a person does depends on the severity of the infection and their overall health. MRSA-related pneumonia and blood poisoning are associated with high death rates.

Complications:

Serious staph infections may lead to:

Organ failure and death may result from untreated MRSA infections.

Calling your health care provider:

Call your health care provider if:

  • A wound seems to get worse rather than heal
  • You have any other symptoms of staph infection
  • Reviewed last on: 9/28/2008
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Jatin M. Vyas, PhD, MD, Instructor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Siegel JD, Rhinehart E, Jackson M, Chiarello L; Healthcare Infection Control Practices Advisory Committee. Management of multi-drug resistant organisms in healthcare settings, 2006. US Centers for Disease Control and Prevention. Accessed January 25, 2008.

Nicolle L. Community-acquired MRSA: a practitioner's guide. CMAJ. 2006;175:145.

Centers for Disease Control and Prevention. Epidemiology and management of MRSA in the Community. October 26, 2007. Accessed January 25, 2008.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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