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MRSA vs MSSA Infection: Understanding the Differences

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MRSA and MSSA are staphylococcus infections caused by the same bacteria. The difference is their resistance and susceptibility to certain antibiotics.

Written by

Dr. Kinjal Shah

Medically reviewed by

Dr. Kaushal Bhavsar

Published At January 3, 2024
Reviewed AtJanuary 3, 2024

Introduction

The bacterial species Staphylococcus aureus causes two distinct bacterial illnesses: MRSA (Methicillin-resistant Staphylococcus aureus) and MSSA (Methicillin-susceptible Staphylococcus aureus). Their sensitivity to antibiotics, notably Methicillin and other beta-lactam antibiotics, is the fundamental distinction between them.

What Are the Causes of MRSA and MSSA Infections?

Infections caused by Staphylococcus aureus bacteria include MRSA and MSSA. Many people's skin and mucous membranes naturally contain these bacteria, which usually do not create issues unless they enter the body through a skin crack or opening.

What Is the Difference Between the Risk Factors of MRSA and MSSA?

MRSA:

  1. Healthcare Institutions: Hospitals and long-term care institutions are two places where MRSA is frequently found. Patients in these settings are more likely to get an MRSA infection, especially those who already have compromised immune systems.

  2. Surgical Procedures: People who have recently had invasive medical procedures or surgeries are at a higher risk.

  3. Antibiotic Use: Using antibiotics improperly or excessively can lead to illnesses that are resistant to them, such as MRSA.

  4. Close Contact: The danger might arise if one lives in a crowded space, such as a military barracks or a prison.

MSSA:

  1. Community Exposure: MSSA infections can spread to people in the community and are frequently acquired outside healthcare facilities.

  2. Skin Conditions: Having wounds, abrasions, or other skin issues that compromise the skin's barrier of defense might raise your risk.

  3. Age and Hygiene: Young children and the elderly may be more vulnerable. Living in cramped quarters and having poor hygiene might also be risk factors for acquiring MSSA in the community.

What Are the Symptoms of MRSA and MSSA?

MRSA Infections: Depending on the infection location, MRSA infections can present with a variety of symptoms. Typical signs include:

  1. Redness, warmth, swelling, and the appearance of uncomfortable boils or abscesses are all symptoms of skin and soft tissue infections.

  2. Chest discomfort, fever, trouble breathing, coughing, and pneumonia.

  3. High fever, chills, low blood pressure, and general malaise are symptoms of bloodstream infections.

  4. Infections at the surgical site manifest as redness, warmth, and discomfort.

MSSA Infections: Due to the accessibility of powerful medicines, MSSA infections might present with symptoms that are less severe than MRSA infections. Infections of the skin and soft tissues, pneumonia, infections of the bones and joints, and bloodstream infections are common symptoms.

How to Diagnose MRSA and MSSA?

MRSA and MSSA infections are routinely diagnosed using a variety of techniques, including:

  1. Clinical Examination: A healthcare professional examines the infection site and obtains the patient's medical history.

  2. Cultures: A sample of the infected material (such as blood, sputum, or wound drainage) is taken and submitted to a lab for sensitivity testing and culture. This aids in identifying the bacteria and determining their susceptibility to antibiotics.

  3. Molecular Testing: Polymerase chain reaction (PCR) testing may quickly identify the presence of certain genes linked to MRSA resistance.

The proper treatment strategy may be devised after diagnosis. While MSSA infections may frequently be treated with conventional antibiotics like Penicillin or Cephalexin, MRSA infections may necessitate other drugs like Vancomycin or Linezolid.

What Is the Treatment Option for MRSA and MSSA?

MRSA (Methicillin-Resistant Staphylococcus Aureus) Infections: MRSA (Methicillin-Resistant Staphylococcus aureus) infections are resistant to a variety of conventional antibiotics, and they are difficult to treat. Alternative antibiotics that are efficient against MRSA are frequently used as a form of treatment. The main types of therapy are as follows:

  1. Linezolid.
  2. Daptomycin.
  3. Clindamycin.
  4. Trimethoprim-Sulfamethoxazole (TMP-SMX).
  5. Vancomycin.

MSSA (Methicillin-Susceptible Staphylococcus Aureus) Infections: MSSA (Methicillin-Susceptible Staphylococcus aureus) infections are often easier to treat because they are more responsive to a wider array of medicines. Typical forms of therapy include the following.

  1. Amoxicillin or Penicillin.
  2. Cefazolin or Cephalexin.
  3. Clindamycin.
  4. Nafcillin or Dicloxacillin.

What Are the Key Differences Between MRSA and MSSA?

MRSA Infections:

  1. Demonstrates resistance to Methicillin and other beta-lactam antibiotics.

  2. Frequently found in healthcare environments.

  3. Often necessitates alternative antibiotics such as Vancomycin or Linezolid for effective treatment.

MSSA Infections:

  1. Exhibits susceptibility to methicillin and other beta-lactam antibiotics.

  2. Can manifest in various settings, including both community and healthcare contexts.

  3. Typically responds well to conventional antibiotics such as Penicillin or Cephalexin.

What Is the Major Difference Between MRSA and MSSA in Antibiotic Treatment?

The ability to respond to certain medications, mainly Methicillin and other beta-lactam antibiotics, is the main difference between MRSA and MSSA infections.

Methicillin-Resistant Staphylococcus Aureus (MRSA):

  1. Antibiotic Resistance: MRSA exhibits resistance to Methicillin and other beta-lactam antibiotics, living true to its name. These antibiotics are no longer effective due to this resistance, which is caused by a particular gene that produces a mutated Penicillin-binding protein.

  2. Treatment Obstacles: MRSA infections can be very difficult to cure because of their resistance to standard antibiotics. In order to treat these infections, doctors frequently use alternative antibiotics like Vancomycin, Linezolid, or Daptomycin.

  3. Community-Acquired and Hospital-Associated: Hospitals and nursing homes are two places where MRSA infections are often seen. They might appear as skin and soft tissue infections, bloodstream infections, pneumonia, and infections at the surgical site. It is also known that specific MRSA strains can result in skin infections that are acquired in the community.

MSSA (Methicillin-Susceptible Staphylococcus Aureus):

  1. Antibiotic Susceptibility: Methicillin and other beta-lactam antibiotics continue to be effective against MSSA, providing a wider range of therapeutic choices. MSSA infections can be successfully treated with these medications.

  2. Treatment: MSSA infections are typically simpler to handle than MRSA infections because they may be treated with conventional antibiotics.

  3. Diverse Range of Infections: MSSA can cause a wide range of illnesses, including infections of the skin, soft tissues, bones, and joints, bloodstream infections, pneumonia, and more. Both the general public and healthcare facilities are susceptible to these illnesses.

Conclusion

In conclusion, Staphylococcus aureus germs produce both MRSA and MSSA infections, although the two have different antibiotic susceptibilities. While MSSA infections respond well to traditional antibiotics, MRSA infections are more difficult to treat and frequently require other medications. The risk of these types of infections can be decreased by preventative measures such as proper hand hygiene, infection control in hospital settings, and cautious antibiotic usage. Individuals may protect themselves from the possible risk of MRSA and MSSA infections by staying educated and adhering to recommended practices for prevention and treatment.

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Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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