Q. What are the ways to prevent recurrence of MRSA infection?

Answered by
Dr. Mahwish Dildar Abbasi
and medically reviewed by Dr. Hemalatha
This is a premium question & answer published on Jan 16, 2020

Hi doctor,

I am a 49-year-old woman and last month I was hospitalized with a necrotizing soft tissue infection on my thigh. I had two debridement surgeries and was discharged after 5 days. I was treated with about 4 IV antibiotics. I do not remember them all, I recall seeing Vancomycin and Penicillin. I was told that the infection was not MRSA, but a "slower moving bacteria" they did not tell me what it was. I was swabbed for MRSA in my nose and butt before both surgeries and was told I did not have it. For the last day of my stay, I had a roommate who had a bad MRSA infection on her butt and sometimes had diarrhea incontinence during dressing changes. I had no physical contact with her, but we had the same nurse. I was discharged with a five day course of Augmentin.

The wound has been healing very well and has not gotten infected, but three weeks after discharge I got an abscess under my arm. I went to an urgent care and was prescribed Clindamycin and told to return in three days for drainage. The abscess did not improve or get worse over the three days. I got it drained and was prescribed Augmentin and told to also continue the clindamycin. That was a week ago and the wound is healing well. They called today and said cultures show it was MRSA and they prescribed Bactrim and told me to stop the other antibiotics.

I am feeling devastated by this and wanting to understand why it happened. Could I have gotten it in the hospital? I am concerned that it will not go away. Are those swabs at the hospital conclusive and mean for sure I did not have MRSA a month ago? I have never had any medical problems before and these experiences have been very frightening. Is there anything else I can do to prevent recurrence? I have read about everything from bleach baths and hibiclens to antibiotics in the nose.



Welcome to icliniq.com,

I am sorry for what you have had to go through. As you previously did not have MRSA strains, it is possible that now you have hospital-acquired strains in your blood. It is a superbug and superdifficult to treat as it is resistant to drugs of choice so you have get culture and sensitivity test to find out which one is it sensitive to. As you were told to stop other antibiotics and start Bactrim, this means the strain you have got is sensitive to Bactrim.

If there is anything else you want to ask, please feel free to contact me.

Was this answer helpful?


Related Questions:
Kindly tell me whether my throat swab shows MRSA infection.

.. not MRSA at all. It is a staphylococcal infection (attachment removed to protect ptient identity .. ...   Read full

How can I get tested to find out if I am MRSA positive?

.. are not infected. Even if you are exposed, that does not mean infection. It depends on the immunity of the person. You are not immunocompromised, so even if you are exposed, the probability of developing the disease is very less. At this stage, no...   Read full

Can a bump after injury be due to MRSA?

.. I have read your query and seen the attached pictures and can well understand your concern (attachment removed to protect patient identity .. ...   Read full

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read

Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»
Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As content published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.