Does anyone have info about recurring MRSA skin abscesses and how to keep them from coming back?

Answer 1

Treatment of MRSA skin infections is challenging. In some patients, skin ointments containing antibiotics, such as mupirocin or fusidic acid, can be used, but resistance to these can develop. Beta-lactam antibiotics (i.e., methicillin and oxacillin), which are typically used to treat common Staph aureus infections (such as furuncles, abscesses, and cellulitis), are ineffective. Unlike hospital MRSA, which is resistant to multiple classes of antibiotics, (including macrolides, aminoglycosides, fluoroquinolones, tetracyclines and lincosamides), CA-MRSA is still susceptible to several antibiotic classes outside of the beta-lactam group (e.g., clindamycin).
The spread of skin MRSA infections occurs most frequently through close, skin-to-skin contact (such as that found in contact sports), through contact with skin wounds (cuts, abrasions) and through contact with contaminated items, where staph can survive for 24 hours or more. The organisms can enter healthy, intact skin. Crowded living conditions and poor hygiene are factors which play a role in its spread. Currently, the only known means of prevention is through the following:


Prudent hygiene measures involving hand washing
Proper wound care, including proper disposal of bandages, and
Avoidance of sharing certain personal items such as towels and razors. Shared exercise equipment should be wiped down between users.
For more information on the various forms of MRSA, the risk factors involved and prevention advice, visit Centers for Disease Control:

Answer 2

Recurring Skin Abscess

Answer 3

Recurring Mrsa

Answer 4

Symptoms of Staph Infections
The symptoms of a staph skin infection depends on where the infection is. The staph bacteria can cause:
boils - an abscess within the skin. Also called a furuncle.
cellulitis - a localized skin infection which can make the skin red, painful, and warm
folliculitis - an infection of hair follicles
impetigo - causes blisters (bullous impetigo) or honey colored crusted lesions on the skin
paronychia - an infection of the skin folds of the nails
In addition to skin infections, the staph bacteria can cause:
bacteremia - a blood infection
deep abscesses - a collection of pus somewhere inside the body
endocarditis - an infection on the valves of the heart
food poisoning
lymphadenitis - an infection of a lymph gland, which causes it to be red, swollen, and painful
lymphangitis - an infection of the lymph channels that drain to lymph glands, causing red streaks in the skin
osteomyelitis - a bone infection
scalded skin syndrome
septic arthritis - an infection of a joint, like the hip or knee
styes - an infection of the glands on the eyelid
toxic shock syndrome
The Staphylococcus aureus bacteria can also less commonly cause other infections, including pneumonia, ear infections, and sinusitis.
Diagnosis
The diagnosis of most skin infections is made by the pattern of symptoms and physical exam findings. However, it is not usually possible to know whether the infection is caused by the staph bacteria or another bacteria, like group A Beta-hemolytic streptococcus (Streptococcus pyogenes). And in many cases, it doesn't matter, as the antibiotic your child is prescribed will likely treat both bacteria.
To make a definitive diagnosis and to confirm that staph is the bacteria causing the infection, a culture can be done.

Treatments
Antistaphylococcal antibiotics are the usual treatments for staph infections. This may include a topical antibiotic cream for simple impetigo, warm compresses and drainage for abscesses, an oral antibiotic, or an intravenous antibiotic for more serious or persistent infections.
Commonly used oral antistaphylococcal antibiotics include the first-generation cephalosporins like Keflex (cephalexin) and Duricef (cefadroxil).

As resistance to antibiotics is now common among staph bacteria, including MRSA, or methicillin resistent staph aureus, the first antibiotic your child is prescribed may not work. Many of these community acquired MRSA infections can still be treated with oral antibiotics though, such as clindamycin and trimethoprim-sulfamethoxazole (TMP-SMX or Bactrim). More serious and multi-drug resistent MRSA can usually be treated in the hospital with the antibiotic vancomycin.

Answer 5

I was infected with HA-MRSA after bypass surgery in1999. I was treated with vancomyicin and rimfampin. Mancomyicin in administered through an IV of different types. I had what's called a centeral line, an IV in my chest. It was a good plan because it didn't have to be moved. I was treated for about 1 1/3 months but had a reoccurance shortly after stopping vanco. I started all antibiotics again. I was on them 1 month and haven't had a break-out in 8 years. Praise God. Make sure any oral antibiotics are taken till gone! bactiria become resistant to antibiotics. Good luck and I will pray that it turns out as well as mine.

Answer 6

Besides the treatments mentioned in the excellent answers above, you can use an antibiotic ointment - mupirocin, or bactroban - ointment in the nostrils, as people who have had MRSA infections will have colonization with the offending staphylococci in the nostrils. You put the ointment in the nostrils daily for a variable period of time - 5 or 7 days.
Another measure is to wash with Betadine soap once or twice a week to decrease the population of staph on the skin.

Answer 7

To prevent recurrences of MRSA, infectious disease experts advise the following 5 steps:

1. Finish all medication to eradicate the primary focus of infection.
2. Treat staph carriage: staph may return and recolonize individuals especially in the nose and at sites of folliculitis in the beard, along the neck or less often in the groin. Treat these sites routinely (once monthly at least) with topical mupirocin, and take other measures to reduce recurrence (no shaving).
3. If you are a health care worker, discuss with supervisors methods to increase hand washing and work hygeine.
4. If you have had more than one bout of Staph infection, get tested to see if you have chronic granulomatous disease or other defect in immunity important in eradicating staph.
5. Do not wear false fingernails or use thick fingernail polish- these are now banned in most US ICU's which have infection control policies.

http://www.emedicine.com/ped/topic2704.htm

Answer 8

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Answer 9

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Answer 10

Keep your skin clean(use an antibacterial soap like dial) and dry and don't touch anyone else who may have it.