Question Please Respond

12 Replies
AnonMom - August 27

Anyone heard of or familiar with MRSA ? Please respond if you have.. freaked out mother and mother to be again just diagnosed with MRSA. Is it going to hurt my baby?

 

some info - August 27

MRSA stands for methicillin resistant staphylococcus aureus. Staphylococcus is a bacteria, which normally lives on the surface of our bodies causing no harm or problem whatsoever. The only difference is that MRSA does not respond to most antibiotics used in general medical practice. Because of this, if it contaminates wounds or internal organs, serious infections can be produced which are difficult to eradicate and potentially fatal in those people who are immune deficient or chronically sick. In normal healthy people MRSA is of no great significance even if it exists on the skin. People who are most vulnerable to its affects are people in hospitals on ventilators in intensive care, for example. If your relative had MRSA in the wound there is a theoretical possibility that you could then become a carrier of the bug. Normally this would not be a problem, but because childbirth may involve medical procedures and the potential for an episiotomy, or a v____al tear, this would put you at more risk, and of course the baby too, whose skin could become colonized with the bugs from you. My advice would be to postpone this visit to your relative until after the birth and your recovery from it, until the risk is minimized.

 

some info - August 27

sorry, that last paragraph does not concern you but I have more info to paste...hold on a sec...

 

more info - August 27

Okay, this is not meant to freak you out more than you already are, but to make sure you really talk to your doctor about things. I am surprised that your doctor did not tell you more information. He is obviously going to give you better info than any of us here since it is such a rare affliction you may not find any women here who have it. I hope you do though. Here is some more info I found: Although pregnant women are by rule more susceptible to bacterial infections and the effects of those infections can be dangerous for the normal development of the pregnancy, it doesn’t have to mean that your wife or your child will be necessarily be in danger during the pregnancy itself. This situation could be dangerous and could get out of the control if your wife’s immune system gets impaired for any reason during the pregnancy, in that case MRSA can cause congenital anomalies of the fetus. Other danger is that the child could get infected during the delivery, and since its immune system is still undeveloped that could put the newborn in great danger. The common therapy for MRSA is the antibiotic muciprocin that is applied on the surface of your skin and inside of your nose where MRSA usually resides. If muciprocin doesn’t work there are some alternatives, stronger antibiotics, but those can be dangerous for the pregnant women and can put the pregnancy in great danger. You should consult your physician or your wife’s gynecologist for further treatment and prevention methods. Best wishes and good luck to all the three of you.

 

AnonMom - August 27

thanks for the info.. I am still scared to death. I am the pregnant mom that has been diagnosed with this. I have no idea how I got it, or where. I am, as far as I know, a healthy active person. They put me on an antibiotic called clindameycin. When I filled the script, the pharmacist at first thought it was not safe during preg, but my pb says it's ok. I'm just freaked because it sounds like a bug that I will carry long term, and possibly be able to pa__s to others (i.e. children and husband). Is that the case? My PCP was not helpful at all - well, helpful in freaking me out, thats about all. Anyway, any more info you can give would be helpful! p.s. how do you know so much about this - are you a health care provider?

 

Brandy - August 27

Hi Anonmon, I am really sorry that you have to deal with this during such a stressful time. I am a registered nurse who deals with MRSA all the time. The person who wrote in about MRSA is right, it is everywhere, however this is just not something you see in the healthy person.It is seen more in those who are immunocompromised. Where is the MRSA (blood, wound, sputum)? Is there anyone in your family who has a chronic illness and has been in the hospital? The thing to know about MRSA is that the precautions to take depend on where the infection is. If it is in blood then this is how it would spread. If it is in your urine then someone would need to come into contact with your urine. I would strongly suggest you discussing this with your OB and possibly even an infection disease physician. I am really curious as to how you got this. Please keep me updated. Remember good handwashing is the number one way to prevent the spread of infection.

 

AnonMom - August 27

Hey Brandy - thanks for the info. I am really curious as to how I got this as well. I am a social worker, and work frequently in hospital ERs and jails... so the infection disease nurse that I talked to says this is where I may have picked it up - but she did not know. She did say however that it is happening more in healthy people. I have no contact with anyone that is chronically ill. The pimple like things (there are three) are on my right leg and two on my right side. They prescribed an antibiotic, is that usually successful in curing this? I'm just really worried that maybe there is something more medically wrong with me, and that's how I got it? I don't know, but I have an appt with my ob on monday (thankfully). I can't wait to discuss all this stuff. Thanks for your help brandy. Is my baby at risk? or my toddler/husband at home? The spots are almost healed now if that matters any... thanks for any help you can give!!

 

from info - August 27

No, not at all. I had no idea what MRSA is so I decided to look it up on the web. It was there that I saw how rare it was so I was not sure you would get any answers. I just did some searches for you. But I am sure if you spent more time than I did you will get more info. I really want you to be able to talk to a good doctor. I don't know what kind of insurance you have but can you call your doctor's office and have them refer you to a specialist who deals with these kinds of immune disorders? Stress that you are pregnant and not feeling good about the info you received. They will refer you to someone. You deserve to be relaxed about all of this and to be confident that you are fine. What the research I have read suggests is that if you are a healthy woman then you are okay. But since you are pregnant and your immune system goes down it is important that you keep your immune system up. The drugs you are on really help so you should keep taking them. But you really should have the peace of mind only a real doctor can give you. I will pray that you get the answers and peace you need.

 

AnonMom - August 27

thank you, all prayers and well wishes are so much appreciated right now. I barely slept last night just thinking of this, how I got it, and if my baby is going to be all right. I am 27 weeks monday, and since I started taking the antibiotics I have not felt her moving around as much, which completely panics me. Please pray

 

AnonMom - August 27

P.S. it's so much easier to talk on here, I'm afraid if I share this with people around me they will get worried they might catch something. I don't want to be seen as some freak or anything.. so, thanks for listening.

 

please - August 27

sweetie, I feel your anxiety...and we are always here to listen. But please try to find a specialist to help you. It is really wonderful how good and well-informed doctors can really put our minds at ease. First thing Monday please try to see if there is a specialist out there for you to see.....Your pcp office is required to give you a referal if you ask for it and most insurances cover referals.

 

Brandy - August 27

MRSA is very common in the hospitals. More so than people understand. I would also think in jails also (not the most sanitary of environments). I am just curious...did your PCP culture the lesions on your legs to know it was MRSA? What do the lesions look like (drainage, appearance, color, odor)? Are they boils? Staph infections are very common in boils. What could (and I am totally theorizing) have happened is that staph gets under fingernails (especially long or acryllic) and then we scratch spreading the bacteria. This is why hospitals have made it against policy to have acryllic nails. What antibiotic did they prescribe to you? Pregnancy would definitely complicate the treatment of choice with this type of infection. MRSA is a growing problem due to the resistance of the organisms to the antibiotics from overuse (everyone gets an antibiotic for everything). Again, I really think you should go prepared Monday with a list of questions ready for your OB and ask about a specialist (Infectious Disease physicians). I have seen many infected boils in the hospital. Remember to use common hygiene practice (wash your hands and do not pick at the sores). Be sure to use separate towels and washclothes from your family (I would even use white linens and bleach them). Keep a close eye on the wounds, noting their appearance/ characteristics. Keeping the wounds covered would also be a good idea so as to not get any drainage on linens, clothing, furniture. I would also get a box of latex gloves at Wal-mart to use when cleaning the site. Consult your physician as to what to use to clean the wounds (Dial soap is what we used in the Open Heart Recovery Unit that I worked in - great for antimicrobials). Did your PCP not even contact your OB to discuss this finding? It sure does not sound as if he even really discussed it with you. This is something that requires a lot of education. If you would like to email me directly, my email is [email protected] I am glad to give you whatever advice I can. As far as the baby, I am really not sure what effect it can have on him/her. However, the baby may not be as active due to you not feeling so hot, but I would call your OB to make sure all is ok. Hope this helps...remember good handwashing.

 

AnonMom - August 27

thanks brandy for all your help! I will email you.

 

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