First Culture of Staph

E

edan

Guest
Just got DDs results from clinic. She is culturing h.flu again and now staph. Quite a shocker as her fev and fev1 were 127 and 110 so I thought we were in the clear.

What would you do about the staph? It is my understanding that some think it causes more harm that pseudomonas. What do you do to irradicate it? Our clinic doesn't necessarily treat if there are no symptoms (but my daughter has been snoring badly for almost 3 months now). I feel inclined to aggressively treat.

Thanks for your help.

Edan.
 
E

edan

Guest
Just got DDs results from clinic. She is culturing h.flu again and now staph. Quite a shocker as her fev and fev1 were 127 and 110 so I thought we were in the clear.

What would you do about the staph? It is my understanding that some think it causes more harm that pseudomonas. What do you do to irradicate it? Our clinic doesn't necessarily treat if there are no symptoms (but my daughter has been snoring badly for almost 3 months now). I feel inclined to aggressively treat.

Thanks for your help.

Edan.
 
E

edan

Guest
Just got DDs results from clinic. She is culturing h.flu again and now staph. Quite a shocker as her fev and fev1 were 127 and 110 so I thought we were in the clear.
<br />
<br />What would you do about the staph? It is my understanding that some think it causes more harm that pseudomonas. What do you do to irradicate it? Our clinic doesn't necessarily treat if there are no symptoms (but my daughter has been snoring badly for almost 3 months now). I feel inclined to aggressively treat.
<br />
<br />Thanks for your help.
<br />
<br />Edan.
 
M

Mommafirst

Guest
I think this is a really good question but I don't know the right answer. Alyssa always cultures staph, since 9 months old. We treat it aggressively when she is sick, but with no symptoms we don't. And honestly we wind up treating it several times a year, so I don't know how much more we could do. Within a few weeks off of IVs, she still re-cultures it, so it seems here to stay.

I'm not sure what to say. I think if I were in your shoes I'd want to at least run a 3-week course of orals to hope to eradicate it. But I'm not sure it will make a long term difference and it can lead to long term loss of sensitivities to those orals.
 
M

Mommafirst

Guest
I think this is a really good question but I don't know the right answer. Alyssa always cultures staph, since 9 months old. We treat it aggressively when she is sick, but with no symptoms we don't. And honestly we wind up treating it several times a year, so I don't know how much more we could do. Within a few weeks off of IVs, she still re-cultures it, so it seems here to stay.

I'm not sure what to say. I think if I were in your shoes I'd want to at least run a 3-week course of orals to hope to eradicate it. But I'm not sure it will make a long term difference and it can lead to long term loss of sensitivities to those orals.
 
M

Mommafirst

Guest
I think this is a really good question but I don't know the right answer. Alyssa always cultures staph, since 9 months old. We treat it aggressively when she is sick, but with no symptoms we don't. And honestly we wind up treating it several times a year, so I don't know how much more we could do. Within a few weeks off of IVs, she still re-cultures it, so it seems here to stay.
<br />
<br />I'm not sure what to say. I think if I were in your shoes I'd want to at least run a 3-week course of orals to hope to eradicate it. But I'm not sure it will make a long term difference and it can lead to long term loss of sensitivities to those orals.
 
H

hmw

New member
There are conflicting feelings about staph. Some believe it can do significant damage, some believe it can play a role in keeping PA at bay. There is also an important distinction between staph aureus (what your daughter cultured) and MRSA... MRSA is the one that has garnered attention of late as affecting prognosis in a pretty damaging way. So be sure when you read about it, you read about the right 'kind' of staph.

Emily has had staph show up on culture ever since dx. The only time it doesn't is when she doesn't give a good sample. We only treat it when she is symptomatic. It always shows up again no matter what we throw at it but she also blows great pft's when she's healthy so that approach works for us when it comes to staph.

The snoring may or may not be related- is she congested? Has she seen an ENT to investigate why she snores- i.e. enlarged adenoids or tonsils vs. sinus issues, etc?

Wishing the best however you decide to treat this. <img src="i/expressions/face-icon-small-smile.gif" border="0">
 
H

hmw

New member
There are conflicting feelings about staph. Some believe it can do significant damage, some believe it can play a role in keeping PA at bay. There is also an important distinction between staph aureus (what your daughter cultured) and MRSA... MRSA is the one that has garnered attention of late as affecting prognosis in a pretty damaging way. So be sure when you read about it, you read about the right 'kind' of staph.

Emily has had staph show up on culture ever since dx. The only time it doesn't is when she doesn't give a good sample. We only treat it when she is symptomatic. It always shows up again no matter what we throw at it but she also blows great pft's when she's healthy so that approach works for us when it comes to staph.

The snoring may or may not be related- is she congested? Has she seen an ENT to investigate why she snores- i.e. enlarged adenoids or tonsils vs. sinus issues, etc?

Wishing the best however you decide to treat this. <img src="i/expressions/face-icon-small-smile.gif" border="0">
 
H

hmw

New member
There are conflicting feelings about staph. Some believe it can do significant damage, some believe it can play a role in keeping PA at bay. There is also an important distinction between staph aureus (what your daughter cultured) and MRSA... MRSA is the one that has garnered attention of late as affecting prognosis in a pretty damaging way. So be sure when you read about it, you read about the right 'kind' of staph.
<br />
<br />Emily has had staph show up on culture ever since dx. The only time it doesn't is when she doesn't give a good sample. We only treat it when she is symptomatic. It always shows up again no matter what we throw at it but she also blows great pft's when she's healthy so that approach works for us when it comes to staph.
<br />
<br />The snoring may or may not be related- is she congested? Has she seen an ENT to investigate why she snores- i.e. enlarged adenoids or tonsils vs. sinus issues, etc?
<br />
<br />Wishing the best however you decide to treat this. <img src="i/expressions/face-icon-small-smile.gif" border="0">
 
M

mom2owen

New member
I am just chiming in here since that is what my son cultured. We might represent the side of treating it (not super aggressively though), but I am not sure how successful we are at that. He was coughing a lot and bringing up green mucus so he was put on Bactrim. It kind of cleared up the cough but as soon as he went off it, the cough was back so now is back on it for a total of five weeks of it. I am not sure it is helping this time...
Is it bactrim (or another abx) what you would like to treat it with? Or IV's? I am wondering what else could be done to get rid of it since we haven't had good luck. I do think there comes a time when they have it no matter what you try. Maybe it just isn't so easy to get rid of it. So now I am thinking out loud and maybe, if it is not clearing it even with symptoms in Owen, maybe it isn't worth treating because now we are running the risk of him becoming resistant? I don't know. It's tricky to say the least.
I will curious to know what you decide and what others here recommend.
 
M

mom2owen

New member
I am just chiming in here since that is what my son cultured. We might represent the side of treating it (not super aggressively though), but I am not sure how successful we are at that. He was coughing a lot and bringing up green mucus so he was put on Bactrim. It kind of cleared up the cough but as soon as he went off it, the cough was back so now is back on it for a total of five weeks of it. I am not sure it is helping this time...
Is it bactrim (or another abx) what you would like to treat it with? Or IV's? I am wondering what else could be done to get rid of it since we haven't had good luck. I do think there comes a time when they have it no matter what you try. Maybe it just isn't so easy to get rid of it. So now I am thinking out loud and maybe, if it is not clearing it even with symptoms in Owen, maybe it isn't worth treating because now we are running the risk of him becoming resistant? I don't know. It's tricky to say the least.
I will curious to know what you decide and what others here recommend.
 
M

mom2owen

New member
I am just chiming in here since that is what my son cultured. We might represent the side of treating it (not super aggressively though), but I am not sure how successful we are at that. He was coughing a lot and bringing up green mucus so he was put on Bactrim. It kind of cleared up the cough but as soon as he went off it, the cough was back so now is back on it for a total of five weeks of it. I am not sure it is helping this time...
<br />Is it bactrim (or another abx) what you would like to treat it with? Or IV's? I am wondering what else could be done to get rid of it since we haven't had good luck. I do think there comes a time when they have it no matter what you try. Maybe it just isn't so easy to get rid of it. So now I am thinking out loud and maybe, if it is not clearing it even with symptoms in Owen, maybe it isn't worth treating because now we are running the risk of him becoming resistant? I don't know. It's tricky to say the least.
<br />I will curious to know what you decide and what others here recommend.
 
H

hmw

New member
If they are symptomatic, I think there is pretty much a universal recommendation to treat it. It would make most sense to start with orals since staph is usually sensitive to multiple drugs, at least early on.

As with any other illness, use of abx is only one aspect of treatment. Extra airway clearance and nebs is essential to help clear the lungs, esp once the abx start breaking up that mucus.
 
H

hmw

New member
If they are symptomatic, I think there is pretty much a universal recommendation to treat it. It would make most sense to start with orals since staph is usually sensitive to multiple drugs, at least early on.

As with any other illness, use of abx is only one aspect of treatment. Extra airway clearance and nebs is essential to help clear the lungs, esp once the abx start breaking up that mucus.
 
H

hmw

New member
If they are symptomatic, I think there is pretty much a universal recommendation to treat it. It would make most sense to start with orals since staph is usually sensitive to multiple drugs, at least early on.
<br />
<br />As with any other illness, use of abx is only one aspect of treatment. Extra airway clearance and nebs is essential to help clear the lungs, esp once the abx start breaking up that mucus.
 
E

edan

Guest
Thanks everyone. I found this article re: staph in the general population.

<a target=_blank class=ftalternatingbarlinklarge href="http://www.ncbi.nlm.nih.gov/pubmed/17498190
">http://www.ncbi.nlm.nih.gov/pubmed/17498190
</a>
 
E

edan

Guest
Thanks everyone. I found this article re: staph in the general population.

<a target=_blank class=ftalternatingbarlinklarge href="http://www.ncbi.nlm.nih.gov/pubmed/17498190
">http://www.ncbi.nlm.nih.gov/pubmed/17498190
</a>
 
E

edan

Guest
Thanks everyone. I found this article re: staph in the general population.
<br />
<br /><a target=_blank class=ftalternatingbarlinklarge href="http://www.ncbi.nlm.nih.gov/pubmed/17498190
">http://www.ncbi.nlm.nih.gov/pubmed/17498190
</a><br />
<br />
 
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