ORSA vs MRSA

T

TonyaH

Guest
I have a question for all of the A students on this board. I just recieved a call from clinic with Andrew's culture results. He has grown staph for awhile now, and was on a three week coarse of bactrim a month ago. With the HTS we just started he is coughing up a bunch of gobby yellow, and sometimes green stuff. Although not at every treatment time and it's more yellow now that it is green. When clinic called last week they asked how he was doing on the HTS and I told them it was great because he was getting this colored stuff up. They wanted to see him so we went in Tues. for PFTs and a culture. His lung function is still awesome. He is coughing much more, especially at night and for a couple of hours after exercise, but the doc says it sounds more croupy to her so she put him on prednisone. His culture came back showing staph again, at a 2+ rather than a 2 from last time, so they are starting him on clindamycin? sp? I asked the nurse why the bactrim didn't work and she said that his last culture was resistant to oxytocin?sp and this one was resistant to penicillin. This was not our regular nurse and she tried to answer my questions but I'm still confused. Can anyone give me a little Antibiotics 101 crash course? What drug family would clindamycin fall under? Are there any questions I should be asking? Also, I have not mentioned to them that Andrew's appetitie has plummeted in the last week and he is having some major night sweats. I need to do that. Sorry this is jumbled. I'm super confused about resistance right now.
Thanks for the help!
 
T

TonyaH

Guest
I have a question for all of the A students on this board. I just recieved a call from clinic with Andrew's culture results. He has grown staph for awhile now, and was on a three week coarse of bactrim a month ago. With the HTS we just started he is coughing up a bunch of gobby yellow, and sometimes green stuff. Although not at every treatment time and it's more yellow now that it is green. When clinic called last week they asked how he was doing on the HTS and I told them it was great because he was getting this colored stuff up. They wanted to see him so we went in Tues. for PFTs and a culture. His lung function is still awesome. He is coughing much more, especially at night and for a couple of hours after exercise, but the doc says it sounds more croupy to her so she put him on prednisone. His culture came back showing staph again, at a 2+ rather than a 2 from last time, so they are starting him on clindamycin? sp? I asked the nurse why the bactrim didn't work and she said that his last culture was resistant to oxytocin?sp and this one was resistant to penicillin. This was not our regular nurse and she tried to answer my questions but I'm still confused. Can anyone give me a little Antibiotics 101 crash course? What drug family would clindamycin fall under? Are there any questions I should be asking? Also, I have not mentioned to them that Andrew's appetitie has plummeted in the last week and he is having some major night sweats. I need to do that. Sorry this is jumbled. I'm super confused about resistance right now.
Thanks for the help!
 
T

TonyaH

Guest
I have a question for all of the A students on this board. I just recieved a call from clinic with Andrew's culture results. He has grown staph for awhile now, and was on a three week coarse of bactrim a month ago. With the HTS we just started he is coughing up a bunch of gobby yellow, and sometimes green stuff. Although not at every treatment time and it's more yellow now that it is green. When clinic called last week they asked how he was doing on the HTS and I told them it was great because he was getting this colored stuff up. They wanted to see him so we went in Tues. for PFTs and a culture. His lung function is still awesome. He is coughing much more, especially at night and for a couple of hours after exercise, but the doc says it sounds more croupy to her so she put him on prednisone. His culture came back showing staph again, at a 2+ rather than a 2 from last time, so they are starting him on clindamycin? sp? I asked the nurse why the bactrim didn't work and she said that his last culture was resistant to oxytocin?sp and this one was resistant to penicillin. This was not our regular nurse and she tried to answer my questions but I'm still confused. Can anyone give me a little Antibiotics 101 crash course? What drug family would clindamycin fall under? Are there any questions I should be asking? Also, I have not mentioned to them that Andrew's appetitie has plummeted in the last week and he is having some major night sweats. I need to do that. Sorry this is jumbled. I'm super confused about resistance right now.
Thanks for the help!
 
T

TonyaH

Guest
I have a question for all of the A students on this board. I just recieved a call from clinic with Andrew's culture results. He has grown staph for awhile now, and was on a three week coarse of bactrim a month ago. With the HTS we just started he is coughing up a bunch of gobby yellow, and sometimes green stuff. Although not at every treatment time and it's more yellow now that it is green. When clinic called last week they asked how he was doing on the HTS and I told them it was great because he was getting this colored stuff up. They wanted to see him so we went in Tues. for PFTs and a culture. His lung function is still awesome. He is coughing much more, especially at night and for a couple of hours after exercise, but the doc says it sounds more croupy to her so she put him on prednisone. His culture came back showing staph again, at a 2+ rather than a 2 from last time, so they are starting him on clindamycin? sp? I asked the nurse why the bactrim didn't work and she said that his last culture was resistant to oxytocin?sp and this one was resistant to penicillin. This was not our regular nurse and she tried to answer my questions but I'm still confused. Can anyone give me a little Antibiotics 101 crash course? What drug family would clindamycin fall under? Are there any questions I should be asking? Also, I have not mentioned to them that Andrew's appetitie has plummeted in the last week and he is having some major night sweats. I need to do that. Sorry this is jumbled. I'm super confused about resistance right now.
Thanks for the help!
 
T

TonyaH

Guest
I have a question for all of the A students on this board. I just recieved a call from clinic with Andrew's culture results. He has grown staph for awhile now, and was on a three week coarse of bactrim a month ago. With the HTS we just started he is coughing up a bunch of gobby yellow, and sometimes green stuff. Although not at every treatment time and it's more yellow now that it is green. When clinic called last week they asked how he was doing on the HTS and I told them it was great because he was getting this colored stuff up. They wanted to see him so we went in Tues. for PFTs and a culture. His lung function is still awesome. He is coughing much more, especially at night and for a couple of hours after exercise, but the doc says it sounds more croupy to her so she put him on prednisone. His culture came back showing staph again, at a 2+ rather than a 2 from last time, so they are starting him on clindamycin? sp? I asked the nurse why the bactrim didn't work and she said that his last culture was resistant to oxytocin?sp and this one was resistant to penicillin. This was not our regular nurse and she tried to answer my questions but I'm still confused. Can anyone give me a little Antibiotics 101 crash course? What drug family would clindamycin fall under? Are there any questions I should be asking? Also, I have not mentioned to them that Andrew's appetitie has plummeted in the last week and he is having some major night sweats. I need to do that. Sorry this is jumbled. I'm super confused about resistance right now.
Thanks for the help!
 
R

Ratatosk

Administrator
Staff member
I don't know the answer to your question, just wanted to tell you that whenever DS has a culture and/or labs done, I put in a request to have copies of the reports sent to me. One reason is we have the labs done locally and I send them on to his primary CF doctor whose 250 miles away and the other reason is, so I can see for myself. A couple of times I've gotten calls from the nurse with "normal flora" only to find out that he's also cultured HIB or more recently the normal was "steno. malt." The reports usually have the bug the plus and then a list of medications it's sensitive too, resistant to....
 
R

Ratatosk

Administrator
Staff member
I don't know the answer to your question, just wanted to tell you that whenever DS has a culture and/or labs done, I put in a request to have copies of the reports sent to me. One reason is we have the labs done locally and I send them on to his primary CF doctor whose 250 miles away and the other reason is, so I can see for myself. A couple of times I've gotten calls from the nurse with "normal flora" only to find out that he's also cultured HIB or more recently the normal was "steno. malt." The reports usually have the bug the plus and then a list of medications it's sensitive too, resistant to....
 
R

Ratatosk

Administrator
Staff member
I don't know the answer to your question, just wanted to tell you that whenever DS has a culture and/or labs done, I put in a request to have copies of the reports sent to me. One reason is we have the labs done locally and I send them on to his primary CF doctor whose 250 miles away and the other reason is, so I can see for myself. A couple of times I've gotten calls from the nurse with "normal flora" only to find out that he's also cultured HIB or more recently the normal was "steno. malt." The reports usually have the bug the plus and then a list of medications it's sensitive too, resistant to....
 
R

Ratatosk

Administrator
Staff member
I don't know the answer to your question, just wanted to tell you that whenever DS has a culture and/or labs done, I put in a request to have copies of the reports sent to me. One reason is we have the labs done locally and I send them on to his primary CF doctor whose 250 miles away and the other reason is, so I can see for myself. A couple of times I've gotten calls from the nurse with "normal flora" only to find out that he's also cultured HIB or more recently the normal was "steno. malt." The reports usually have the bug the plus and then a list of medications it's sensitive too, resistant to....
 
R

Ratatosk

Administrator
Staff member
I don't know the answer to your question, just wanted to tell you that whenever DS has a culture and/or labs done, I put in a request to have copies of the reports sent to me. One reason is we have the labs done locally and I send them on to his primary CF doctor whose 250 miles away and the other reason is, so I can see for myself. A couple of times I've gotten calls from the nurse with "normal flora" only to find out that he's also cultured HIB or more recently the normal was "steno. malt." The reports usually have the bug the plus and then a list of medications it's sensitive too, resistant to....
 
A

amber682

New member
My friend's son (no CF) just had a MRSA infection on his leg not too long ago and they prescribed clindamycin. I'd kind of say a staph infection is a staph infection, no matter what kind. It's just resistant to one drug so they're using another. A MRSA infection isn't actually any worse than a regular staph infection, it's just more resistant to certain meds.

I'd definately tell them about the night sweats and especially the appetite loss ASAP! Most clinics see sudden decreased appetite as a warning sign that something is going on.
 
A

amber682

New member
My friend's son (no CF) just had a MRSA infection on his leg not too long ago and they prescribed clindamycin. I'd kind of say a staph infection is a staph infection, no matter what kind. It's just resistant to one drug so they're using another. A MRSA infection isn't actually any worse than a regular staph infection, it's just more resistant to certain meds.

I'd definately tell them about the night sweats and especially the appetite loss ASAP! Most clinics see sudden decreased appetite as a warning sign that something is going on.
 
A

amber682

New member
My friend's son (no CF) just had a MRSA infection on his leg not too long ago and they prescribed clindamycin. I'd kind of say a staph infection is a staph infection, no matter what kind. It's just resistant to one drug so they're using another. A MRSA infection isn't actually any worse than a regular staph infection, it's just more resistant to certain meds.

I'd definately tell them about the night sweats and especially the appetite loss ASAP! Most clinics see sudden decreased appetite as a warning sign that something is going on.
 
A

amber682

New member
My friend's son (no CF) just had a MRSA infection on his leg not too long ago and they prescribed clindamycin. I'd kind of say a staph infection is a staph infection, no matter what kind. It's just resistant to one drug so they're using another. A MRSA infection isn't actually any worse than a regular staph infection, it's just more resistant to certain meds.

I'd definately tell them about the night sweats and especially the appetite loss ASAP! Most clinics see sudden decreased appetite as a warning sign that something is going on.
 
A

amber682

New member
My friend's son (no CF) just had a MRSA infection on his leg not too long ago and they prescribed clindamycin. I'd kind of say a staph infection is a staph infection, no matter what kind. It's just resistant to one drug so they're using another. A MRSA infection isn't actually any worse than a regular staph infection, it's just more resistant to certain meds.

I'd definately tell them about the night sweats and especially the appetite loss ASAP! Most clinics see sudden decreased appetite as a warning sign that something is going on.
 
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