MRSA

Question 1

what is it

Answer 1

strains of Staphylococcus aureus that are resistant to a number of commonly used abx including beta lactams

Question 2

MRSA can colonise the following body areas without displaying signs or symptoms of infection

Answer 2

skin, gut, nose

Question 3

the 4 following oral abx can be considered for lower UTI caused bye MRSA (according to susceptibility)

Answer 3

• doxycyline
• trimethoprim
• co-trimoxzaole
• ciprofloxacin

Question 4

what type of abx class can be considered for complicated UTIs caused by MRSA?

Answer 4

glycopeptide abx e.g. vancomycin, teicloplanin, ramoplanin

Question 5

elimination of organisms e.g. staph from nasal vestibulae can be achieved by using the following antimicrobial prep (2)

Answer 5

1. naseptin - neomycin + chlorhexidine
2. alt if unsuitable or ineffective: mupirocin

Question 6

in hosp or in care establishments, what can you use to eradicate nasal carriage of MRSA

Answer 6

Mupirocin nasal ointment