早上十點多媽咪接到Dr. Uchiyama的電話說 山大妞感染原因報告出來了 是細菌MRSA傷口感染 山大妞是得Impetigo complication的一種MRSA Infection 而非UCI 小兒皮膚科醫生說的病毒感染 (媽咪當時問Dr. Matz 山大妞是否得Impetigo時 她很自信地否認) 由於山大王也有初期感染的疹子在手上 雖然Dr. Uchiyama星期五的門診都排滿了 她還是要媽咪今天下午就帶大小兩隻去看她 因為這隻MRSA細菌超級強 很多抗生素都治不了牠 醫生換Septra給大小兩隻吃 媽咪先帶山大妞去學校把山大王接出來 (今天山大王暑期前最後一天上學 之後就放暑假了 老師還依依不捨抱山大王好久 才送媽咪和大小兩隻離去) 然後1:30pm去診所看醫生 看完又去CVS買藥 回到家已經三點了 媽咪打了好幾通電話給爸鼻都沒回 因為媽咪根本不知道 爸鼻今天還招待日本同事去愛德華空軍基地看熱鬧 太空梭不降落佛羅里達 改在Lancaster降落 所以早上十點就翹班不在辦公室了 大小兩隻和媽咪等爸鼻回家 等到九點半才聽見車庫門開的聲音 媽咪獨自擔心地帶生病的兩個孩子 度過與細菌奮戰的一天 七月初爸鼻又要出差 媽咪又要開始獨自帶兩個孩子的全職雙子媽生活了 |
Understanding MRSA (Methicillin resistant Staphylococcus aureus) What is it?
Methicillin-resistant Staphylococcus aureus (MRSA) is a bacterium that causes infections in different parts of the body. It's tougher to treat than most strains of staphylococcus aureus -- or staph -- because it's immune to some commonly used antibiotics.
The symptoms of MRSA depend on where you're infected. Most often, it causes mild infections on the skin, causing pimples or boils. But it can also cause more serious skin infections or infect surgical wounds, the bloodstream, the lungs, or the urinary tract.
Though most MRSA infections aren't serious, some can be life-threatening. Many public health experts are alarmed by the spread of tough strains of MRSA. Because it's hard to treat, MRSA is sometimes called a "super bug."
What causes it?
Garden-variety staph are common bacteria that can live on our bodies. Plenty of healthy people carry staph without being infected by it. In fact, 25-30% of us have staph bacteria in our noses.
But staph can be a problem if it manages to get into the body, often through a cut. Once there, it can cause an infection. Staph is one of the most common causes of skin infections in the U.S. Usually, these are minor and don't need special treatment. Less often, staph can cause serious problems like infected wounds or pneumonia.
Staph can usually be treated with antibiotics. But over the decades, some strains of staph -- like MRSA -- have become resistant to antibiotics that once destroyed it. MRSA was first discovered in 1961. It's now immune to methicillin, amoxicillin, penicillin, oxacillin, and many other antibiotics.
While some antibiotics still work, MRSA is constantly adapting. Researchers developing new antibiotics are having a tough time keeping up.
Who gets MRSA?
MRSA is spread by contact. So you could get MRSA by touching another person who has it on the skin. Or you could get it by touching objects that have the bacteria on them. MRSA is carried, or "colonized," by about 1% of the population, although most of them aren't infected.
Infections are most common among people who have weak immune systems and are living in hospitals, nursing homes, and other heath care centers. Infections can appear around surgical wounds or invasive devices, like catheters or implanted feeding tubes. Rates of infection in hospitals, especially intensive care units, are rising throughout the world. In U.S. hospitals, MRSA causes up to 40%-50% of staph infections.
Community-Associated MRSA (CA-MRSA)
But MRSA is also showing up in healthy people who have not been living in the hospital. This type of MRSA is called community-associated MRSA, or CA-MRSA. The CDC reports that in 2003, 12% of people with MRSA infections had CA-MRSA.
Studies have shown that rates of CA-MRSA infection are growing fast. One study of children in south Texas found that cases of CA-MRSA had a 14-fold increase between 1999 and 2001.
CA-MRSA skin infections have been identified among certain populations that share close quarters or experience more skin-to-skin contact. Examples are team athletes, military recruits, and prisoners. However, more and more CA-MRSA infections are being seen in the general community as well, especially in certain geographic regions.
It's also infecting much younger people. In a study of Minnesotans published in The Journal of the American Medical Association, the average age of people with MRSA in a hospital or healthcare facility was 68. But the average age of a person with CA-MRSA was only 23.