hello
i didn't understand wether you are talking about a health care worker who 
may be colonized by MRSA or about an patient/mother. 
MRSA (methycilin-resistant staphylococcus aureus) is quite benign for healthy 
people but quite agressive in ill people, specially in a hospital setting.

if you are a health care worker and you are worried about your child, you can 
take a nose culture and, if positive, eradicate with topical mupirocin (safe in 
breastfeeding). at the same time take universal precautions. WASH HANDS or 
wet them with an antiseptic solution and wait until dry between EACH patient. 
every 6 patients wipe your stetoscope with alcohol. wash hands when you 
arrive home and before holding your child. like this your patients are safe and, 
at the same time, so is your healthy child (who, anyway, had a low risk).

if you are talking about a mother, does she has an infection or is she 
colonized? breast colonization? wound in breast?

i won't try to guess, i will wait until you answer me with more details.

m. pina, MD, specialist in internal medicine, very interested in lactation

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