In a message dated 6/1/2005 8:26:03 P.M. Pacific Daylight Time,  
[log in to unmask] writes:

What  does everyone use to treat MRSA mastitis or nipple infections? I have 
not seen  it yet, but anticipate that it is just around the  corner!




On the med surg floor, I see TONS of MRSA unfortunately.   Of course a 
culture and sensitivity is run to find out exactly what the  infection is 
susceptible to, however, more than likely Vancomycin is more often  than not the drug of 
choice.  According to Med. and Mother's Milk, is a L1  Drug.  I haven't seen 
any breast MRSA, but many people are colonized just  in day to day living and 
because they are generally healthy don't know it.   When they become lowered 
in their immune status (postnatal period can lower the  immune system) the 
infection can manifest in many areas, ie: lungs, urine,  etc.  I too would not be 
surprised to eventually see MRSA attack the breast  however, being the 
"closed" system it is I find the breast to be an unlikely  place to find it.  
 
Is there a test on breast milk for MRSA?  I am not aware  of any, and will 
ask at my hospital's lab to see if we can do it, or if it can  be sent out to a 
lab that can.  I have not heard of any such thing, but  would be VERY 
interested to find out.  
 
Renee Drake RN, CLC
 
 

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