Pondering vexing issues in infection prevention and control
Wednesday, April 7, 2010
VRSA's back
There is a new report of a patient in a Philadelphia hospital that is infected with vancomycin-resistant Staph. aureus (VRSA). Fortunately, VRSA has remained very rare. Like previous patients, this patient is a dialysis patient, but few other details about the patient were available in the article.
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This case illustrates an important difference between Gram-positive and Gram-negative pathogens. Even with this worst case scenario for S. aureus the bug appears to be sensitive to other antibiotics. For multidrug-resistant Gram negatives there are frequently no available antibiotics.
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