Challenges and updates about MRSA that you need to know
MRSA testing
San Diego in California (CA)continues
to be important as MRSA continues to be one of the most common causes of
community-acquired infections throughout the world. Whilst its incidence has
been reduced by about 31%, MRSA is still prevalent and a public problem.
Finding
the optimal antibiotic therapy for this infection is a great challenge. Whilst
vancomycin has been a top therapeutic agent for infections related to MRSA for
over 50 years, there has been a big concern with its efficacy. Here are some
challenges about updates about MRSA.
Choosing the right drug
Trends
of increasing MIC for vancomycin together with the emergency of VISA, hVISA,
and VRSA isolates challenge vancomycin’s effectiveness. Although vancomycin is
an agent with the biggest communicative experience for MRSA, professionals
suggest that alternative agents should be used for isolates.
Choosing the right dose
After
MRSA testing, it is crucial to choose the right dose if infections are
present. Whilst we are familiar with the usual dosing of the MRSA antibiotics,
determining the best dosing in overweight patients is a big challenge that we
have to face. There has been a big interest in the pharmacokinetic differences
of some MRSA agents in obesity settings.
Treatment duration
The
treatment duration for MRSA infections is controversial. For example, MRSA
pneumonia has a wide recommended duration of about seven days to twenty-one
days. This is largely based on expert opinion. Bacteremias that are
uncomplicated are recommended to be treated for at least two weeks.
Research
has found that shorter treatment durations lead to high rates of relapsed
infections. Pharmacists play an important role in choosing alternative agents
for MRSA infections treatment given their expertise in the pharmacokinetic
characteristics and differential pharmacodynamics, ultimately choosing the
right drug and its recommended duration, dose and monitoring parameters for
each patient after an MRSA testing San Diego CA proves
that they have been infected.
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