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Impetigo/MRSA
Started by Allan W.
Posted: August 4, 2007 at 10:00
My Mother-in-law is aged 93 for the last 5/6 weeks she has had what we were told is impetigo.She has had two sets of antibiotics plus creams. The infection is still very angry and although some of the sores have died down or gone new ones are still coming and are appearing at areas where she couldn't scratch herself.She is in a care home and when I asked the staff to get the district nurse to have a look they reported back that she would make no comment about it.I asked for a further visit of her doctor who has prescribed a different antibiotic and tol the home to call him back if even a small area exists at the end of the medication.In adition she has supposedly bed sores at the base of her back and they have supplied an air bed and also an air seat because she is sat up all day in her arm chair.Our feelings are that there is more to it than we are being told .Any suggestions
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Re: Impetigo/MRSA
Reply #1 by Anne
Posted: August 4, 2007 at 13:45
I would insist on a meeting immediately with the person in charge to establish the care plan for your mother-in-law. They should be paying particular attention to the pressure sores, keep an eye on these, very often people do not realise how deep they are and they are a potential source for infection.
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Re: Impetigo/MRSA
Reply #2 by Ruth Wollacott
Posted: August 4, 2007 at 15:01
Impetigo is a staph A infection. MRSA is a meticillin resistant staph A infection. So, although connected, the same infection, as impetigo is susceptible to several topical antibiotic preparations whereas the arsenal against MRSA is much more limited. The historical treatment for impetigo was a liberal application of gentian violet which immediately marked the person as infectious; it is now, however, treated with commercial antibiotics.

In the current climate of misinformation I think it would be wise to ask more specific questions, such as making it clear that you are aware that impetigo is a staph A infection and is there anything more they should tell you??

Be aware that bedsores are one of the most enthusiastically embraced sites for MRSA infection, as it is already acknowledged that she has a staph A infection I think that to ask further questions would be quite appropriate.
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Re: Impetigo/MRSA
Reply #3 by Maria
Posted: August 4, 2007 at 16:23
Dear Allan
If you have your mother-in-law’s permission then it would definitely be a good idea to ask for a meeting and to ask to see her care plan/medical notes. We know only too well of the complications that can be caused with staph infections particularly if there additional complications of pressure sores. If the impetigo/staph infection hasn’t cleared then you need to be asking why. It may not be MRSA but with the pressure sores you really do need to find out what they are going to do to treat her.

There is information at http://mrsaactionuk.net that you may find helpful, also contact details if you want to get in touch and discuss anything in confidence.
Best wishes
Maria

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Re: Impetigo/MRSA
Reply #4 by Lindy
Posted: August 5, 2007 at 11:56

Hi Allan

I agree with Maria, in regards to seeing your mother in-laws nursing notes. Although in doing so, the nursing home, may say that because of confidentially, they can not show them to you. If you, or your wife have been listed as next of kin in your mother in-laws nursing notes, the Care Home cannot stop you from looking at her file. If you are not down as next of kin, and your mother in-law is able to give permission to let you see her nursing notes, the nursing home would have to let you see them.

I am a trained nurse who works in a Care Home and my mother in-law is also a client in Care Home. When I had concerns in regards to my mother in-laws care, I requested to see her nursing notes and because I was down as her next of kin, they had to let me see them.

Has the Care Home taken swabs from infected areas, as this should have been done, as the results from the swabs, would determine the correct antibiotics. When looking though your mother in-laws nursing notes, check to see if they have forms for (body mapping, initial wound assessment), as these are essential. Care plans should also be in place for air flow mattress and wounds. It is also critical, that your mother in-law is not left in the same position for too long and I would certainly complain, if she is left sitting in a chair all day. The Care Home should also have a have a positioning chart / turning chart in place, because of presser sores. A good dietary intake is also essential in the elderly and staff should have documentation on what your mother in-law eats.

Lindy


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Re: wearing masksMRSA
Reply #5 by rose
Posted: May 22, 2008 at 21:23
I workin a carehome we have good infection control in place
we have a client just in two days and have been told they are mrsa poritive as when changing bedding advised to place in bag so as not to disperse bugs cannot find any where if face masks need to be worn



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Re: Impetigo/MRSA
Reply #6 by Hylde
Posted: May 30, 2008 at 10:37
I am feeling worried and upset.
Three weeks ago I had a cold sore on my bottom lip which responded well to zovirax and dried up quickly with a scab.
However, a visit to the dental hygienist changed all that. Before I kew what she was doing, she covered my scab with petroleum jelly (!) and I left the surgery minus my scab - with an open wound. One week later, the cold sore had spread all over my chin,and was dripping down my chin! I went to my gp who immediately diagnosed impetigo and treated it with flucloxicillin 500mg four times daily. He said the staph'. had probably entered through the open wound. Although looking awful, the sores/postules slowly responded and until yesterday - 10 days later, the skin had reduced to a dry, red patch. Imagine my horror this morning when I notices a fresh, small sore has emerged!!! I have made another a/pt to see my gp, bu I'm now thinking MRSA? or, Why???! Please help. ps I did inform the hygienist about my cold sore, but she said it would not be a problem.

Hilary
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Re: Impetigo/MRSA
Reply #7 by Fiona
Posted: August 25, 2008 at 13:08
I have the answer, In have been plagued with impetigo for months and I am a pretty girl, who is pissed about it
are you ready??
COLLOIDAL SILVER
gO NOW AND GET IT, I am not endorsing anything I am, a truth seeker with the scars from impetigo, I wish I had started the colloidal silver and goldenseal ( topically ) months ago!!!!
the antibiotics give us ladies the yeasties .. YUCK
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Re: Impetigo/MRSA
Reply #8 by linda mccafferty
Posted: August 25, 2008 at 18:58
You so made me laugh Fiona (yeasties) lol .
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Re: Impetigo/MRSA
Reply #9 by coleen
Posted: June 15, 2010 at 02:17
my mum had been in hospital after an heart attack and was recovering
really well they were even talking about her coming home the following
week.
Then all of a sudden she got a bed sore the size of a tea plate on her
bottom the nurses treated the best they could but over a period of
five days they were trying to get a tissue specialist to come and see
her for more advice. Then we found out mrsa had got in the wound .
Then one day when i went to visit she was really ill they took some
special blood test and when i asked what they were as they were
putting blood into some special bottles with liquids already in them
and they explained this was a quicker way to find out what was going
on as they would grow cultures from these. The results came back and
all we were told they had found some sort of infection that normally
only grows in either the bowel or stomach still no answers were coming
as to what the infection was. From then on everything went wrong that
could go wrong a sugar levels either were going to high or to low and
she died three days later sitting on her hands to ease the pain from
the bed sores ,
So what i am wanting to no could this infection have been caused from
the bed sore and mrsa
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Re: Impetigo/MRSA
Reply #10 by linda mccafferty
Posted: June 15, 2010 at 22:00
Dear Coleen , my sincere condolences , first of all Coleen i would applie for your mum's medical records as all the lab test's will be there to read what/if any infection was present in mum's bedsore . may i ask if mum suffered diarrhoea while in hospital ? was your mum diabetic ? was your mum isolated in a room of her own ? i would contact the hospital's consultants secretary that was caring for your mum , for an appointment with your concerns regarding your mum's stay in hospital . write down any questions who wish to ask & take them with you............... be persistent on getting them answered . please come back on Coleen & let me know if i can help you with any information or support , my best wishes .
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Re: Impetigo/MRSA
Reply #11 by Coleen
Posted: June 16, 2010 at 14:05
Hi Linda
Thank you for coming back to me yes my mum did have some diarrhoea
while in hospital, And yes she was a Diabetic this was controlled from
diet until about two years ago when she went on to Tablets and no mum
was not in a room of her own she was on a small ward with five other
beds.
It was a long corridor down her her ward with about another ten other
wards going of this corridor before you got to mums.
But i no there was MRSA on most of the other wards, But there were
three relief nurses that helped look after mum as well as all the
other patients as we complained because when entering the ward they
didn't use the hand solution and they never used either before or
after treating mum the just went on to there next patient.
And even though we complained nothing was done about it.
Thank You Coleen
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