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Infectious Diseases Current Topics in Infectious Diseases

The Spread of Antibiotic-Resistant Bacteria in Gulf Coast


Author:

Karen Barrow

Medical Reviewer:

Lorenzo Di Francesco, MD

Medically Reviewed On: September 22, 2005

As Gulf coast residents try to recover, the Centers for Disease Control (CDC) reports that they have found cases of difficult-to-treat infections in a relief center housing evacuees from Hurricane Katrina.

At least 30 adults and children in a Texas evacuation center show boils on their skin, according to the CDC. Preliminary tests suggest that some of the infections may be caused by methicillin-resistant Staphylococcus aureus (MRSA), a drug-resistant bacteria.

Fortunately, it seems that these cases were caught in time. "These patients are receiving clinical care and infection control measures are ongoing," reports the CDC in a statement.

But since these "superbugs" can survive traditional antibiotic treatments, they can be tougher to treat. Left unchecked, MRSA infections cause a variety of problems, including fever, low blood pressure and, eventually, organ failure.

What can you can do to protect yourself from these infections? Dr. Martin Blaser, chair of the Department of Medicine at NYU School of Medicine and president-elect of the Infectious Diseases Society of America, explains.

What are MRSAs?
Staph aureus is bacteria that normally lives in the human body: on the nose and in certain moist areas such as the armpits. Virtually everyone carries Staph aureus, but usually it doesn’t affect your health. But sometimes it may be resistant to antibiotics, like MRSA, which stands for methicillin-resistant Staphylococcus aureus. Often, infections start in the skin or the upper respiratory tract, but can involve any part of the body.

With the advent of antibiotics, there was tremendous improvement in the treatment of infections. Unfortunately, as antibiotics were developed and widely used, staph became resistant to them. The resistance started with penicillin, and then with a second group of antibiotics, like ampicillin. Then, a third group of antibiotics were found, called methicillin, which are very good at fighting Staph aureus, but now more and more of the bacteria have become resistant to this antibiotic.

So, if you had a wound that became contaminated with one of the resistant Staph aureus, then, it wouldn't be a different infection than a non-resistant infection, but it would be much harder to treat.

How do people get MRSA?
Initially, MRSA infections were first seen in people who were in the hospital for long periods of time. Since these people were typically subjected to many different antibiotic treatments, it wasn't surprising that the infections they had might be methicillin-resistant. And if, for example, a patient is receiving a certain antibiotic and the antibiotics are killing off their normal bacteria, then it's taking away a layer of defense, so they are more susceptible to picking up an antibiotic-resistant organism.

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