Hate to hear you’re having problems and I can’t offer much advice other than I agree, a UA/Sensitivity should be done after a round of antibiotics. My primary care physician always does one. I agree IV antibiotics would be best course of treatment for MRSA.
Good luck getting answers. Nicki From: Lori Michaelson [mailto:lorilivin...@gmail.com] Sent: Wednesday, March 28, 2018 11:41 PM To: quad-list Subject: [QUAD-L] Staphylococcus Aureus (MRSA) in the urine Hey everyone... Has anyone else had Staphylococcus Aureus (MRSA) found in their urine and their urologist being too complacent about not getting rid of it? After a bladder biopsy done died on February 23 (outpatient procedure) and less than a week later I began to have my usual bladder infection symptoms (SEVERE bladder and flank pain) so I requested a culture and sensitivity be done and, sure enough it was positive for, this time, the superbug. They only put me on a week of Nitrofurantoin (Macrobid) 100 mg, twice a day. From what I have read and what I know about Macrobid it does work on some gram-negative bacteria but it is also more of a prophylactic antibiotic. Unfortunately, after I requested a follow-up urine (and had symptoms) it had not gone away. My urologist does not like to do follow-up urine cultures which I think is ridiculous because one would think they would like to know if the antibiotic worked. For those of you who don't know... MRSA is mostly found in hospitals and nursing homes and therefore a nosocomial infection (hospital acquired or clinic acquired) but I can't make use my urologist of giving it to me when it is just too coincidental that I get it less than a week after being in the hospital for the outpatient procedure. My urologist's staff is absolutely horrible at getting back to you and this has been a problem from the beginning. I have brought it up several times and they have admitted it and say they are trying to improve it but it only gets worse. Yes, I would try looking for another urologist but this is the one who did my bladder neck closure back in June of 2018 which I was forced into because of the nurse stretching my urethra beyond repair and now having an SP catheter. If something were to go wrong with the bladder neck closure... there are very few of them in my town if there are any others (and I have looked) he would be this surgeon to look into it. He is known as one of the best in Arizona and I have been told that people come from all over Arizona and a couple from New Mexico because he is such a good surgeon. I am sure he is a good surgeon but as far as needing him for other things or being sensitive to my needs as I know my body best after 38 years and learning tons from my husband since he went to medical school and was a chief medical technologist and dealt with all kinds of bacterium whether it be in the urine or the blood. Below is the best information I have found bread regarding Staphylococcus Aureus (MRSA) and treating it. Since has staff was so poor at communication I wanted me to go to my primary care physician if I had any symptoms and that's what I did. I was doing pretty good until after being in the hospital and then getting MRSA less than a week after being in the hospital. I sent him a message in the patient portal because I had asked his office to order the culture and sensitivity this time around hoping that their communication issues had been resolved. I basically told him that I thought, since it had not gone away with Nitrofurantoin that a more aggressive approach should take place. This is what he wrote back: "The appointment to see you is to further discuss your biopsy results and your overall urologic management which is not going well in my opinion with essentially constant infections. I'd like to discuss this in person and not on the phone or email." What I had sent him in part is this: "However, from what I have been reading, I don't feel confident it will work with that type of diagnosis. Cipro was listed in my Culture and Sensitivity Report as well as Vancomycin and others. As MRSA is extremely resistant, I would like to hear from you what would be the best approach, in your opinion. The earlier the appropriate diagnosis and therapy is instituted for MRSA, the better the prognosis. I have read that… “the majority of serious MRSA infections are treated with two or more intravenous antibiotics that, in combination, often are still effective against MRSA (for example, vancomycin, linezolid, rifampin, sulfamethoxazole-trimethoprim, and others). I just want to be proactive and get appropriate treatment. I am contacting you simply due to the lack of communication from your staff. I am doing OK right now and have a little over another week of Nitrofurantoin (Macrobid) to take (100 mg twice a day), but my question is if this is the best course of action, in your opinion?" I am hoping someone on the list has had to deal with Staphylococcus Aureus (MRSA) in their urine and what they have done. Thanks! You can write to me privately if you wish. ~Lori -- "Petting, scratching and cuddling a dog could be soothing to the mind and heart and deep meditation and almost as good for the soul as prayer." ~Dean Koontz
