Cholangitis
IAI MRSA

IAI MRSA

MRSA in IAI

MRSA does not usually live in the biliary tree or the gastrointestinal (GI) tract

MRSA is not routinely implicated in community-acquired IAI, even in colonized patients

The risk of a patient acquiring new MRSA while associating with an Island Health facility is ~ 1 in 1500

Examples:

  • recent IA surgery
  • percutanious procedures
  • presence of drains
  • open abdomen

MRSA should not be ignored if isolated in these scenarios

  • empiric treatment of health-care associated infections in critically ill patients, especially in those without source control or known colonization
  • treatment failure and significant antibiotic exposure
  • MRSA isolated from IA specimen
  • post-operative wound infection with MRSA

General Pathogen Information

Oral Step-Down

Highly individualized depending on clinical scenario and susceptibilities

Potential Oral Options: Doxycycline Sulfamethoxazole-Trimetoprom Clindamycin Linezolid