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Wednesday, April 7, 2010

A patient at Pennsylvania Hospital in Philadelphia has been diagnosed with a rare form of staph infection - Vancomycin-resistant Staphyloccus aureus or VRSA. The patient was transferred to the hospital from Delaware and did not contract the bacterial infection at the University of Pennsylvania-owned facility.

Unlike the much more common, and more easily treated methicillin-resistant Staph aureus or MRSA, VRSA, as its name implies, is able to survive the powerful antibiotic vancomycin, a drug that doctors turn to only when other medications fail.

Vancomycin therapy is widely used in patients with decreased kidney function to keep them from getting bacterial infections. The patient was on dialysis and had a history of resistant infections including MRSA.

She was isolated on admission because of her known history of having MRSA. Doctors believe that the VRSA developed when her MRSA mutated by adding vancomycin resistance from another bacteria.

VRSA is not as easily transferred from patient to patient, according to Neil Fishman, an infectious disease doctor at Penn Medicine. The patient is the 11th in the country to contract VRSA, he said. And Fishman noted that while rare, VRSA is not particularly virulent and is susceptible to a number of other antibiotics.

According to the latest data from the U.S. Centers for Disease Control and Prevention, this would be the first reported case of VRSA in the country since 2007, when two cases were reported. Four additional cases were reported in 2006 and 2005. Another less resistant form of the bacteria, vancomycin-intermediate staph, is more common with 13 cases so far this year and another 183 cases reported to the CDC from 2005 through 2009.

The case at Pennsylvania Hospital is being investigated by infectious disease experts at Penn in conjunction with the State Department of Health and the CDC. A similar case of VRSA was found at a Harrisburg, Pa. hospital in 2002, here is the CDC report of that investigation.

Posted by Josh Goldstein @ 12:56 PM  Permalink | 9 comments
9
Comments   
  • 0 like this / 0 don't   •   Posted 1:53 PM, 04/07/2010
    ewwwww
    kwhite1123
  • Comment removed.
  • 0 like this / 0 don't   •   Posted 4:10 PM, 04/07/2010
    SO let me get this straight - this big bad virus is "Vancomycin-resistant" and "is able to survive the powerful antibiotic vancomycin, a drug that doctors turn to only when other medications fail.".....Yet the author then states that this "is not particularly virulent and is susceptible to a number of other antibiotics." SO, those two statements essentially say this is a non-issue. And the newspaper industry wonders why it's on life support.
    CiceroSpuriousDeodatus
  • 0 like this / 0 don't   •   Posted 4:36 PM, 04/07/2010
    This is not surprising to me. Hospitals are breeding grounds for such bacteria, thanks in large part to doctors and everyone else for sidestepping soap and water (basic handwashing). Many hospital deaths (including my own mother's) are directly attributable to such carelessness.
    Cabbie
  • Comment removed.
  • 0 like this / 0 don't   •   Posted 4:54 PM, 04/07/2010
    Cicero is an idiot, just another person that thinks he/she can write better then the newspapers. It gets so old when people come here and lament the quality of the articles and not even the news they convey.
    Capsulef
  • 0 like this / 0 don't   •   Posted 4:59 PM, 04/07/2010
    Cabbie, stick to cabs.
    no10leclair
  • 0 like this / 0 don't   •   Posted 5:03 PM, 04/07/2010
    @Cabbie actually, the superviruses bred at hospitals are a result of OVER-sterilization. Antibacterial solutions are effective for 99% of bacteria, which means that once the bacterial environment is "stabalized," the ecological control for that 1% of bacteria is actually destabilized and those bacteria and viruses are allowed to grow rampantly. The sanitizing products should be taken off the shelves. Soap and water is more than enough to sterilize but retain the "germ balance".
    ohnoimacommentornow
  • 0 like this / 0 don't   •   Posted 5:50 PM, 04/15/2010
    First, there is a HUGE difference between a virus and a bacteria. Second, Staph auerus lives on the skin of mammals so it lives naturally on human skin. The patient is on dialysis... so there are multiple IV's started on this woman.. ie multiple routes into the body for the bacteria... the issue is that there is now resistance to the drug commonly used as a last resort... although other antibiotics would work against the infection, will they fry the already compromised kidneys in the process of taking care of the infection... and she already had MRSA.... which has grown to include Vancomycin now... yeah its a problem...
    Swellzy


9 comments
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