Staphylococcus aureus Sepsis: Crucial Tips for Clinicians

Рет қаралды 20,897

Күн бұрын

The only way to successfully treat sepsis caused by S. aureus. When dealing with infections caused by S.aureus, everything has to be done right: The choice of antibiotics, the duration of treatment, screening for complications like endocarditis and metastatic infections, source control, follow-up blood cultures, and much more. Even with modern drugs, Staphylococcus aureus bacteremia still carries a mortality rate of 25%, but there is a lot we can do to increase our patients' chances.
If you want to make sure you recognize life-threatening infections like sepsis and CNS infections in time, you will find invaluable tips in my short, practice-oriented lectures!
A Clinical Approach to Serious Infections in Adults: What Every Physician Should Know:
drviktorkotarski.podia.com/re...
DISCLAIMER: Please, always keep in mind that my videos are intended for educational purposes only. The content of my videos is NOT medical advice. I do not practice medicine over the internet. If you are a patient and have any questions about your health, please talk to your doctor.
CHAPTERS:
00:00 What makes S. aureus special
01:49 Empiric and definitive therapy for S.aureus (MRSA vs. MSSA)
04:09 Blood cultures and other microbiological samples
05:14 What antibiotics are best for MSSA
05:52 The duration of treatment
06:28 Look for endocarditis and removable foci of infection
07:59 The final tip
REFERENCES & RECOMMENDED READING:
1. Lam JC, Stokes W. The Golden Grapes of Wrath - Staphylococcus aureus Bacteremia: A Clinical Review. Am J Med. 2023 Jan;136(1):19-26.
2. Heffernan AJ, Sime FB, Lim SMS, Adiraju S, Wallis SC, Lipman J, et al. Pharmacodynamics of ceftriaxone for the treatment of methicillin-susceptible Staphylococcus aureus: is it a viable treatment option? Int J Antimicrob Agents. 2022 Mar;59(3):106537.
3. McDanel JS, Perencevich EN, Diekema DJ, Herwaldt LA, Smith TC, Chrischilles EA, et al. Comparative effectiveness of beta-lactams versus vancomycin for treatment of methicillin-susceptible Staphylococcus aureus bloodstream infections among 122 hospitals. Clin Infect Dis. 2015 Aug 1;61(3):361-7.
4. Goto M, Jones MP, Schweizer ML, Livorsi DJ, Perencevich EN, Richardson K, et al. Association of Infectious Diseases Consultation With Long-term Postdischarge Outcomes Among Patients With Staphylococcus aureus Bacteremia. JAMA Netw Open. 2020 Feb 5;3(2):e1921048.

Пікірлер: 52

@clinicaltips8926 Жыл бұрын

I want to remind everyone that my videos are for educational purposes only. Of course, everyone is welcome to watch, but the information I present is most useful for junior doctors, nurses, and students. As I stated in the description of every video and on my channel homepage, none of this is medical advice for patients. I don't practice medicine over the internet. If you are a patient and have any questions about your health, please get in touch with your doctor.

@glenntankard2534 7 ай бұрын

I had staph aureus lodged in my neck vertebrae, cervical epidural abscess. It was so severe I had a complete laminectomy to drain it but unfortunately the infection damaged my spinal cord. I was paralysed as a result , spent 6 weeks with a pickline antibiotics and had to learn to walk again. If you have bad neck pain go straight to hospital emergency and get bloods and an MRI scan as that’s the only way to diagnose MRSA

@policialanimal 4 ай бұрын

My son was tested Today he is only 14, he woke up with a big inflammation on his neck only on one side, my wife took him to a doctor, the doctor send him to do a CT scan, he was diagnosed with MRSA, he has a small pain near to his neck and ear, can you help me I’m very scared, he started with antibiotics now. If you have any tip or if you know any doctor, I really appreciate your help🙏🙏🙏

@glenntankard2534 4 ай бұрын

@@policialanimal It sounds like it may just be infected in the tissue to the side of his neck and not inside his neck vertebrae. This is much easier to treat with oral antibiotics alone as it's tissue only. My pain was extremely bad in the middle of the neck and after 6 days the right hand side of my body became paralysed and I couldn't urinate properly. If his pain or swelling haven't improved in the next 24hr take him to emergency at hospital. When I finally went the doc squeezed the top vertebrae in my neck and my left arm spasms, that's a sure sign it's bad! It may be that your son just has an infected cyst , with a red swelling ... in which case they should lance it and drain the mrsa. Be vigilant and if it gets worse he may need to be admitted to hospital and put on an antibiotic drip. Let me know how you are travelling.

@deliriousanne Жыл бұрын

Love your lectures!!! Great! Thank you very much! I include your lectures and tips in my everyday practice and it helps a lot.

@user-zj8ts5np7l 3 ай бұрын

You just saved my life. Thank you.

@jimiphreakingisaacjulius1493 Жыл бұрын

seriously Love this Lectures

@breaux109 Жыл бұрын

My father died with this. They didn’t even try to help him. He had no spleen. They just let him lay there and then when he passed, they asked me for body parts. To this day I am disgusted with this practice. He’s not well enough to take the surgery, and they refused to do anything.

@khalafalshammari7553 7 ай бұрын

What country your father ?

@sciencesleuth4781 2 ай бұрын

Thank you.

@pauloconnor5101 5 ай бұрын

My son is dealing with this now both useful and terrifying at the same time.

@user-ft1hy7ol4m Ай бұрын

Thanks!

@anonymousperson2578 Ай бұрын

This video was HUGELY informative and likely saved many lives if the advice here is followed. Thank you for posting this!!!

@AmruMagdy 2 ай бұрын

Thanks

@Hotwire_RCTrix Ай бұрын

15 years ago I contracted a staphylococcus infection while on holiday in Egypt. It created terrible ulcers that persisted for years. You never get rid of this bug but knowing you have it is a huge plus. On the outside it's not a problem but inside it's very nasty. Most GPs will treat you like a pest but you need to use a doctor that understands how important this is. I almost had to have my foot amputated a few years ago because a young GP refused antibiotics. This isn't a trivial bug.

@jataufwangshak8002 Жыл бұрын

From the very first time I started seeing testimonies about you Dr igho, you gave me full that confidence that I had purchased your medicine, my hiv test would be was negative, now I'm so happy that I could finally have a healthy life thank you so much Dr you really are a Godsent and i appreciate you a lot

@TechwithStefan Жыл бұрын

very good explanation dr.Viktor, can i ask: for a patient with staff infection, that had a stroke, than complications like endocarditas and holds water in the lungs and heart, what should be the best advice?

@clinicaltips8926 Жыл бұрын

Hello! If I understand your question correctly, the patient has endocarditis, which causes them to retain fluid in the lungs, meaning that the affected valve is severely damaged. In that case, you should consult a cardiologist and a cardiac surgeon for further treatment.

@taylortabasco7176 11 ай бұрын

What should someone take if allergic to vancomycin?

@MatthewYoung-nn7ek 9 ай бұрын

Brilliant video

@dannydingus1165 6 ай бұрын

I used garlic and it seemed to be working but it ripped off a bunch of skin. I ended up going to get antibiotics. I took like 5 days of antibiotics then stopped because it was making me so tired. Hopefully the infection is gone enough for my body ti be able to heal the wound the rest of the way by itself.

@RustyShakleford1 6 ай бұрын

Are you alive? Wishing you healing and love

@dannydingus1165 6 ай бұрын

yup! It went away on it's own thank God lol. Thank you. @@RustyShakleford1

@user-bj7yf1rj6i Жыл бұрын

Do you have a clinic?

@freman75 7 ай бұрын

Can we swim in the ocean to clean the wounds if we have staph infection?

@godjesus93 Жыл бұрын

How can staphylococcus aureus cure

@nicolajane6264 Жыл бұрын

I caught this miserable infection after my cancer treatments. I had a mastectomy and it developed badly after two months. This was 2017. Since ive had to live with this. Ive only been given two weeks tops of antibiotics but its done nothing. It keeps coming back. Now i have breathing problem's and cant walk. I am so scared and dont know which way to turn.

@RustyShakleford1 11 ай бұрын

I am dealing with the same thing it's torture. You need to get a PET scan it will shows the infection. I had the hospital cover up my PET scan I've been suffering for 2 years. The only thing that's works is vancomycin for me. Get a PET scan I wish you all the best

@Jakcda1 7 ай бұрын

I just lost my dear dad a few days ago due to this bacteria. He was gone within 2 days, doctors said there was no way for him to get better.

@RustyShakleford1 6 ай бұрын

Did they ever treat him with vancomycin?

@glenntankard2534 4 ай бұрын

I forgot to mention if you believe it's in your son's neck vertebrae then he will need an MRI to diagnose this, a CT scan does not show up a cervical abscess. Go to hospital for this and make urgent request