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Wednesday, 03/09/2016 7:05:35 PM

Wednesday, March 09, 2016 7:05:35 PM

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VRSA- ever heard of it? Ladies and gentlemen, an item of interest. Flipping through the pages of this month's annals of emergency medicine one finds , on pages 386 and following , a brief discussion of Vancomycin Resistant Staph Aureus, or VRSA. Yes of course we all have heard of MRSA but VRSA was new to me. The article was reporting on the 14th known case of this infection in the US, from a dialysis patient with a diabetic foot infection, in Delaware, in 2014, with the isolate characterized at the CDC in 2015. The article comes from the MMWR but is in this month's emergency medicine as noted with a very nice background discussion of staph infections. Penicillin routinely killed these bugs until the 1970's when MRSA emerged.

The paper mention 14 cases now known of VRSA starting in 2002- only a handful of course, but stay tuned. MRSA of course now a MAJOR problem not just for skin but for hospital acquired pneumonia as well, just to name one example. But of course this is old news. VRSA might be old news in a generation too

VRSA resistance was plasmid mediated with transfer from a VRE- vancomycin resistant enterococcus, which is much more common.

What does this portend? Obv that a drug like Brilacidin will have more importance if there is spread of VRSA and that is likely.

Just thought you might want to know - for me this was all new info.
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