Correlation between MRSA and sinusitis

Question

Hello,

Since October I have a colonization of the lungs with MRSA. In the meantime the sputum results without antbiotic therapy or intervention from my side were negative from time to time.
In the nose however, I have always very much green mucous and barks.
Is it possible that I recolonize myself via my own nose again and again?
How can I get my nose free of germs as gentle as possible? I use a drug with the substances verbena, elderflower, sorrel and primrose blossoms and the nose shower for monhts without that the problem disappears.

Best regards and thank you again

Answer

Hello,

The nose - and here above all the front part of the nose at the inner part of the nose tip - is a typical location of the durable colonization of the airways with MRSA. From this location, the lower airways and probably also the sinuses can get colonized again and again. The treatment with a verbena, elderflower, sorrel and primrose blossoms or mytrol containing drug will probably not lead to an end of the MRSA colonization and also I would not expect the nasal shower to get rid of the MRSA form the upper airways durably. At the trial of MRSA eradication antibiotic containing ointments are used as a standard like mupirocin or in case of mupirocin resistancy polihecxanid are applicated 3 times a day for at least 5 days in both nasal vestibules.

At the same time antiseptic washing soulutions are recommendable, e.g. with the MRSA-effective tested antiseptic washing solutions Octenisept® or Sanalind® and as appropriate systemic inatke of antibiotics with the aim to eradicate MRSA from the lower airways, in case the germ has been detected there. There are anyway local strategies for the eradication of MRSA, which you can ask your CF-center about. Frequently the gern will persist longterm in the airways.

Dr. Jochen G. Mainz

04.10.2010