Staphylococcus infection that went MRSA after prostate surgery. Gave me slot of cipro that did nothing. Was resistant.
My appointment with the infectious desease doctor is at 8:00am. I am told they have many different options to treat this and they will know best from my Urologist. My Uro said S-Epidemidis is a rare form of Staph for prostatitis but he does see about 15 - 20 cases a year. Said this is mainly found in skin infections, I don't know how I got it???
Hi, Michael,
I was curious because I also had a staf infection that showed up both with my urine culture and semend culture. But it wasn't epidermidis. With both these kinds of staph infections, they are not always treated, but it depends on how symptomatic you are. I think it makes sense to get input from an infectious disease doctor. On one hand you don't want to neglect things, but on the other you don't want to take a long course of IV antbiotics unecessarily, and potentially where it might not even help with your symptons.
In my case, I did treat, but it was as much my decision as the doctors. If I had been self cathing at that point, I would not have treated and looked at the staph more as benign colonization, but since I had basically stopped self catherization, I figured it might make sense to clean things up.
Jim
Assuming you don't self cath, staph and bacteria are not uncommon in both doctor's offices and hospitals. Could be a procedure, exam table, break of sterile procedure with a DRE.
I found a great urologist around 20 years ago. Only problem was the day afer my exam I got a boil like infection on my leg. The first time I didn't think much of it, the second time I decided his office/exam table is contaminated. I didn't go back.
Jim
I should also add that this type of bacteria is fairly common on our skin, but it usually doesn't get into our prostate during normal day to day activities.
Jim
Good point, I am a 44 yr healthy male with a great sex life. My urinary track hurts all day, my penis has numbness from time to time and it's been effecting my life for 7 months. I did extensive pelvic floor PT and I did have a lot of pelvic floor tension making some of my symptoms go away but at the end of the day, I needed to find out why my prostate was swollen. I have had this about 7x's over the last 10 years, so I think this has been a chronic condition that has come and gone. Again, this was found in the semen and not the urine culture that had prostate fluid in it. The staph is a "mild" form (whatever that means). So I think I had a pevlic issue because of the tension and my hips were out of alignment. Between the pelvic PT, Chiropractor and the URO the last step is the infectious desease clinic to finish this off once and for all.... I hope. I do disagree that 90% of all prostatitis is non-bacterial. Just my thought.
@michael...I do disagree that 90% of all prostatitis is non-bacterial.
-------------------------
That is the big debate, isn't it. But it does sound like you've been approaching this correctly, with caution. Because no guarantee that getting rid of that staph will get rid of your symptons, but on the other hand it could.
Jim
I definitely got mine in the hospital. Something in that OR was not clean. Couldn't find a lawyer to take the case. The time involved and docs and hospitals having the best lawyers makes it a tough case.
I got my first "exotic" uti in the hospital. I was in for afib but was self cathing at the time. They wanted to put me on IV meds but I deferred treatment to my outside urologist who treated it conventionally. It kept coming back for some time. I should have taken the IV meds. I will avoid hospitals at all cost. They seem to have a "take out" department for germs and bugs. It's incredible how often both doctors and nurses break simple protocols. When you look under those white coats you see street clothes and dirty gym shoes.
Jim
Yeah I am going to do the IV thing so this will be gone for good I hope. Been dealing with this for too long. I heard they have a procedure that goes up through the penis to administer the antibiotics. We will see...
My hips are no straight, they we twisted and crooked, I have no more pelvic floor tension after 90 days of PT 3xs a week getting a finger up my rear (she was nice about it) 2 trips to the uro, two urine samples and a semon sample. Now I will have 28 days of antibiotics fed through an iV. Oh and 4 treatments of Gainswave hi sound waves on my pelvic floor and penis to stimulate blood flow when my pelvic floor was in knots . ... I am at the end of my rope.
But you're consulting with the infectious disease doc first before the IV antibiotics, right? I know it's easy to say be patient, but prostatitis often does get sorted out. 7 months in "prostatitis time" isn't anything near a record. The body needs time to heal.
Jim
Yea the u ro refered me to the infectious disease doctor to address the staph in the semon test. It is...a process and I started with pelvic tension, then blood flow then chiropractor and now antibiotics but only after tests for pelvic tension, x raysif my pelvis and urine and semon tests. I am using the very best docters and with all that I am still suffering but I can see the light finally.
Isolation is basically gowns and gloves must be wore entering the room. I had a couple night nurses and one nutrition lady didn't bother to follow the rules. The nutrition lady would look around, then run in with my food and run back out saying she's holding her breath. MRSA is a contact thing. You can't catch it breathing it in. Lol. It's transferred by touch. MRSA is almost always contracted in hospitals. They say everyone has it now. But it's not a problem til it gets in your blood stream. Like threw open wounds or dirty surgical instruments. My swabs from November supposedly came back negative. But ones they just took didn't. So I still have it. Some say it can be cured. Others say once you have it, you always will have it. Only good thing is it guarantees me a private room. The IV meds were mean. They eat your veins up. Made my temperature jump up and down. Gave me a migraine Everytime. Wake up in the middle of the night soaked in sweat, freezing with a bad headache. Bunch of times I had to call the night nurse to change my sheets and give me a dry gown. Wash up and go back to sleep.
Glenn, I explored this option with 3 Urologists as I have Prostatitis and also on Active Surveillance with Prostate Cancer. They said they could justify removing the Prostate as I had Cancer but would not recommend it. I already have Incontinence and E/D so I did not think I could be any worse but they said damage to nerves could be a problem. What I could not understand was how many people in percentage terms suffer after the many Prostates that are removed.
David
Michael,
Can you give me the name of the Dr. in Tampa. I am right nearby,
Infectious desease doc I saw was nice. Told me alot. Asked if I had any questions. Was real straight forward. He was actually from another hospital and health group in our area. The hospital I was in, there doc was on vacation. He had no problem telling me the hospital was at fault. Lol.
Yes sure. Dr Rafael Carrion at USF. I am now being treated at infectious disease of tampa.
Update, went to Infectious disease and they said I did need the IV antibotics for this type of staff and he started me on a month of doxycycline. I am waiting on the urine DNA that will tell me what else I have and what resisitant it may have to what antiboitics. For those with prostatitis this test is a must! Normal culter only find 1% of the bacteria possible which is why "95% of all prostatitis is non-bacterial" It's not bacterial until this lab says so... PERIOUD!
Most hospitals and docs haven't changed the way they grow cultures. Some even don't take them correctly. Desease doc told me , esp the super bugs, have to be grown on a blood clot. And it has to be allowed to grow atleast 3 days. Some docs see it going staph and just treat it that way. End it in 2 days. My culture was 2 days in and uro knew it was going staph. Put new in the hospital. Next morning I was moved. It went staph in 2 days. Went MRSA the third day. I was already on cipro I think the doc knew it wasn't a simple UTI or just staph. He started me on the intense antibiotics. Infectious desease doc adjusted dose 12 hours later after new blood work.