Is MRSA in infecting or contaminating organism?
In the latest issue of Current Diabetes Reports, Bowling, Jude and Boulton ask the question as if wound colonization by methicillin-resistant Staphylococcus aureus (MRSA) is the cause of infection or just a contaminating organism. A number of studies have found the bacterial content of diabetic foot ulcers to be polymicrobial, so this question as to which is the infecting organism remains unanswered.
Bowling FL, Jude EB, Boulton AJ.; MRSA and diabetic foot wounds: contaminating or infecting organisms?. Curr Diab Rep. 2009 Dec;9(6):440-4. (link)
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I would have thought that if MRSA was present, then that is enough to treat it, if it was the infecting organism or not. MRSA is nasty.