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Why is a gram stain not helpful in identifying MRSA from a wound swab?

Mandolin S. Ziadie, MD
Board Certified Pathologist
Dr. Ziadie is a board certified Pathologist in South Florida. She specializes in renal, transplant, and pediatric Pathology and has over 12 years of experience. She earned her medical degree from the University of Miami School of Medicine in 2004 and completed her fellowship in Pediatric Pathology at Children’s Medical Center in 2010.

Mandolin S. Ziadie, MD

Board Certified Pathologist

Expert Answer

A gram stain only identifies the general nature of a bacteria. It does not tell whether or not a bacteria has acquired resistance to an antibiotic.

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Question

Can MRSA be mistaken for a viral infection, eczema, or the flu?

Mandolin S. Ziadie, MD
Board Certified Pathologist
Dr. Ziadie is a board certified Pathologist in South Florida. She specializes in renal, transplant, and pediatric Pathology and has over 12 years of experience. She earned her medical degree from the University of Miami School of Medicine in 2004 and completed her fellowship in Pediatric Pathology at Children’s Medical Center in 2010.

Mandolin S. Ziadie, MD

Board Certified Pathologist

Expert Answer

Yes. If proper testing (cultures from the wound or blood) is not done and only the symptoms are evaluated, then MRSA can be mistaken for many things.

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Question

Which area is used for the red swab?

Mandolin S. Ziadie, MD
Board Certified Pathologist
Dr. Ziadie is a board certified Pathologist in South Florida. She specializes in renal, transplant, and pediatric Pathology and has over 12 years of experience. She earned her medical degree from the University of Miami School of Medicine in 2004 and completed her fellowship in Pediatric Pathology at Children’s Medical Center in 2010.

Mandolin S. Ziadie, MD

Board Certified Pathologist

Expert Answer

You will need to use the swab either on a suspected wound or on the inside of the nose.

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Should I be tested for MRSA if I shook the hand of someone who carries it?

Jurdy Dugdale, RN
Medical Review Board
Jurdy Dugdale is a Registered Nurse in Florida. She received her Nursing License from the Florida Board of Nursing in 1989.

Jurdy Dugdale, RN

Medical Review Board

Expert Answer

No, not necessarily. You only need to get tested if you develop any sores or become ill.

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