When a Staph Infection Becomes Serious

The most common cause of a staph infection is bacteria that live harmlessly on many people—until invading an open wound or scratch.

staph infection

A staph infection can spread to the blood, bones, joints, and organs in the body, including the heart and brain.

© Kateryna Kon | Dreamstime.com

A “staph infection” (pronounced “staff” infection) is caused by Staphylococcus bacteria. You can recognize a staph infection by its red, swollen look. It looks like an abscessed insect bite, with a red rash. A staph infection is painful, and it’s often present in seemingly simple skin eruptions. Boils and cellulitis can be caused by a staph infection; the bacteria can invade something as minor as a pimple. According to the U.S. National Library of Medicine (Medline Plus), a staph infection can be caused by any one of 30 different bacteria, but the most common is Staphylococcus aureus.

The Staphylococcus bacteria most frequently cause skin infections but can also be responsible for:

Staph bacteria can be found on the human body—most commonly on the skin and in the nose. About 30 percent of us have the bacteria, according to the Centers for Disease Control and Prevention (CDC). The bacteria are harmless, until they end up in a scratch or wound.  When that happens, a staph infection develops.

Staph Infection Causes

Medline Plus says that your risk of contracting a staph infection increases if you:

  • Have an open cut or sore
  • Inject illegal drugs
  • Use a medical tube, such as urinary catheter or feeding tube
  • Have a medical device inside your body, such as an artificial joint
  • Live with a weakened immune system or chronic illness
  • Experience close contact with a person who has staph
  • Play contact sports or share athletic equipment
  • Share items such as towels, razors, or cosmetics with others
  • Recently stayed in a hospital or long-term care facility

Staph infection is often a problem in athletic programs, partially due to the frequent skin-to-skin contact. Staph infections are contagious.  In fact, if the bacteria are on a towel or clothing, it can spread to the next person who touches it. Professional football players Daniel Fells (Giants) and Lawrence Tynes (Buccaneers) each experienced a career-ending staph infection that developed into MRSA (methicillin-resistant Staphylococcus aureus), a dangerous antibiotic-resistant staph infection.

A staph infection can spread to the blood, bones, joints, and organs in the body, including the heart and brain.  Staph infection can cause:

  • Endocarditis (an infection of the lining of the heart)
  • Osteomyelitis (bone infection)
  • Pneumonia (lung infection)
  • Sepsis (life-threatening body infection)
  • Septic arthritis (infectious arthritis)

Reduce Your Staph-Infection Risk with Good Hygiene

The U.S. National Library of Medicine advises that you can reduce your risk of a staph infection if you:

  • Wash your hands frequently with soap and water or use an alcohol-based hand sanitizer.
  • Keep cuts and scrapes clean and covered with bandages until they heal.
  • Avoid contact with other people’s wounds or bandages.
  • Do not share personal items, such as towels, clothing, cosmetics, or bandages.
  • Shower right after exercising, but only in a clean shower.
  • Clean sporting equipment with antiseptic solution or wipes before using it.
  • Do not use a common whirlpool or sauna.

Diagnosing Staph Infection

A staph infection usually is diagnosed by visual examination by the physician and a culture of the blood or pus in the wound. The physician may also use a cotton swab to gather some nasal secretions, which are then cultured for evidence of the bacteria. The cotton-swab method commonly is used as a screening test for the bacteria, such as when you are admitted to a hospital.

Treatment for Staph Infection

Staph infections often abscess and are lanced and drained. A sample of the infected material is sent to a lab for a culture, which will indicate the drugs to which the sample is sensitive or resistant. With this information, the physician then chooses an antibiotic. Antibiotics can gain control of a staph infection and reduce the risk of recurrent infections.

A study conducted at the Southern Illinois University School of Medicine, published in the journal Clinical Infectious Diseases, evaluated 383 children (median age 3) with a staph infection that required incision and drainage.

A month after the initial infection, bacterial-swab tests found that about 50 percent of the children (178) who had received antibiotics had no signs of staph living on their skin or in their nostrils, reducing the risk of recurring infection. However, the bacteria remained on the skin of about 75 percent of the children (26) who did not receive antibiotics.

Additionally, children who remained colonized with staph a month after initial infection were about twice as likely to experience a recurrent infection than those who did not have staph on their skin. That’s 101 children (60 percent) compared with 54 children (30 percent).

“There have been conflicting data about the benefit to antibiotics in minor staph infections,” said the study’s senior author, Stephanie A. Fritz, MD, a Washington University associate professor of pediatrics in the Division of Infectious Diseases. “It is definitely important to surgically remove pus from the infection site, but also giving antibiotics means that the child will be less likely to see a doctor again in several months for another staph infection.”

Although it seems counterintuitive, prescribing antibiotics for a minor staph infection helps reduce antibiotic resistance, says the study’s first author, Patrick Hogan, a clinical research specialist at the School of Medicine. “Using antibiotics judiciously to treat staph infections eliminates staph colonization and prevents more infection from occurring in the future,” he said. “This reduces the overall burden of the staph germ on the environment and people, which results in less recurrence and, therefore, less antibiotic use.”

The study primarily evaluated the antibiotics clindamycin and trimethoprim-sulfamethoxazole (TMP-SMX). Of the two drugs, clindamycin was the most effective at eliminating staph colonization and preventing recurrent infection. Why clindamycin was superior to other antibiotics is unknown and warrants further study, Hogan said.

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Cindy Foley

Cindy Foley is the editor of several health reports, including Managing Your Cholesterol, Core Fitness, and Brain Power & Nutrition, among others. Foley has worked in the private medical practice field … Read More

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