I see you skimmed. I have exhausted my options for adult ID specialists in the area except for one, with whom I am on a long waiting list and from whom I don’t have reason to expect much attention. And I’m already using mupirocin for nasal and skin decolonization. The persisters are just too numerous and fast without disruption of the main reservoir. But thanks for the link anyway.
You could try to motivate them to treat MRSA carrier status even if you are not overtly infected by referring to data like this: https://www.jabfm.org/content/methicillin-resistant-staphylococcus-aureus-colonization-and-mortality-risk-among-community . One thing they may want to do first is a swab or two to verify your MRSA carrier status before treatment, so I’d consider stopping the mupirocin and other antibiotics at least a few days before the appointment to best culture things. Best wishes with the pending appointment(s).
You might benefit from investigating regimens for eradication of resistant staph colonization, in your case colonization of the nose / nasopharynx and skin. See for example https://www.sciencedirect.com/science/article/pii/S2666524724000405#:~:text=Nasal%20decolonisation%20is%20commonly%20accomplished,skin%20decolonisation%20(figure%203) or https://www.health.wa.gov.au/Articles/A_E/Decolonisation-treatment-for-MRSA . Note that some of these measures require a prescription, and for such I would suggest you consider a consultation with an infectious disease specialist. Note also that measures to remove staph (MRSA) colonization may fail if someone in the household or similar close contact is a carrier and passes it back to you after treatment. Perhaps you could discuss that with the infectious disease doc as well.
I see you skimmed. I have exhausted my options for adult ID specialists in the area except for one, with whom I am on a long waiting list and from whom I don’t have reason to expect much attention. And I’m already using mupirocin for nasal and skin decolonization. The persisters are just too numerous and fast without disruption of the main reservoir. But thanks for the link anyway.
You could try to motivate them to treat MRSA carrier status even if you are not overtly infected by referring to data like this: https://www.jabfm.org/content/methicillin-resistant-staphylococcus-aureus-colonization-and-mortality-risk-among-community . One thing they may want to do first is a swab or two to verify your MRSA carrier status before treatment, so I’d consider stopping the mupirocin and other antibiotics at least a few days before the appointment to best culture things. Best wishes with the pending appointment(s).