How do you prevent staphylococci

Cystic fibrosis - Staphylococcus aureus

Staphylococci can be treated well with antibiotics. Medicines in tablet form or as juice are particularly suitable for this. Many antibiotics that are inhaled or injected intravenously for Pseudomonas infection are also effective against staphylococci.

Some antibiotics work against many different types of bacteria (broad-spectrum antibiotics), others against specific pathogens (narrow-spectrum antibiotics). The latter group includes flucloxacillin, which is particularly effective against S.aureus. Broad-spectrum antibiotics such as cephalosporins or cotrimoxazole also help against staphylococci.











When do staphylococci need to be treated for cystic fibrosis?

Doctors recommend antibiotic treatment if staphylococci are found in the throat swab or sputum. This also applies if there are no complaints. The duration of treatment is usually two to four weeks.

In addition, treatment with staphylococcal antibiotics is recommended if colds or infections of the airways with increased cough and sputum occur. Other infections with fever that last longer than two days should also be treated with antibiotics. This prevents staphylococci from spreading as part of other infections.

Long term treatment

In many cases, antibiotics against staphylococci are prescribed for cystic fibrosis for months or years. The criteria for this differ between the cystic fibrosis outpatient departments, and experts still do not fully agree on the best course of action.

It is best to discuss the advantages and disadvantages of the various strategies with your doctor.

Even babies with cystic fibrosis are often colonized with staphylococci. Many experts therefore consider long-term, preventive antibiotic treatment to be useful in the first two years of life in order to reduce the risk of early lung damage. In the UK, infants and young children are given an antibiotic for staphylococci until they are 2 years old.

Doctors rarely recommend long-term therapy for children or adultsS. aureus. Namely, there is evidence that such long-term treatment may occurP. aeruginosa could favor.

Antibiotics for inhalation specifically againstS. aureus have not yet been investigated in clinical trials. Unlike P. aeruginosa therefore, one does not know how great the benefit of inhaled antibiotics against staphylococci is.











How successful is the antibiotic treatment?

If antibiotics have been taken consistently for three weeks, there are usually no more staphylococci to be found immediately after treatment. Many patients also report more stable health: they have less cough, better appetite and feel more productive. Lung function improves in the majority of patients, and FEV1 increases by a few percent after treatment. However, staphylococci are found again in many patients after a few months and most of the time it is the same strain as before. Then antibiotics are given again.

What else can help against staphylococci?

Since staphylococci can also be detected in sputum, thorough cleaning of the lungs also helps to reduce the number of bacteria. Inhalations to loosen the mucus in the airways, physiotherapy and exercise are therefore also important and effective measures against bacteria. The old motto "where there is no slime, there no germ" is still valid.

A normal body weight is also beneficial. Malnourished people have fewer opportunities to successfully fight infections in the body. Eating well and taking enough pancreatic enzymes thus indirectly helps against infections.