Friday, February 13, 2009

Friday the 13th and the Big Bad MRSA

So, goats get sick. As evidenced by my earlier post, sometimes they get mysterious sores. But, if there is no discomfort, and the sore heals well, one might think little of it. Until another goat gets a sore a week later, but maybe not the same type of sore. And it scabs and hangs on being sore, and losing a bit of hair with the scabs.

So you take a sample and send it to a lab for testing. Is it bacterial, virulent, or fungal? And what if the lab comes back saying it is bacterial, a staph-type bacteria, and as a courtesy to those who use the ranch, you have isolated the infected goats and posted signs that while you are investigating the problem, please remember what should be your usual care of general cleanliness and handwashing.

"Have you had a vet in to look at them?" People will ask. No, I called the local animal hospital for advice, took pictures, sent a sample off for testing. "But what about the health hazards?" What health hazards? We isolated the affected goats, we are using extra precautions in handling them. "We'll get our vet to come out!" Thanks, that's not needed. "Our vet will do the exam, we'll pay." Really, not necessary. "No, we insist."

We just got our results back from the lab, which show large numbers of staphylococcus aureous. Ok. A staph infection. Is it serious? Lab report says the staph was sensitive to every broad spectrum antibiotic, so easily treated. "Oh no, don't treat until our vet comes and checks it out! Kids use the ranch, we should know what it is before we treat it." But my vet says it is treatable. "The county council is involved now. We will examine your goats. You will cooperate."

This is weird. Why do I listen to this nonsense? Did they hear anything I have been saying? Oh, I get it, I'm not a vet, so of course, I probably contaminated the scab or something. That's it, the sensitive staph was mine. Whatever. Let him come. Not today? Three days from now? I thought it was an emergency for you. Poor boys. Delaying treatment and release from confinement because Daddy is too timid to believe in his own research, even when confirmed by a peer and a mentor. I'm not a trained vet. Neither are they. Maybe we don't know what we're doing.

So, the big day came--three days later. Not only did he examine the four isolated goats, but all goats on the premises. Found two fresh cases by then. Looks bad. "It may be staph aureus, but I want to speciate it." Huh? Staph aureus is the species, is it not? "Looking for subspecies ... Mersa is a big problem ... overuse of antibiotics ... should minimize exposure to children ... "

Sounds fishy to me... like someone who has been recently to a seminar on health problems in hospitals... but what do I know? Ok, so lockdown at the barn. No children. Minimize exposure. Only 1-2 people in barn to do the chores that once were shared by a dozen. Use chlorhexadine boot bath coming in and going out. I'm dying here. What happened to our cooperative educational ranch? What is "mersa" anyway??? Well, no time to find out, too much work shifting all our routines around to comply with biosecurity guidelines instituted by the officious, and turning our ideals of positive interaction and cooperation out with the footbath water. Vigilance committees report on violators to officials who have no jurisdiction, but who can make life uncomfortable... and do.

How long will this take? A few days for the culture to confirm staphylococcus aureus, another day for ... what was that? ... "speciation"? Repeated in a phone call. Yep. "Speciation".... "mersa". Do you mean by "speciation" the identification of the strain of staph? Looking for... MRSA? The strain of staph that has killed people in hospitals because it is so hard to kill?

But how could it be MRSA if it is not resistant to even the most commonly used antibiotics????

Sigh.