Staphylococcal Infections

What are Staphylococcal (staph) infections?

Staphylococcus (staph) is a group of bacteria. There are more than 30 types. A type called Staphylococcus aureus causes most infections.

Staph bacteria can cause many different types of infections, including:

• Skin infections, which are the most common types of staph infections.
• Bacteremia, an infection of the bloodstream. This can lead to sepsis, a very serious immune response to infection.
• Bone infections.
• Endocarditis, an infection of the inner lining of the heart chambers and valves.
• Food poisoning.
• Pneumonia.
• Toxic shock syndrome (TSS), a life-threatening condition caused by toxins from certain types of bacteria.

What causes staph infections?

Some people carry staph bacteria on their skin or in their noses, but they do not get an infection. But if they get a cut or wound, the bacteria can enter the body and cause an infection.

Staph bacteria can spread from person to person. They can also spread on objects, such as towels, clothing, door handles, athletic equipment, and remotes. If you have staph and do not handle food properly when you are preparing it, you can also spread staph to others.

Who is more likely to get a staph infection?

Anyone can develop a staph infection, but certain people are more likely to get one, including those who:

• Have a chronic condition such as diabetes, cancer, vascular disease, eczema, and lung disease
• Have a weakened immune system, such as from HIV, medicines to prevent organ rejection, or chemotherapy
• Had surgery
• Are in the hospital
• Use a catheter, breathing tube, or feeding tube
• Have an implanted device, such as a pacemaker or artificial joint or heart valve
• Have burns, especially if they are deep or cover a large area of the body
• Are on dialysis
• Inject illegal drugs
• Do contact sports, since you may have skin-to-skin contact with others or share equipment

What are the symptoms of staph infections?

The symptoms of a staph infection depend on the type of infection:

• Skin infections can look like pimples or boils. They may be red, swollen, and painful. Sometimes there is pus or other drainage. They can turn into impetigo, which turns into a crust on the skin, or cellulitis, a swollen, red area of skin that feels hot.
• Bone infections can cause pain, swelling, warmth, and redness in the infected area. You may also have chills and a fever.
• Endocarditis causes some flu-like symptoms: fever, chills, and fatigue. It also causes symptoms such as rapid heartbeat, shortness of breath, and fluid buildup in your arms or legs.
• Food poisoning typically causes nausea and vomiting, diarrhea, and fever. If you lose too many fluids, you may also become dehydrated.
• Pneumonia symptoms include a high fever, chills, and cough that doesn't get better. You may also have chest pain and shortness of breath.
• Toxic shock syndrome (TSS) causes high fever, sudden low blood pressure, vomiting, diarrhea, and confusion. You may have a sunburn-like rash somewhere on your body. TSS can lead to organ failure.

How are staph infections diagnosed?

Your health care provider will do a physical exam and ask about your symptoms. Often, providers can tell if you have a staph skin infection by looking at it. To check for other types of staph infections, providers may do a culture, with a skin scraping, tissue sample, stool sample, or throat or nasal swabs. There may be other tests, such as imaging tests, depending on the type of infection.

What are the treatments for staph infections?

Treatment for staph infections is antibiotics. Depending on the type of infection, the antibiotics might be a cream, ointment, medicines (to swallow), or intravenous (IV) medicine. If you have an infected wound, your provider might drain it. Sometimes you may need surgery for bone infections.

Some staph infections, such as MRSA (methicillin-resistant Staphylococcus aureus), are resistant to many antibiotics. There are still certain antibiotics that can treat these infections.

Can staph infections be prevented?

Certain steps can help to prevent staph infections:

• Use good hygiene, including washing your hands often.
• Don't share towels, sheets, or clothing with someone who has a staph infection.
• It's best not to share athletic equipment. If you do need to share, make sure that it is properly cleaned and dried before you use it.
• Practice food safety, including not preparing food for others when you have a staph infection.
• If you have a cut or wound, keep it covered.

Streptococcal Infections

Strep is short for Streptococcus, a type of bacteria. There are several types. Two of them cause most of the strep infections in people: group A and group B.

Group A strep causes:

• Strep throat - a sore, red throat. Your tonsils may be swollen and have white spots on them.
• Scarlet fever - an illness that follows strep throat. It causes a red rash on the body.
• Impetigo - a skin infection
• Toxic shock syndrome
• Cellulitis and necrotizing fasciitis (flesh-eating disease)

Group B strep can cause blood infections, pneumonia and meningitis in newborns. A screening test during pregnancy can tell if you have it. If you do, intravenous (IV) antibiotics during labor can save your baby's life. Adults can also get group B strep infections, especially if they are 65 or older or already have health problems. Strep B can cause urinary tract infections, blood infections, skin infections and pneumonia in adults.

Antibiotics are used to treat strep infections.

Bird Flu

What is bird flu?

Birds, just like people, can get the flu. Another name for bird flu is avian influenza. The viruses that cause bird flu normally only infect birds, including chickens, other poultry, and wild birds such as ducks. But sometimes the viruses can infect other animals and, in rare cases, people.

A few types of these viruses have caused most of the infections in people. They are the H5N1, H7N9, and H5N6 viruses. These infections in people have mainly been in Asia, Africa, Europe, the Pacific, and the Near East. Although it's very rare, there have also been some infections in people in the United States.

How do you get bird flu?

The most common ways you can get bird flu are from:

• Touching your eyes, nose, or mouth after handling infected live or dead birds
• Touching surfaces or handling items contaminated by bird flu viruses and then touching your eyes, nose, or mouth
• Breathing in droplets or dust contaminated with the virus

It's also possible (but very rare) to get bird flu from:

• Another type of animal who has bird flu. Bird flu can also infect many other animals, including some dogs, cats, certain wild and zoo animals, and livestock such as cattle. These animals can then spread the flu to people.
• Another person.
• Eating poultry, eggs, and beef that were not properly handled and cooked.
• Drinking raw milk.

Who is more likely to get bird flu?

Certain people may be more likely to get bird flu, including:

• Poultry workers
• Animal handlers
• Wildlife biologists
• Disease control workers
• Research laboratory workers
• Veterinarians
• People who travel to countries where bird flu is present

What are the symptoms of bird flu in humans?

Sometimes bird flu doesn't cause any symptoms. But if you do feel sick, your symptoms can range from mild to severe. Often, the symptoms are similar to the (seasonal) flu, such as:

• Fever (but not everyone has a fever)
• Cough
• Sore throat
• Runny or stuffy nose
• Muscle or body aches
• Fatigue
• Headaches
• Eye redness (conjunctivitis)
• Trouble breathing
• Diarrhea

People with severe illness from bird flu may have pneumonia and might need to be hospitalized.

How is bird flu diagnosed?

Laboratory testing is used to diagnose bird flu. It's usually done with a nasal or throat swab. This testing is more accurate when the swab is collected during the first few days of illness.

For people who are severely ill, health care providers may do testing of a different sample, such as fluid taken during a bronchoalveolar lavage or other procedure.

What are the treatments for bird flu?

Bird flu is treated with antiviral medicines. It's important to get them as soon as possible. The medicines may make your illness less severe.

You may also be given antiviral medicines if you were exposed to a person or animal who has the virus. This may help prevent you from getting sick.

Can bird flu be prevented?

There is currently no vaccine available to the public. The government has developed a virus that is similar to some H5N1 viruses. The virus could be used to produce a vaccine for people, if needed.

It's important to take precautions to prevent bird flu:

• If you have a job or pastime that puts you in contact with birds or other animals, make sure to use proper protective equipment.
• Otherwise try to avoid direct contact with wild birds and other animals.
• Wash your hands with soap and water after touching birds or other animals.
• Since it's possible to get bird flu through some foods, make sure to handle and cook your food safely and avoid raw milk.

Centers for Disease Control and Prevention

Breathing Problems

When you're short of breath, it's hard or uncomfortable for you to take in the oxygen your body needs. You may feel as if you're not getting enough air. Sometimes you can have mild breathing problems because of a stuffy nose or intense exercise. But shortness of breath can also be a sign of a serious disease.

Many conditions can make you feel short of breath:

• Lung conditions such as asthma, emphysema, or pneumonia
• Problems with your trachea or bronchi, which are part of your airway system
• Heart disease can make you feel breathless if your heart cannot pump enough blood to supply oxygen to your body
• Anxiety and panic attacks
• Allergies

If you often have trouble breathing, it is important to find out the cause.

Chest Pain

Having a pain in your chest can be scary. It does not always mean that you are having a heart attack. There can be many other causes, including:

• Other heart problems, such as angina
• Panic attacks
• Digestive problems, such as heartburn or esophagus disorders
• Sore muscles
• Lung diseases, such as pneumonia, pleurisy, or pulmonary embolism
• Costochondritis - an inflammation of joints in your chest

Some of these problems can be serious. Get immediate medical care if you have chest pain that does not go away, crushing pain or pressure in the chest, or chest pain along with nausea, sweating, dizziness or shortness of breath. Treatment depends on the cause of the pain.