Magan Medical Clinic, Dermatology
We provide quality dermatology care with compassion. Our specialty is medical dermatology, including:
If you have psoriasis or hair questions, Dr. Chiang possesses special expertise. He completed fellowships in both fields at University of California, San Francisco where he saw a wide spectrum of patients (including the most severe), performed clinical trials, and published research.
We take pleasure in serving our community including Covina, West Covina, San Dimas, Rancho Cucamonga, Baldwin Park, Azusa, Glendora, Upland, El Monte, Duarte, Monrovia, Arcadia, La Puente, and Diamond Bar.
Same day appointments often available. No referral is necessary if you have PPO insurance. We accept a wide range of insurance plans (unfortunately, we do not accept Medi-Cal as primary insurance, only as secondary insurance).
For appointments, please call (626) 331-6411. We look forward to serving you!
"Whatís New in..."
A monthly column by Dr. Chiang
What's New in MRSA colonization
I have been seeing an increasing number of infections, including MRSA bacteria, in my patients. This has been especially true among my teenage and college patients who play sports. Recently, a solid study corroborated what I see and showed that 8-13% of athletes are colonized with MRSA. The colonization is especially in the nostrils, but also groin (inguinal) and armpits (axillary) areas. The sports with the highest risk were wrestling (22%), football (8%), and basketball (8%). I also see high rates among patients who use mats (martial arts, gymnastics, yoga) and frequent public gym usage. The reason this is a concern is that MRSA colonization increases the risk of MRSA infection elsewhere on the body by at least 7-fold. This includes boils (furuncles), superficial skin infections (impetigo), and deep skin infections (cellulitis).
Practically speaking, if a patient has repeated infections, I oftentimes recommend treating the colonization as well. Nasal colonization is usually treated with a prescription antibiotic ointment. Studies sometimes use oral antibiotics to increase efficacy for the nose while treating the rest of the body. When possible, I prefer to avoid oral antibiotics especially when there is not an active MRSA infection and sometimes recommend whatís called a bleach bath that I explain during the appointment (please do NOT pour undiluted bleach onto the skin!). When patients perform the decolonization, I usually never see them with an active skin infection again.
If you have a skin infection or any other skin question, please make an appointment for dermatology consultation at (626) 331-6411 to discuss your options.
Charles Chiang, MD, FAAD
- Karanika S, et al. Colonization With Methicillin-resistant Staphylococcus aureus and Risk for Infection Among Asymptomatic Athletes: A Systematic Review and Metaanalysis.. Clin Infect Dis 2016
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