Doctors Note Logo

Published on: 2/24/2026

Is it MRSA? Why your skin won’t heal and the medical steps to take.

There are several factors to consider when a skin sore will not heal: MRSA is possible if the area is red, swollen, warm, rapidly enlarging, painful, and draining pus, sometimes with fever, but only a clinician exam and a wound culture can confirm it.

Next steps include prompt medical evaluation for possible drainage and the right antibiotic, keeping the wound clean and covered, and preventing spread with good hygiene; see the complete guidance below for urgent red flags, who is at higher risk, and how look-alikes like cellulitis can change the care you need.

answer background

Explanation

Is It MRSA? Why Your Skin Won't Heal and the Medical Steps to Take

If you have a skin sore that isn't healing, keeps getting worse, or keeps coming back, it's natural to wonder: Is this MRSA?

MRSA is a common concern when skin infections don't improve as expected. While not every stubborn wound is MRSA, some are—and knowing the difference can help you take the right next steps.

Let's break down what MRSA is, why some skin infections won't heal, what warning signs to look for, and what you should do next.


What Is MRSA?

MRSA stands for Methicillin-Resistant Staphylococcus aureus. It's a type of staph bacteria that has become resistant to several common antibiotics.

Staph bacteria normally live on the skin and in the nose of many healthy people without causing harm. Problems happen when bacteria enter the body through:

  • Cuts
  • Scrapes
  • Bug bites
  • Surgical wounds
  • Shaving nicks
  • Cracked or irritated skin

Most staph infections are mild and treatable. MRSA, however, is harder to treat because common antibiotics may not work against it.

There are two main types:

  • Community-acquired MRSA (CA-MRSA): Often affects otherwise healthy people. Usually causes skin infections.
  • Healthcare-associated MRSA (HA-MRSA): Occurs in hospitals or long-term care settings and may cause more serious infections.

Why Won't Your Skin Heal?

Not all slow-healing wounds are MRSA. Several factors can delay healing:

1. Ongoing Bacterial Infection

If bacteria remain active in the wound, your immune system keeps fighting, preventing proper healing.

2. Poor Circulation

Conditions like diabetes or vascular disease reduce blood flow, which slows healing.

3. Repeated Irritation

Picking, squeezing, or rubbing a sore can reopen the wound.

4. Weak Immune System

Stress, illness, diabetes, or certain medications can reduce your body's ability to fight infection.

5. Incorrect Treatment

Using the wrong antibiotic—or stopping antibiotics too early—can allow resistant bacteria like MRSA to survive.

If your skin infection is not improving after a few days of proper care, or seems to be worsening, it's time to consider medical evaluation.


Signs That It Could Be MRSA

MRSA skin infections often look like common skin problems at first. They may resemble:

  • Pimples
  • Boils
  • Spider bites
  • Ingrown hairs

However, MRSA infections often develop certain characteristics:

  • Red, swollen, painful area
  • Warmth around the site
  • Pus or drainage
  • Rapid growth of the lesion
  • Fever (in some cases)

The area may start small but quickly become more painful or filled with pus.

One important note: MRSA cannot be diagnosed by appearance alone. A doctor may need to take a sample (culture) from the wound to confirm.


Could It Be Cellulitis Instead?

Sometimes what looks like a stubborn skin infection may actually be cellulitis or erysipelas, which are deeper skin infections.

Cellulitis symptoms often include:

  • Spreading redness
  • Swelling
  • Warm skin
  • Tenderness
  • Fever or chills

Unlike a boil or abscess, cellulitis usually doesn't form a visible pocket of pus.

If you're experiencing spreading redness, warmth, and swelling that may indicate a deeper skin infection, you can use a free Cellulitis / Erysipelas symptom checker to help assess your symptoms and determine how urgently you need medical attention.

This can help you decide how urgently you need medical care—but it should never replace seeing a doctor if symptoms are worsening.


When Is MRSA Serious?

Many MRSA skin infections are treatable and do not become life-threatening. However, MRSA can become serious if:

  • The infection spreads rapidly
  • You develop high fever
  • Red streaks appear on the skin
  • You feel dizzy, weak, or confused
  • The infection does not improve with treatment
  • You have underlying health conditions

In rare cases, MRSA can enter the bloodstream and cause severe illness. That's why early treatment matters.

This is not meant to scare you—but it is important to take persistent skin infections seriously.


Medical Steps to Take

If you suspect MRSA or any worsening skin infection, here are the appropriate next steps:

1. See a Doctor Promptly

A healthcare professional can:

  • Examine the wound
  • Determine if drainage is needed
  • Take a culture to test for MRSA
  • Prescribe appropriate antibiotics

Do not attempt to squeeze or drain the lesion yourself. This can spread infection.

2. Follow Prescribed Treatment Exactly

If antibiotics are prescribed:

  • Take the full course
  • Do not skip doses
  • Do not stop early, even if it looks better

Stopping early is one reason antibiotic resistance develops.

3. Keep the Area Clean and Covered

  • Wash gently with soap and water
  • Cover with a clean, dry bandage
  • Change dressings as instructed

4. Prevent Spread

MRSA spreads through direct contact.

To reduce risk:

  • Wash hands frequently
  • Avoid sharing towels, razors, or clothing
  • Launder clothing and bedding in hot water
  • Disinfect commonly touched surfaces

5. Monitor for Worsening Symptoms

Seek urgent care if you notice:

  • Rapid expansion of redness
  • Severe pain
  • High fever
  • Signs of dehydration
  • Confusion or weakness

Who Is at Higher Risk for MRSA?

Some people are more likely to develop MRSA infections:

  • Athletes in contact sports
  • Military recruits
  • People in crowded living conditions
  • Individuals with diabetes
  • Those with weakened immune systems
  • Recent hospitalization or surgery
  • People with recurrent skin infections

If you fall into one of these groups and develop a non-healing skin lesion, it's especially important to get evaluated.


Can MRSA Go Away on Its Own?

Small abscesses sometimes drain and improve on their own. However:

  • MRSA often requires medical drainage
  • Antibiotics may be necessary
  • Untreated infection can worsen

It's not wise to "wait it out" if the infection is painful, growing, or not improving within a few days.


Preventing Future MRSA Infections

Prevention focuses on hygiene and skin protection:

  • Clean cuts immediately
  • Keep wounds covered
  • Avoid picking at skin
  • Shower after workouts
  • Do not share personal items
  • Manage chronic conditions like diabetes carefully

If you experience repeated MRSA infections, your doctor may discuss decolonization strategies (such as medicated nasal ointment or antiseptic washes).


The Bottom Line

A skin sore that won't heal doesn't automatically mean MRSA, but it should not be ignored.

Key takeaways:

  • MRSA is a resistant form of staph bacteria.
  • It often looks like a painful boil or abscess.
  • Diagnosis requires medical evaluation.
  • Early treatment prevents complications.
  • Not all skin infections are MRSA—cellulitis and other conditions may look similar.
  • Hygiene and proper wound care are critical.

If your skin infection is worsening, spreading, extremely painful, or associated with fever, seek medical care promptly.

And if you're unsure whether your symptoms align with a deeper skin infection like Cellulitis / Erysipelas, consider using a symptom checker as a first step to understanding your condition before seeking professional medical advice.

Most importantly: Speak to a doctor about any infection that could be serious, life-threatening, or not improving. Early evaluation and proper treatment make a major difference.

Being cautious isn't overreacting—it's smart healthcare.

(References)

  • * Spellberg, B., & J. (2015). Diagnosis and management of skin and soft tissue infections caused by MRSA. *Infectious Disease Clinics of North America*, *29*(3), 517-532.

  • * O'Donnell, K. L., & Boyle, K. (2020). Management of non-healing wounds: A comprehensive review. *Advances in Skin & Wound Care*, *33*(9), 466-476.

  • * Wozniak, P. S., & O'Horo, J. C. (2021). Management of Skin and Soft Tissue Infections. *Infectious Disease Clinics of North America*, *35*(2), 481-499.

  • * Jenkins, K., & Moran, G. J. (2018). Recurrent skin and soft tissue infections: an update on diagnosis and management. *Current Opinion in Infectious Diseases*, *31*(4), 304-309.

  • * David, M. Z., & Cadman, E. T. (2019). Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) skin and soft tissue infections: a concise review. *Clinical Microbiology Reviews*, *32*(4), e00057-19.

Thinking about asking ChatGPT?Ask me instead

Tell your friends about us.

We would love to help them too.

smily Shiba-inu looking

For First Time Users

What is Ubie’s Doctor’s Note?

We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.

Learn more about diseases

Cellulitis / Erysipelas

Was this page helpful?

Purpose and positioning of servicesUbie Doctor's Note is a service for informational purposes. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.