Community-acquired methicillin-resistant Staphylococcus aureus in hospitalized adults and children without known risk factors
- PMID: 10589891
- DOI: 10.1086/520437
Community-acquired methicillin-resistant Staphylococcus aureus in hospitalized adults and children without known risk factors
Abstract
Community-acquired methicillin-resistant Staphylococcus aureus (MRSA) infections are not commonly recognized in healthy patients without predisposing risk. We performed a retrospective study of patients hospitalized with community-acquired MRSA infections from 1992 to 1996 in Honolulu to determine if community-acquired MRSA infections occurred in patients without known risk. Patients hospitalized within the previous 6 months or transferred from other hospitals or nursing homes were excluded. Epidemiological and clinical data were obtained from an inpatient chart review. Ten (71%) of 14 patients with community-acquired MRSA infection had no discernible characteristics of MRSA infections. Thirteen (93%) patients had skin or soft-tissue infections and one patient had MRSA pneumonia. Isolates from patients with MRSA infection were more likely to be susceptible to ciprofloxacin (P = .05), clindamycin (P = .03), and erythromycin (P = .01) than were those from MRSA-colonized patients. In our population, the majority of community-acquired MRSA infections occurred in previously healthy individuals without characteristics suggestive of MRSA transmission.
Comment in
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Editorial response: Community-acquired methicillin-resistant Staphylococcus aureus infections--where do we go from here?Clin Infect Dis. 1999 Oct;29(4):801-2. doi: 10.1086/520438. Clin Infect Dis. 1999. PMID: 10589892 No abstract available.
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