Purulent Skin and Soft Tissue Infection
Introduction: Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) requently causes skin and soft tissue infections (SSTIs). Referring primary care physicians often prescribe inactive antibiotics when referring SSTIs caused by MRSA for incision and debridement. Methods: Demograph...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2010-10-01
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| Series: | Journal of Primary Care & Community Health |
| Online Access: | https://doi.org/10.1177/2150131910375295 |
| _version_ | 1828266583288446976 |
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| author | Steven Alexander Kahn MD Erika Venniro PA-C Ryan J. Beers BS Christopher W. Lentz MD, FACS, FACCM |
| author_facet | Steven Alexander Kahn MD Erika Venniro PA-C Ryan J. Beers BS Christopher W. Lentz MD, FACS, FACCM |
| author_sort | Steven Alexander Kahn MD |
| collection | DOAJ |
| description | Introduction: Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) requently causes skin and soft tissue infections (SSTIs). Referring primary care physicians often prescribe inactive antibiotics when referring SSTIs caused by MRSA for incision and debridement. Methods: Demographics and culture results (organism and sensitivity) were collected for patients treated for SSTI between 2007-2009. Antibiotic regimens started by referring PCPs were noted. Prevalence of MRSA and antibiotic resistance profiles were tabulated. Isolates resistant to the drug initially prescribed were also noted. Results: Of 187 patients, 40.1% grew MRSA. All MRSA was sensitive to doxycycline and trimethoprim-sulfamethoxazole, whereas 88% were sensitive to clindamycin and 79% to levofloxacin. 48% of patients received an antibiotic inadequate for their isolate before referral. Conclusions: CA-MRSA is extremely common. Patients are often prescribed antibiotics inadequate for MRSA. Doxycycline or trimethoprim-sulfamethoxazole with incision/drainage should be used as initial therapy for SSTI when MRSA is suspected. |
| first_indexed | 2024-04-13T04:55:01Z |
| format | Article |
| id | doaj.art-1d78343fbb4e440baa87064de30a2a38 |
| institution | Directory Open Access Journal |
| issn | 2150-1319 2150-1327 |
| language | English |
| last_indexed | 2024-04-13T04:55:01Z |
| publishDate | 2010-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Primary Care & Community Health |
| spelling | doaj.art-1d78343fbb4e440baa87064de30a2a382022-12-22T03:01:32ZengSAGE PublishingJournal of Primary Care & Community Health2150-13192150-13272010-10-01110.1177/2150131910375295Purulent Skin and Soft Tissue InfectionSteven Alexander Kahn MD0Erika Venniro PA-C1Ryan J. Beers BS2Christopher W. Lentz MD, FACS, FACCM3 University of Rochester Medical Center, Rochester, NY University of Rochester Medical Center, Rochester, NY University of Rochester Medical Center, Rochester, NY University of New Mexico Health Sciences Center, Albuquerque, NMIntroduction: Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) requently causes skin and soft tissue infections (SSTIs). Referring primary care physicians often prescribe inactive antibiotics when referring SSTIs caused by MRSA for incision and debridement. Methods: Demographics and culture results (organism and sensitivity) were collected for patients treated for SSTI between 2007-2009. Antibiotic regimens started by referring PCPs were noted. Prevalence of MRSA and antibiotic resistance profiles were tabulated. Isolates resistant to the drug initially prescribed were also noted. Results: Of 187 patients, 40.1% grew MRSA. All MRSA was sensitive to doxycycline and trimethoprim-sulfamethoxazole, whereas 88% were sensitive to clindamycin and 79% to levofloxacin. 48% of patients received an antibiotic inadequate for their isolate before referral. Conclusions: CA-MRSA is extremely common. Patients are often prescribed antibiotics inadequate for MRSA. Doxycycline or trimethoprim-sulfamethoxazole with incision/drainage should be used as initial therapy for SSTI when MRSA is suspected.https://doi.org/10.1177/2150131910375295 |
| spellingShingle | Steven Alexander Kahn MD Erika Venniro PA-C Ryan J. Beers BS Christopher W. Lentz MD, FACS, FACCM Purulent Skin and Soft Tissue Infection Journal of Primary Care & Community Health |
| title | Purulent Skin and Soft Tissue Infection |
| title_full | Purulent Skin and Soft Tissue Infection |
| title_fullStr | Purulent Skin and Soft Tissue Infection |
| title_full_unstemmed | Purulent Skin and Soft Tissue Infection |
| title_short | Purulent Skin and Soft Tissue Infection |
| title_sort | purulent skin and soft tissue infection |
| url | https://doi.org/10.1177/2150131910375295 |
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