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Community-associated MRSA: Most Common Cause Of Skin Infection

In a study published in the August issue of The New England Journal of Medicine, UCLA researchers have reported methicillin-resistant Staphylococcus aureus (MRSA) to be// the most common cause of skin and soft tissue infection in communities across the nation. Many patients presenting to the emergency room with skin and soft tissue infections were found to be having MRSA infection that was resistant to traditional antibiotics, such as cephalexin and dicloxacillin, used to treat skin infections.

'The study points to the rising prevalence of this type of MRSA and the need for clinicians to culture infections and make sure the proper antibiotic is administered to treat MRSA,' said Dr. Gregory J. Moran, the study's principal investigator and a clinical professor of medicine in the department of emergency medicine and the Division of Infectious Diseases at Olive View–UCLA Medical Center.

Since the 1960s, MRSA has been found in health care settings, generally among patients who have been hospitalized or are in nursing homes. In the last few years, however, a new type of MRSA has emerged, affecting people with no connection to health care settings. Outbreaks of these new strains of MRSA have been reported among athletes, correctional facility inmates and military recruits. Still, the UCLA study demonstrates that the infections appear to be common in people who are not connected to any particular risk group.

'We noticed more patients showing up in our emergency room with infections that turned out to be community-associated MRSA and wanted to see if this was the case nationwide,' said Dr. David Talan, an author of the study and a professor of medicine in the Division of Infectious Diseases and chief of the department of emergency medicine at Olive View–UCLA Medical Center.

Community-associated MRSA most often manifests itself on the skin as a boil or pimple that can be swollen, red and painful, and have discharge.


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