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Evaluation of the Microbiology of Soft-Tissue Abscesses in the Era of Community-Associated Strains of Methicillin-Resistant Staphylococcus aureus: An Argument for Empirical Contact Precautions

Published online by Cambridge University Press:  02 January 2015

Thomas R. Talbot*
Affiliation:
Division of Infectious Diseases in the Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee Departments of Preventive Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee
Joseph J. Nania
Affiliation:
Division of Infectious Diseases in the Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee
Patty W. Wright
Affiliation:
Division of Infectious Diseases in the Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee
Ian Jones
Affiliation:
Emergency Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee
Dominik Aronsky
Affiliation:
Emergency Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee
*
A-2200 Medical Center North, 1161 21 st Avenue South, Vanderbilt University Medical Center, Nashville, TN 37232 ([email protected])

Abstract

To ascertain the microbiology of skin abscesses, emergency department records were reviewed to identify patients with debrided skin abscesses. Methicillin-resistant Staphylococcus aureus was isolated from 255 (67.6%) of 377 culture samples from episodes in the adult cohort and from 145 (79.7%) of 182 culture samples from episodes in the pediatric cohort. Thus, empirical use of contact precautions for patients with skin abscesses should be strongly considered.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2007

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