2010
DOI: 10.1097/ipc.0b013e3181e53813
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Methicillin-Resistant Staphylococcus aureus as the Most Common Cause of Perineal Abscesses

Abstract: Methicillin-resistant Staphylococcus aureus (MRSA) is increasingly recognized as an important pathogen in female reproductive health. Vulvar abscesses are also an increasingly common condition seen in the gynecologic field. This investigation demonstrates that MRSA is the most common cause of vulvar abscesses at a large urban women's hospital. No demographic factors were demonstrated to be sufficiently predictive of the presence of MRSA. Given these findings, empiric treatment with antimicrobials providing MRS… Show more

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Cited by 7 publications
(6 citation statements)
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References 10 publications
(11 reference statements)
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“…58,59 Thurman and Lareau have also documented MRSA as the most common cause in a series of vulvar abscesses among gynecologic patients, providing further evidence of risk in perineal infection. 23,24 Mastitis and breast abscess Approximately 20% of women experience mastitis postpartum. S. aureus species are the most common cause.…”
Section: Postpartum Infectionsmentioning
confidence: 99%
See 1 more Smart Citation
“…58,59 Thurman and Lareau have also documented MRSA as the most common cause in a series of vulvar abscesses among gynecologic patients, providing further evidence of risk in perineal infection. 23,24 Mastitis and breast abscess Approximately 20% of women experience mastitis postpartum. S. aureus species are the most common cause.…”
Section: Postpartum Infectionsmentioning
confidence: 99%
“…14 Both methicillin-sensitive S. aureus (MSSA) and MRSA are associated with chorioamnionitis and neonatal sepsis, lactational mastitis, breast abscess, perineal abscess, and infections associated with laceration/episiotomy as well as surgical site infection after cesarean birth. [14][15][16][17][18][19][20][21][22][23][24][25] The bacterium is also commonly seen during pregnancy as an SSTI.…”
mentioning
confidence: 98%
“…Postpartum mastitis and breast abscess in women and MRSA has also been reported by several other groups. [23][24][25] Other infections in the puerperium include perineal abscesses, 26,27 chorioamnionitis, 28 episiotomy site infections, 29 and wound infections associated with cesarean delivery. 19,22 Although MRSA is increasing as a cause of infectious morbidity in the obstetric population, a recent analysis concluded that universal screening and decolonization are currently not cost-effective.…”
Section: Obstetric Populationmentioning
confidence: 99%
“…[7][8][9]13 In addition, surgical treatment (incision and drainage) was added to the antibiotic treatment in most patients, both in-and outpatients. 1,8,9,[13][14][15] In our clinic, the abscess sites of all the patients that did not drain spontaneously were drained by incisional drainage, and the necrotic tissues were removed. Wound care was performed via dressings at least twice daily.…”
Section: Discussionmentioning
confidence: 99%
“…(Table 3). 4–7 Methicillin‐resistant Staphylococcus aureus (MRSA) was the most common pathogen in the largest series of studies 1,8–10 . Peled et al retrospectively analyzed cases of Bartholin and non‐Bartholin's abscess 1 .…”
Section: Discussionmentioning
confidence: 99%