Necrotizing Community-Acquired Methicillin-Resistant Staphylococcus Aureus Pneumonia

Abstract

Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) skin infections have been common in prisons for more than a decade. However, CA-MRSA as a cause of pneumonia has been reported infrequently. This infection can present with flu-like symptoms and rapidly progress, possibly leading to death in a matter of days. Two cases of MRSA community-acquired pneumonia (CAP) associated with influenza-like illness in correctional officers employed in two separate prisons within the California prison system are presented. Both individuals were previously healthy, but one died of this disease. MRSA is an uncommon, but now recognized, cause of CAP. These cases are notable for their unique presentation and occurrence in non-health care, occupational settings. Prompt diagnosis and intervention by occupational health nurses and physicians are critical to improving outcomes, especially in high-risk settings such as prisons. These worksites need an effective occupational health program to manage MRSA, with adequate training for both employees and inmates. C ommunity-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) is an uncommon cause of pneumonia. The actual incidence is unknown. MRSA community-acquired pneumonia (CAP) can present with flu-like symptoms and rapidly progress, possibly resulting in death in a matter of days.

O impacto das doenças infectocontagiosas na saúde dos profissionais das penitenciárias: revisão integrativa

“…Estudo (Busatto et al, 2017) transversal realizado em 2015, com 114 trabalhadores do sistema prisional do Rio Grande do Sul, identificou que a frequência de trabalhadores do sexo masculino foi de 58,1% e faixa etária de 30 a 39 anos, apresentando tempo de trabalho médio de sete a oito anos, além do fato de que mais de 20% dos trabalhadores relataram já ter tido alguma doença pulmonar, como pneumonia (Kohli;Kochie;Harber, 2011). E, quanto ao tempo médio de trabalho dos profissionais, era superior a dez anos e estes apresentavam maior possibilidade de ser reativos para TB.…”

Methicillin‐resistant Staphylococcus aureus skin and soft tissue infections in young people in custody in New South Wales

“…All of the young people with SSTIs avoided serious infection, which may in part be due to the early treatment and monitoring of these infections by the health centres. In addition, more than 90% of young people in NSW custody receive a seasonal influenza vaccination, thus protecting them from the rare but potentially lethal complication of MRSA‐related necrotising pneumonia, which is described in previously healthy adolescents (and custodial officers) who contract influenza …”

Prise en charge multidisciplinaire des pneumopathies nécrosantes ventilées

“…Parmi les souches de Staphylococcus aureus, celles produisant la toxine de Panton-Valentine semblent plus fréquemment responsables de pneumonies nécrosantes [16,17]. Les PN communautaires à Staphylococcus aureus méticilline-résistant ont surtout été rapportées aux États-Unis [32]. En France, sauf exception, il s'agit de souches de staphylococcus aureus méticilline-sensibles.…”