True Community-Acquired Methicillin-Resistant Staphylococcus aureus Bacteremia

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) recently has been reported as an outpatient pathogen. We assessed this and found our institution's frequency quite low. Only 16 patients (4%) had true community-acquired MRSA bacteremia. Ten had no recorded previous hospitalization; twelve (75%) had significant underlying medical problems. Substance abuse and prior outpatient antibiotic use were not identified as major risks for community-acquired MRSA bacteremia.

Prevalence of methicillin-resistant Staphylococcus aureus (MRSA) among patients visiting the emergency room at a tertiary hospital in Brazil

“…These reports usually involved patients with recognized predisposing risk factors, such as intravenous drug use, serious illness (cardiovascular, diabetes mellitus, AIDS, carcinoma or renal failure), previous antibiotic therapy or residence in a nursing home [4][5][6][7][8][9]. Cases of community-acquired infections with methicillin-resistant S. aureus have also been reported [6,[10][11][12].…”

Joint effort to improve quality in a Brazilian public pediatric hospital through cross-infection control

“…Lidamos com sistemas vivos e dinâmicos e introjetarmos essa complexa relação "agente -hospedeiro -ambiente" torna-se condição sine qua non para a harmonia da mesma, diante de um cenário biodiverso e cada vez mais amplo de opções terapêuticas. O perfeito entrosamento entre o laboratório de microbiologia, as CCIHs, clínicos, cirurgiões e demais membros da equipe de saúde, faz-se hoje, mais do que nunca, necessário, uma vez que, no cenário contemporâ-neo, microoganismos resistentes não respeitam fronteiras hospitalares e comunitárias 20 .…”

A 65-Year-Old Woman With Acute Cough Illness and an Important Engagement

“…[1][2][3] Though initially restricted to hospital settings, antibiotic resistance is now rising among important community-acquired bacterial pathogens, particularly S pneumoniae, 52,65,66 Staphylococcus aureus, 67,68 and Escherichia coli. [69][70][71][72] Special attention to drug-resistant S pneumoniae (DRSP) is warranted, since this pathogen is a leading cause of ear and sinus infections, community-acquired pneumonia, sepsis, and meningitis in the United States.…”