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John M. Boyce, MD

JAMA. 1998;279:623-624.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Strains of methicillin-resistant Staphylococcus aureus (MRSA) have emerged as important pathogens over the last 20 years, affecting primarily hospitalized patients.^1-2 Risk factors associated with acquiring MRSA in hospitals include prolonged hospitalization, receiving care in an intensive care unit, preceding antimicrobial therapy, surgical procedures, and proximity to another patient known to be colonized or infected with MRSA.^1-2 Typically, hospital-acquired strains of MRSA are multidrug resistant, ie, resistant to -lactam agents, to erythromycin and clindamycin, and frequently to gentamicin and ciprofloxacin.²

A few reports have described outbreaks of MRSA acquired in community settings by intravenous drug users, but this phenomenon has been reported from a limited number of geographic locations.^3-4 Occasional reports also have described acquisition of MRSA among individuals who had little or no direct contact with hospitals or other health care facilities.^5-7 Recently, investigators in Australia have reported that strains of MRSA appear to have been . . . [Full Text of this Article]

From the Division of Infectious Diseases, Miriam Hospital and Brown University, Providence, RI.

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