This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on ISI (8)  • Contact me when this article is cited  Related Content  • Related articles  • Similar articles in JAMA  Topic Collections  • Drug Therapy, Other  • Public Health, Other  • Bacterial Infections  • Infectious Diseases, Other  • Alert me on articles by topic

It's Not Just for Hospitals

Elizabeth A. Bancroft, MD, SM

JAMA. 2007;298:1803-1804.

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

Methicillin-resistant Staphylococcus aureus (MRSA) is a well-known hospital pathogen. More than 10% of bloodstream infections in hospitals are due to MRSA, and patients with MRSA have worse outcomes than those with methicillin-sensitive S aureus.^1-2 In recent years, identification of MRSA in otherwise healthy individuals in the community (community-associated MRSA) has become increasingly common.

Health care–associated and community-associated MRSA have different clinical and molecular epidemiology. Health care–associated MRSA is associated with invasive disease, health care exposure, and multidrug resistance. Community-associated MRSA has been primarily reported in young, healthy individuals with no recent health care exposure. The strains have generally been sensitive to non–-lactam antibiotics, although most have had genes for the Panton-Valentine leukocidin and other enterotoxins that may make these strains more virulent.^3-5 Health care–associated MRSA is typified by a USA100 pulse-field electrophoretic pattern, while USA300 is the most commonly reported community-associated MRSA pattern . . . [Full Text of this Article]

Author Affiliation: Los Angeles County Department of Public Health, Los Angeles, California.

RELATED ARTICLES

Invasive Methicillin-Resistant Staphylococcus aureus Infections in the United States
R. Monina Klevens, Melissa A. Morrison, Joelle Nadle, Susan Petit, Ken Gershman, Susan Ray, Lee H. Harrison, Ruth Lynfield, Ghinwa Dumyati, John M. Townes, Allen S. Craig, Elizabeth R. Zell, Gregory E. Fosheim, Linda K. McDougal, Roberta B. Carey, Scott K. Fridkin, and for the Active Bacterial Core surveillance (ABCs) MRSA Investigators
JAMA. 2007;298(15):1763-1771.
ABSTRACT | FULL TEXT  

Emergence of a Multiresistant Serotype 19A Pneumococcal Strain Not Included in the 7-Valent Conjugate Vaccine as an Otopathogen in Children
Michael E. Pichichero and Janet R. Casey
JAMA. 2007;298(15):1772-1778.
ABSTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Staphylococcus aureus--Probing for Host Weakness?
Camargo and Gilmore
J. Bacteriol. 2008;190:2253-2256.
FULL TEXT  

A Cholesterol Biosynthesis Inhibitor Blocks Staphylococcus aureus Virulence
Liu et al.
Science 2008;319:1391-1394.
ABSTRACT | FULL TEXT  

Protecting Your Patients, Colleagues, Family, and Yourself From Infection: First Wash
Alspach
Crit Care Nurse 2008;28:7-12.
FULL TEXT  

Invasive MRSA Infections
JWatch Emergency Med. 2007;2007:2-2.
FULL TEXT  

Pneumococcal Otopathogen Not Vulnerable to Approved Antibiotics and Vaccine
JWatch Emergency Med. 2007;2007:3-3.
FULL TEXT  

MRSA in the U.S.
JWatch Infect. Diseases 2007;2007:2-2.
FULL TEXT  

New Worries About Multidrug-Resistant Bacteria
JWatch General 2007;2007:2-2.
FULL TEXT