Infection and Colonization in Epidermolysis Bullosa

June 1st, 2010

Mellerio JE – A balance exists between a wound’s bacterial load and the host defenses, such that there is a spectrum from simple contamination, through colonization, critical colonization, to overt infection. The increased bioburden in critically colonized or infected wounds impairs healing and therefore recognition of these situations, and appropriate measures to promote a healing environment, are fundamental to the care of EB wounds. read more

Preferred treatment and prevention strategies for recurrent community-associated methicillin-resistant Staphylococcus aureus skin and soft-tissue infections: A survey of adult and pediatric providers

June 1st, 2010

Mascitti KB et al. – Among pediatric and adult providers, 70% preferred trimethoprim–sulfamethoxazole for directed treatment of community–associated methicillin–resistant Staphylcoccus aureus skin and soft–tissue infections, although a higher proportion of pediatric compared with adult providers favored clindamycin. For recurrent infections, 88% of providers employed at least 1 topical decolonization strategy. read more

Current Microbiology of Surgical Site Infections Associated With Breast Cancer Surgery

May 26th, 2010

Rolston K et al. – Although all S aureus isolates were susceptible to vancomycin, 63% of methicillin–susceptible isolates and 82% of methicillin–resistant isolates had MIC values of > 1.0 (microgram)/mL for this agent, indicating the need for alternative therapeutic agents. The organisms were susceptible to trimethoprim/sulfamethoxazole, rifampin, linezolid, daptomycin, and tigecycline.
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Staphylococcus aureus Nasal Colonization and Subsequent Infection in Intensive Care Unit Patients: Does Methicillin Resistance Matter

May 12th, 2010

Honda H et al. – ICU patients colonized with S. aureus were at greater risk of developing a S. aureus infection in the ICU. Even after adjusting for patient–specific risk factors, MRSA–colonized patients were more likely to develop S. aureus infection, compared with MSSA–colonized or noncolonized patients. read more

Survey of employee knowledge and attitudes before and after a multicenter Veterans’ Administration quality improvement initiative to reduce nosocomial methicillin-resistant Staphylococcus aureus infections

May 11th, 2010

Burkitt KH et al. – In this multicenter study of VA employees, implementation of a MRSA quality improvement initiative was associated with temporal improvements in knowledge and perceptions regarding MRSA prevention.
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