Buehlmann Manuela, Chuard Christian
Klinik für Infektiologie und Spitalhygiene, Universitätsspital, 4031 Basel.
Rev Med Suisse. 2007 Oct 10;3(128):2289-90, 2292-3.
In the last decade, community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) have emerged in young, individuals without risk factors for MRSA acquisition. They mainly present with skin and soft tissue infections. CA-MRSA are genotypically and phenotypically differents from HA-MRSA. In case of recurrent or severe soft tissue infections, search for CA-MRSA should be performed. Treatment consists of incision and drainage of abscesses and furuncles. If antibiotics are needed, trimethoprim-sulfamethoxazole is the first choice. A specialist in infection control is advised for contact screening implementation of hygienic precautions and decolonization therapy.
在过去十年中,社区获得性耐甲氧西林金黄色葡萄球菌(CA-MRSA)在没有MRSA感染危险因素的年轻人中出现。它们主要表现为皮肤和软组织感染。CA-MRSA在基因型和表型上与医院获得性MRSA(HA-MRSA)不同。对于复发性或严重的软组织感染,应进行CA-MRSA检测。治疗包括切开引流脓肿和疖肿。如果需要使用抗生素,甲氧苄啶-磺胺甲恶唑是首选。建议感染控制专家实施接触筛查、卫生预防措施和去定植治疗。