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社区获得性耐甲氧西林金黄色葡萄球菌引起的皮肤和软组织感染的流行病学、临床表现及治疗选择

Epidemiology, clinical manifestations, and treatment options for skin and soft tissue infection caused by community-acquired methicillin-resistant Staphylococcus aureus.

作者信息

Farley Jason E

机构信息

School of Nursing, Johns Hopkins University, Baltimore, Maryland 21287, USA.

出版信息

J Am Acad Nurse Pract. 2008 Feb;20(2):85-92. doi: 10.1111/j.1745-7599.2007.00290.x.

Abstract

PURPOSE

This article reviews the evolving epidemiology of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) and the appropriate outpatient management of CA-MRSA skin and soft tissue infection. Further, the paper will provide the basis upon which an individualized patient educational plan may be developed.

DATA SOURCES

To complete this review, a search of English language publications was conducted through Medline and CINAHL databases (1966-2006).

CONCLUSIONS

The epidemiology of CA-MRSA is becoming increasingly complex. Research that addresses the impact of this organism in high-risk populations and within families is urgently needed.

IMPLICATIONS FOR PRACTICE

Nurse practitioners must remain informed of the epidemiology of common and emerging drug-resistant organisms in their patient populations.

摘要

目的

本文回顾了社区获得性耐甲氧西林金黄色葡萄球菌(CA-MRSA)不断演变的流行病学情况以及CA-MRSA皮肤和软组织感染的适当门诊管理。此外,本文将为制定个性化患者教育计划提供依据。

数据来源

为完成本综述,通过Medline和CINAHL数据库(1966 - 2006年)对英文出版物进行了检索。

结论

CA-MRSA的流行病学正变得日益复杂。迫切需要开展研究以探讨该病原体在高危人群及家庭中的影响。

对实践的启示

执业护士必须了解其患者群体中常见及新出现的耐药病原体的流行病学情况。

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Infection by penicillin-resistant staphylococci.耐青霉素葡萄球菌感染。
Lancet. 1948 Oct 23;2(6530):641-4. doi: 10.1016/s0140-6736(48)92166-7.

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