Wallin Thomas R, Hern H Gene, Frazee Bradley W
Department of Emergency Medicine, Alameda County Medical Center-Highland Campus, 1411 East 31st Street, Oakland, CA 94602, USA.
Emerg Med Clin North Am. 2008 May;26(2):431-55, ix. doi: 10.1016/j.emc.2008.01.010.
Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) has emerged over the last decade across the United States and the world, becoming a major pathogen in many types of community-acquired infections. Although most commonly associated with minor skin and soft tissue infections, such as furuncles, CA-MRSA also can cause necrotizing fasciitis, pyomyositis, osteoarticular infections, and community-acquired pneumonia. This article discusses the epidemiology, diagnosis, and management of these infections from the perspective of the emergency physician.
社区获得性耐甲氧西林金黄色葡萄球菌(CA-MRSA)在过去十年中在美国乃至全球范围内出现,已成为多种社区获得性感染中的主要病原体。虽然CA-MRSA最常与轻微的皮肤和软组织感染相关,如疖肿,但它也可引起坏死性筋膜炎、脓性肌炎、骨关节炎感染及社区获得性肺炎。本文从急诊医生的角度探讨这些感染的流行病学、诊断及管理。