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Eplasty. 2009 Nov 20;9:e56.

Impact of methicillin-resistant Staphylococcus aureus on treatment of hand infections.

Author information

  • 1Department of Surgery, Division of Plastic Surgery, Johns Hopkins University, Baltimore, MD, UAS. slifche1@jhmi.edu

Abstract

OBJECTIVE:

With the increasing incidence of methicillin-resistant Staphylococcus aureus (MRSA) in hand infections in urban centers, multiple studies have recommended using MRSA-effective antibiotics as first-line treatment of hand infections. This study assesses the effect of adopting this recommendation for the treatment of hand infections at the authors' hospital.

METHODS:

Patients with hand infections drained in the authors' hospital were prospectively enrolled in an observational study over a 12-month period. Culture results and response to treatment were recorded.

RESULTS:

Twenty-two patients met inclusion criteria. Eleven of 14 patients with S aureus infections had MRSA. All of these patients responded to the initial antibiotic selected. Two patients had infections that did not respond to trimethoprim-sulfamethoxazole. One grew group A Streptococcus infection, and the other had lymphangitic streaking that suggested Streptococcus infection.

CONCLUSION:

Because of the high prevalence of MRSA among hand infections at the authors' institution, we continue to prescribe MRSA-effective antibiotics as first-line treatment of hand abscesses. Close follow-up is still necessary to confirm that each patient has responded appropriately to treatment or to allow modification of the treatment plan if the patient has not responded to treatment.

PMID:
20027204
[PubMed]
PMCID:
PMC2785048
Free PMC Article
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