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Written by MominCalif
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04 December 2009
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December 1, 2008
Consultant.
Vol. 48
No. 13
Prevention of Recurrent MRSA Skin Infections: What You Need to Know
STEVEN C. BUCKINGHAM, MD
University of Tennessee
Dr Buckingham is associate professor of pediatrics, in the division of
infectious disease, at University of Tennessee Health Science Center in
Memphis, and he is affiliated with the Children’s Foundation Research
Center at Le Bonheur Children’s Medical Center, also in Memphis.
Clinicians often prescribe topical, intranasal, or systemic
antimicrobial agents to patients with recurrent skin infections caused
by methicillin-resistant Staphylococcus aureus (MRSA) in an
effort to eradicate the staphylococcal carrier state. Some agents can
temporarily interrupt staphylococcal carriage, but none has been proved
effective for prevention of skin infections caused by MRSA. Extant data
do not support the routine prescription of topical antiseptics or of
intranasal or systemic antibiotics for the prevention of MRSA skin
infections. Hygienic interventions, especially frequent hand washing
with plain soap and the use of alcohol-based hand sanitizers, remain
the cornerstone of efforts to prevent recurrent infections.
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