| Mastitis and methicillin-resistant Staphylococcus aureus (MRSA): the calm before the storm? | |
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MedLine Citation:
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PMID: 19232875 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Post-partum mastitis is a common infection in breastfeeding women, with an incidence of 9.5-16% in recent literature. Over the past decade, community-acquired methicillin-resistant Staphylococcus aureus (MRSA) has emerged as a significant pathogen in soft-tissue infections presenting to the emergency department. The incidence of mastitis caused by MRSA is unknown at this time, but likely increasing. OBJECTIVES: We review the data on prevention and treatment of mastitis and address recent literature demonstrating increases in MRSA infections in the post-partum population and how we should change our practices in light of this emerging pathogen. CASE REPORT: We present a case of simple mastitis in a health care worker who failed to improve until treated with antibiotics appropriate for a MRSA infection. CONCLUSION: Recent evidence suggests that just as MRSA has become the prominent pathogen in other soft-tissue infections, mastitis is now increasingly caused by this pathogen. Physicians caring for patients with mastitis need to be aware of this bacteriologic shift to treat appropriately. |
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Authors:
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Elizabeth M Schoenfeld; Mary Pat McKay |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-02-20 |
Journal Detail:
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Title: The Journal of emergency medicine Volume: 38 ISSN: 0736-4679 ISO Abbreviation: J Emerg Med Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-05-10 Completed Date: 2010-09-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8412174 Medline TA: J Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: e31-4 Citation Subset: IM |
Copyright Information:
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Copyright (c) 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Emergency Medicine, George Washington University, Washington, DC, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anti-Bacterial Agents / therapeutic use* Clindamycin / therapeutic use* Community-Acquired Infections / drug therapy Female Humans Mastitis / drug therapy*, microbiology Methicillin-Resistant Staphylococcus aureus* / isolation & purification Staphylococcal Infections / drug therapy* |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents; 18323-44-9/Clindamycin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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