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AAP Grand Rounds 3:14-15 (2000) Community-Acquired Methicillin-Resistant Staphylococcus AureusSource: Gorak EJ, Yamada SM, Brown JD. Community-acquired methicillin-resistant Staphylococcus aureus in hospitalized adults and children without known risk factors. Clin Infect Dis. 1999;29:797800.
Gorak et al report a retrospective chart review of patients with community-acquired methicillin-resistant Staphylococcus aureus (MRSA) infections admitted to Honolulus Tripler Army Medical Center from 1992 to 1996. Community-acquired MRSA was, by definition, isolated from cultures performed within 48 hours of admission. Patients were excluded from the study if they had been hospitalized within the prior 6 months or transferred from other hospitals or long-term care facilities. Risk factors for community-acquired MRSA infectionrecent hospitalization, transfer from another hospital or nursing home, intravenous drug use, prior antimicrobial use and underlying diseasewere tabulated as were epidemiologic and clinical data. Of 14 identified hospitalized patients, 6
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