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Skin and soft tissue infections (SSTIs) caused by Staphylococcus aureus are among the most com- mon infections encountered by emergency department (ED) physicians and nurse practitioners. Until recently, clinical management of such infections consisted of incision and drainage and antibiotic therapy. Of concern is the growing prevalence of community-acquired methicillin-resistant S. aureus as the cause of SSTIs, thus requiring a change in clinical evaluation and management. In 2007, the Centers for Disease Control and Prevention issued management guidelines, but research indicates a wide variation in how ED clinicians manage patients. This research project describes the prevalence and clinical management of SSTIs in a suburban hospital’s ED. Key words: community-acquired methicillin-resistant Staphylococcus aureus, community-associated methicillin-resistant Staphylococ- cus aureus, emergency department, skin and soft tissue infections KIN AND SOFT TISSUE INFECTIONS Author Affiliations: Jefferson School of Nursing (Dr (SSTIs) are among the most common Manning), Thomas Jefferson University (Dr Yvette Sinfections encountered by emergency Winstead), Philadelphia, Pennsylvania; Aria Health Care System, Emergency Medicine, Langhorne, Penn- physicians and nurse practitioners. Surveys sylvania (Drs Yvette Winstead and Emmerich); John- conducted between 1997 and 2005 of office- son & Johnson, Pharmaceutical Development, Spring based physicians, hospital outpatient and House, Pennsylvania (Dr Denita Winstead); and
Advanced Emergency Nursing Journal – Wolters Kluwer Health
Published: Apr 1, 2010
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