title: Sentinel cases of community-acquired methicillin-resistant Staphylococcus aureus onboard a naval ship.
abstract: Methicillin-resistant Staphylococcus aureus (MRSA) is emerging as a community-acquired organism. A number of recent reports have documented its involvement in a variety of infections in which no risk factors for nosocomial transmission are present. This report presents the initial cases of a MRSA outbreak on a U.S. Navy ship. Each patient failed traditional antibiotic therapy and one required hospitalization. Their presentations evolved simultaneously and proved to be sentinel cases of an outbreak of cutaneous MRSA infections. The events of this outbreak emphasize the growing need to consider the prevalence of resistant organisms in outpatient settings, as well as the impact that infections from resistant organisms might have on the combat readiness of a military unit. Recommendations addressing infection-control guidelines for MRSA within close-quarter environments of healthy adults, such as military units, need to be developed and existing infection-control measures need to be regularly emphasized.
authors.affiliation: Navy Environmental and Preventive Medicine Unit 2, 1887 Powhatan Street, Norfolk, VA 23511-3394, USA.
authors.forename: James E
authors.initials: JE
authors.lastname: LaMar
authors.forename: Russell B
authors.initials: RB
authors.lastname: Carr
authors.forename: Craig
authors.initials: C
authors.lastname: Zinderman
authors.forename: Kimberly
authors.initials: K
authors.lastname: McDonald
mesh_terms: D000328:Adult; D017714:Community-Acquired Infections / Q000382:microbiology; D004196:Disease Outbreaks / Q000517:prevention & control; D006801:Humans; D008297:Male; D016106:Methicillin Resistance; D008889:Military Personnel; D009326:Naval Medicine; D017192:Skin Diseases, Bacterial / Q000188:drug therapy / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000187:drug effects*