title: Otolaryngologic community-acquired MRSA infections in a suburban private practice.
abstract: A retrospective review was conducted of all cases of head and neck community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infections seen in the senior author's suburban private practice during a 12-month period. An office and hospital chart review was performed for all patients identified with culture-positive CA-MRSA infections. Several parameters were evaluated, including site of infection, prior therapy, imaging, comorbid disease, culture and sensitivities, surgical and medical management, and long-term results. Of the 10 patients identified, 3 had infections of nasal soft tissues, 3 had infections of the lips, 2 had infections of the paranasal sinus, 1 had an infection of the chin, and 1 had a diffuse, hemifacial infection. All patients were managed successfully with a combination of surgical drainage, wound care, and antibiotics. CA-MRSA is a burgeoning problem in otolaryngology. Appropriate management-including early recognition, appropriate empirical therapy, prompt and thorough surgical drainage with culture and sensitivities, correct antibiotic choice, and meticulous postoperative care-appears to offer excellent results.
authors.affiliation: Department of Surgery, Kansas City University of Medicine and Biosciences, Kansas City, USA. gshawmd@kc.rr.com
authors.forename: Gary Y
authors.initials: GY
authors.lastname: Shaw
authors.forename: Shari V
authors.initials: SV
authors.lastname: Montandon
authors.forename: Michael R
authors.initials: MR
authors.lastname: Driks
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D017714:Community-Acquired Infections; D005260:Female; D006801:Humans; D007615:Kansas; D055624:Methicillin-Resistant Staphylococcus aureus; D008875:Middle Aged; D010038:Otorhinolaryngologic Diseases / Q000453:epidemiology / Q000382:microbiology*; D011331:Private Practice; D012189:Retrospective Studies; D012307:Risk Factors; D013203:Staphylococcal Infections / Q000453:epidemiology; D013383:Suburban Population; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents