Community Associated Methicillin-Resistant Staphylococcus Aureus: A Review

Michael J. Rybak, PharmD; Kerry L. LaPlante, PharmD

Disclosures

Pharmacotherapy. 2005;25(1):74-85. 

In This Article

Nonantimicrobial Options

For noncomplicated S. aureus skin and soft tissue abscesses, incision and drainage therapy, without the use of antibiotics, is generally adequate. One retrospective chart review addressed 69 children with skin and soft tissue abscesses caused by culture-proved CA-MRSA.[27] Treatment consisted of drainage and wound packing. All children received antibiotics; however, only 7% of patients were prescribed an antibiotic to which their CA-MRSA isolate was susceptible (treatment began before culture results were known). The investigators addressed the status of each infection at 2-6 months after presentation. They concluded that incision and drainage, without adjunctive antibiotic therapy, were effective for CA-MRSA skin and soft tissue abscesses with a diameter of less than 5 cm in immunocompetent children.

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