Skip to main content

Community Acquired Methicillin-Resistant Staphylococcus Aureus (CA-MRSA) Skin Infections

Stephen A. Martin, EdM, MD and Paul P. Belliveau, PharmD Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) has unique properties that allow the organism to cause skin and soft tissue infections (SSTIs) in healthy hos...

DIAGNOSIS

HISTORY

  • Review risk factors.

  • “Spider bite” is commonly confused with MRSA—patients often report a history of spider bite.

  • Prior CA-MRSA skin infection

  • Risk factors alone cannot rule in or rule o...

TREATMENT

  • For purulent infections, surgical drainage for abscesses, wound culture, and narrow-spectrum antimicrobials.

  • See Alert section regarding use of antibiotics in uncomplicated cases.

  • Use antibiot...

ONGOING CARE

Patients who present with intravenous drug use should be effectively connected to ongoing substance use disorder care. 

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

For outpatients: promptly...

REFERENCES

1
Stevens  DL, Bisno  AL, Chambers  HF, et al; for Infectious Diseases Society of America. Practice guidelines for the diagnosis and management of skin and soft tissu...

ADDITIONAL READING

  • Breyre A, Frazee BW. Skin and Soft Tissue Infections in the Emergency Department. Emerg Med Clin North Am. 2018 Nov;36(4):723-750.

  • ...

CODES

ICD10

  • A49.02 Methicillin resis staph infection, unsp site

  • A41.02 Sepsis due to Methicillin resistant Staphylococcus aureus

  • J15.212 Pneumonia due to Methicillin resistant Staphylococcus aureus

  • Z22.32...

CLINICAL PEARLS

  • Incise and drain abscesses and send purulent material for culture and sensitivity.

  • Local susceptibility patterns of CA-MRSA should guide empiric antibiotic treatment.

  • Expect clinical imp...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×