Title |
Antibiotic therapy for the treatment of methicillin-resistant Staphylococcus aureus (MRSA) in non surgical wounds
|
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Published in |
Cochrane database of systematic reviews, November 2013
|
DOI | 10.1002/14651858.cd010427.pub2 |
Pubmed ID | |
Authors |
Kurinchi Selvan Gurusamy, Rahul Koti, Clare D Toon, Peter Wilson, Brian R Davidson, Gurusamy KS, Koti R, Toon CD, Wilson P, Davidson BR, Gurusamy, Kurinchi Selvan, Koti, Rahul, Toon, Clare D, Wilson, Peter, Davidson, Brian R |
Abstract |
Non surgical wounds include chronic ulcers (pressure or decubitus ulcers, venous ulcers, diabetic ulcers, ischaemic ulcers), burns and traumatic wounds. The prevalence of methicillin-resistant Staphylococcus aureus (MRSA) colonisation (i.e. presence of MRSA in the absence of clinical features of infection such as redness or pus discharge) or infection in chronic ulcers varies between 7% and 30%. MRSA colonisation or infection of non surgical wounds can result in MRSA bacteraemia (infection of the blood) which is associated with a 30-day mortality of about 28% to 38% and a one-year mortality of about 55%. People with non surgical wounds colonised or infected with MRSA may be reservoirs of MRSA, so it is important to treat them, however, we do not know the optimal antibiotic regimen to use in these cases. |
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