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THERAPEUTIC STRATEGIES Epidemiological studies suggest that an empiric approach to the treatment of suspected nosocomial infection with possible MRSA should be based on the presence of coexisting illness, prior treatment (including antibiotic therapy), and the duration of hospitalisation. Vancomycin and teicoplanin Vancomycin is the drug of choice for the treatment of established MRSA.

Vancomycin remains the drug of choice for critically ill patients with MRSA infections. Key references Lowy FD. Diclofenac Sodium 1.5% Solution and Menthol 10% Topical Liquid (Diclostream)- FDA of Azelaic Acid (Finacea Gel)- Multum JE, Bojaro DJ, Suter PM, Hepatitis B Immune Globulin (Human) (HyperHep B)- FDA al.

The prevalence of nosocomial infection in intensive care units in Europe. OpenUrlCrossRefPubMedWeb of ScienceMerrer J, Santoli F, Appere de Vecchi C, et al. OpenUrlCrossRefPubMedWeb of ScienceChaix C, Durand-Zaleski I, Alberti C, et al. Control of endemic methicillin-resistant Staphylococcus aureus: a cost-benefit analysis in an intensive care unit.

OpenUrlCrossRefPubMedWeb of SciencePujol M, Pena C, Pallares R, et al. Nosocomial Staphylococcus aureus bacteremia among nasal carriers of methicillin-resistant and methicillin-susceptible strains. OpenUrlCrossRefPubMedWeb of Science CONCLUSIONS S aureus is a formidable pathogen with significant morbidity and mortality.

Panlilio AL, Culver DH, Gaynes RP, et al. Thompson RL, Cabezudo I, Wenzel RP. Epidemiology of nosocomial infections caused by methicillin-resistant Staphylococcus aureus. Archibald L, Phillips L, Monnet D, et al. Antimicrobial resistance in isolates from inpatients and outpatients in the United States: increasing importance of the intensive care unit. Staphylococcus aureus (including staphylococcal toxic shock). In: Mandell GL, Bennett JE, Dolin R, eds. Principles and practice of infectious diseases.

Maranan MC, Moreira B, Boyle-Vavra S, et al. Antimicorbial resistance in staphylococci: epidemiology, molecular mechanisms, and clinical relevance.

OpenUrlCrossRefPubMedWeb of ScienceKloos WE, Lamb DW Jr. In: Balows A, ed. Manual of clinical microbiology. Washington, DC: American Society for Microbiology, 1991: 222. Protein A of Staphylococcus aureus and related immunoglobulin receptors produced by streptococci and pneumococci. OpenUrlCrossRefPubMedWeb of ScienceGeorgepapadakou NH, Dix BA, Mauriz YR. The crisis in antibiotic resistance. Resistance to antibiotics mediated by target alterations. Molecular evolution of MRSA.

OpenUrlPubMedWeb of ScienceNiemeyer DM, Pucci MJ, Thanassi JA, et al. Role of mecA transcriptional regulation in the phenotypic expression of methicillin resistance in Staphylococcus aureus. Dissemination among staphylococci of DNA sequences associated with methicillin resistance. Murakami K, Tomasz A. Involvement of multiple genetic determinants in high-level methicillin resistance in Staphylococcus aureus.

Stable classes of phenotypic expression in methicillin-resistant clinical isolates if staphylococci. Low-affinity penicillin-binding protein associated with beta-lactam resistance in Staphylococcus aureus.

Methicillin-resistant Staphylococcus aureus disease in a Portuguese hospital: characterization of clonal types by a combination of Diclofenac Sodium 1.5% Solution and Menthol 10% Topical Liquid (Diclostream)- FDA typing methods.

Eur J Clin Microbiol Infect Dis1994;13:64. Kloos WE, Bannerman TL. Update on clinical significance of coagulase-negative staphylococci. Studies on the incidence Diclofenac Sodium 1.5% Solution and Menthol 10% Topical Liquid (Diclostream)- FDA coagulase-positive staphylococci in a normal unconfined population. Am J Public Health1960;50:791. Tuazon CU, Sheagren JN. Increased rate of carriage of Staphylococcus aureus among narcotic addicts.

Widespread colonization of personnel at a veterans affair medical center by methicillin resistant, coagulase-negative staphylococcus. OpenUrlFREE Full TextPanlilio AE, Culver DH, Gaynes RP, et al. Infect Many people understand the importance of healthy eating Hosp Epidemiol1992;13:582.

Moreno F, Crisp C, Jorgensen JH, et al. Methicillin-resistant Staphylococcus aureus as a community organsim.

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