Methicillin-resistant Staphylococcus aureus (MRSA) was once considered to be an exclusively nosocomial pathogen. However, in the late 1990s, community-associated MRSA (CA-MRSA) was first reported in otherwise healthy children and has since emerged as a significant pathogen outside the hospital setting.1,2 Outbreaks have been described in several populations, including athletes, military recruits, prisoners, and men who have sex with men (MSM), as well as in certain ethnic groups, including Native Americans and Pacific Islanders.3- 12 This organism has been most often associated with skin and soft tissue infections.13- 18 Prior studies have shown that CA-MRSA isolates are susceptible to trimethoprim-sulfamethoxazole combination, clindamycin, fluoroquinolones, tetracyclines, rifampin, vancomycin, and linezolid.6,10,15,17- 21 However, the susceptibility patterns have varied among geographic areas.10,15,17- 19 In our urban community, we have observed a high incidence of CA-MRSA skin and soft tissue infections in the MSM population as well as frequent recurrences. To date, recurrence rates have not been well described in the literature. We sought to characterize CA-MRSA skin and soft tissue infections in the MSM population in our community.
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