Skin and soft-tissue infections SSTIs are the most frequent forms of the disease. Obtainment of culture specimens is important for documentation of the presence of MRSA and for susceptibility testing to guide therapy. Purulent lesions should be drained whenever possible. In areas where community-acquired MRSA isolates are prevalent, uncomplicated SSTI in healthy individuals may be treated empirically with clindamycin, trimethoprim-sulfamethoxazole, or long-acting tetracyclines, although specific data supporting the efficacy of these treatments are lacking. In healthy patients with small purulent lesions, drainage alone may be sufficient. In patients with complicated SSTI requiring hospitalization or intravenous therapy, vancomycin is the drug of choice because of the low cost, efficacy, and safety.
Epidemiology of syphilis
Human Immunodeficiency Virus (HIV) Infection - Infections - Merck Manuals Consumer Version
MRSA outbreaks have occurred among gay men. The infection can be acquired through close physical contact. When sores develop around the groin, thighs and buttocks, close skin-to-skin contact during sex may be a risk factor. The use of recreational drugs such as crystal methamphetamine impairs the senses and decreases the body's ability to fight infections. A side effect of crystal methamphetamine is a creepy-crawly sensation under the skin. Scratching can break the skin, which can easily become infected with MRSA.
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CDC Fact Sheet: Information for Teens and Young Adults: Staying Healthy and Preventing STDs
In a study published online by the journal Annals of Internal Medicine, the bacteria seemed to be spread most easily through anal intercourse but also through casual skin-to-skin contact and touching contaminated surfaces. The authors warned that unless microbiology laboratories were able to identify the strain and doctors prescribed the proper antibiotic therapy, the infection could soon spread among other groups and become a wider threat. The study was based on a review of medical records from outpatient clinics in San Francisco and Boston and nine medical centers in San Francisco. The Castro district in San Francisco has the highest number of gay residents in the country, according to the University of California, San Francisco. One in residents is infected with the new multidrug-resistant MRSA strain, the study found.
The headlines this week about a new "gay" infection were dramatic. But is there a new HIV-like public health epidemic on the horizon? Not likely, says Dr. Henry Chip Chambers, coauthor of the study, which was published this week in the online edition of the Annals of Internal Medicine.