Drug Resistant Skin Infections Becoming More
Common
By Gene Emery, April 6, 2005, ABC News
BOSTON (Reuters) - A drug-resistant "superbug" previously found almost
exclusively in hospitals is becoming more common in the community and
must be aggressively treated, two teams of experts reported on
Wednesday. Staphylococcus aureus, or staph, infections that are
resistant to methicillin and similar drugs can now be put into the
category of flesh-eating bacteria, the experts report in the New
England Journal of Medicine. Doctors need to be aware of this and
switch to different antibiotics at the first sign of trouble. "The
alarm does need to be raised to people and clinicians that if you have
a staph infection and it's not getting better, you'd better go back to
your doctor," said Scott Fridkin, a epidemiologist with the Centers
for Disease Control and Prevention, who led one study. "The bad news
is that staph causes a lot of skin infections and they've always been
difficult to treat," he added. "Now we have a staph that's
biologically different and resistant to first-line antibiotics."
Staphylococcus aureus is usually harmless and very common, found on
skin or in the noses of about 30 percent of people. It can cause
stubborn problems such as boils and is often mistaken for a spider
bite. Until now, most of the infections caused by methicillin-resistant
Staphylococcus aureus or MRSA have shown up in hospitals. But up to 20
percent of such infections may have come from the community, Fridkin
said in a telephone interview. "We were surprised to find it that
high," he said. The group had expected the rate to be close to zero at
the start of the study in 2001. "It wasn't there a decade ago, but
it's there now." The second study, led by Loren Miller of Harbor-University
of California Los Angeles Medical Center in California, found that
some cases of flesh-eating bacteria are caused by methicillin-resistant
staph. Over a 15-month period, they found 14 such instances, and four
patients had no risk factors such as drug use, diabetes or hepatitis.
|