0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Letters |

Determining Whether Methicillin-Resistant Staphylococcus aureus Is Associated With Health Care

Michael Z. David, MS, MD; Jane D. Siegel, MD; Henry F. Chambers, MD; Robert S. Daum, MD, CM
JAMA. 2008;299(5):519-520. doi:10.1001/jama.299.5.519-a.
Text Size: A A A
Published online

Extract

To the Editor: In their study of methicillin-resistant Staphylococcus aureus (MRSA), Dr Klevens and colleagues1 concluded that the majority of invasive infections have onset in the community. They also implied that the majority of community-onset invasive MRSA disease occurred in association with exposure to the health care environment.

An important question is how to define health care environment exposure. For example, 1 component of the definition for health care–associated MRSA used in the study by Klevens et al was documentation of a previous infection or colonization with MRSA. Prior to the onset of epidemic community-based MRSA disease, this criterion worked well to define health care risk because MRSA isolates were largely confined to the health care environment.2 Now, however, novel MRSA isolates (such as the widely disseminated USA300 clone, with its molecular characteristics that markedly distinguish it from the well-known health care–based MRSA strains) circulate in the community and infect individuals truly lacking health care environment exposure.3 These community-based MRSA infections often recur.4 Such a recurrence should not be inferred as being due to an exposure to the health care system.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

February 6, 2008
R. Monina Klevens, DDS, MPH; Melissa A. Morrison, MPH; Scott K. Fridkin, MD
JAMA. 2008;299(5):519-520. doi:10.1001/jama.299.5.519-b.
CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 4

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();