COMMENTARY: PREVENTION OF RECURRENT STAPHYLOCOCCAL INFECTIONS

TL;DRAbstract

Methicillin-resistant Staphylococcus aureus (MRSA) is an established pathogen in many communities of the United States.1 Community-acquired MRSA (CA-MRSA) infections have changed several aspects of staphylococcal infections in children including the epidemiology, clinical manifestations, laboratory diagnosis, treatment, and prevention.2 The incidence of S. aureus infections in children is not clearly known, but in a Centers for Disease Control and Prevention (CDC) study the incidence of CA-MRSA infections in 2001–2002 for white children and black children <2 years old was approximately 16 and 70 of 100,000 in Atlanta and 18 and 40 of 100,000 in Baltimore, respectively.3 In 2005 the annual incidence of community-onset MRSA infections among children <5 years of age in San Francisco was 227 of 100,000.4 At Texas Children’s Hospital (TCH) in Houston, CA-MRSA isolates account for more than 75% of CA-S. aureus isolates recovered from children.5 Furthermore, the absolute number of CA-S. aureu

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