Pediatricians perspectives on the impact of MRSA in primary care a qualitative study 英文参考文献.docVIP

BMC Pediatrics BioMedCentral Research article Open Access Pediatricians perspectives on the impact of MRSA in primary care: a qualitative study Adam L Hersh*1,2, Michael D Cabana2, Ralph Gonzales3, Budd N Shenkin2,5 and Christine S Cho2,4 Address: 1Division of Pediatric Infectious Diseases, University of California, San Francisco, San Francisco, CA, USA, 2Division of General Pediatrics, University of California, San Francisco, San Francisco, CA, USA, 3Division of General Internal Medicine, University of California, San Francisco, San Francisco, USA, 4Division of Emergency Medicine, Childrens Hospital and Research Center Oakland, Oakland, CA, USA and 5President, Bayside Medical Group, Oakland, CA, USA Email: Adam L Hersh* - hershad@; Michael D Cabana - cabanam@; Ralph Gonzales - ralphg@; Budd N Shenkin - bshenkin@; Christine S Cho - ccho.email@ * Corresponding author Published: 14 April 2009 Received: 12 November 2008 Accepted: 14 April 2009 BMC Pediatrics 2009, 9:27 doi:10.1186/1471-2431-9-27 This article is available from: /1471-2431/9/27 ? 2009 Hersh et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: The incidence of skin and soft-tissue infections (SSTIs) has rapidly increased among children in primary care settings since the emergence of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA). Recent treatment recommendations emphasize CA-MRSA as the primary cause, performing incision and drainage (ID) as the primary therapy, and not prescribing antibiotics for uncomplicated cases. It is unknown how this epidemic has impacted primary care pediatricians in terms of their practice patterns and barriers they face to providing recommended therapies