Infect Control Hosp Epidemiol 2006;27:1133–1136
© 2006 by The Society for Healthcare Epidemiology of America. All rights reserved.
0899-823X/2006/2710-0021$15.00
DOI: 10.1086/507970
Concise Communication
Epidemiology of Community‐Acquired Methicillin‐Resistant Staphylococcus aureus Skin Infections Among Healthcare Workers in an Outpatient Clinic
Cecilia P. Johnston, MD, MHS;
Lisa Cooper, RN;
William Ruby, DO;
Karen C. Carroll, MD;
Sara E. Cosgrove, MD, MS;
Trish M. Perl, MD, MSc
From the Division of Infectious Diseases, Department of Medicine (C.P.J., W.R., K.C.C., S.E.C., T.M.P.), the Department of Hospital Epidemiology and Infection Control (L.C., S.E.C., T.M.P.), and the Division of Medical Microbiology, Department of Pathology (K.C.C.), School of Medicine, Johns Hopkins University, Baltimore, Maryland.
We describe an investigation of soft‐tissue infections caused by community‐acquired methicillin‐resistant Staphylococcus aureus (CA‐MRSA) strains in 2 healthcare workers employed in an outpatient clinic for patients with human immunodeficiency virus infection. Cultures of environmental samples from multiple surfaces in the clinic grew toxin‐producing CA‐MRSA strains, suggesting fomites may play a role in the transmission of these strains of MRSA.
Received April 21, 2006; accepted June 14, 2006; electronically published August 31, 2006.
Address reprint requests to Cecilia Johnston, MD, 600 North Wolfe Street, Osler 425, Johns Hopkins Hospital, Baltimore, MD 21287 (
cpark@jhmi.edu).
Cited by
Eleni Patrozou, MD; Kim Reid, RN, MPH; Julie Jefferson, RN, MPH; Leonard A. Mermel, DO, ScM. (2009) A Cluster of Community‐Acquired Methicillin‐Resistant
Staphylococcus aureus Infections in Hospital Security Guards •

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Infection Control and Hospital Epidemiology 30:4, 386-388
Online publication date: 1-Apr-2009.
Leonard B. Johnson, MD; Jinson Jose, MD; Farah Yousif, MD; Joan Pawlak, BS; Louis D. Saravolatz, MD. (2009) Prevalence of Colonization With Community‐Associated Methicillin‐Resistant
Staphylococcus aureus Among End‐Stage Renal Disease Patients and Healthcare Workers •

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Infection Control and Hospital Epidemiology 30:1, 4-8
Online publication date: 1-Jan-2009.
Edina Avdic, Sara E Cosgrove. (2008) Management and control strategies for community-associated methicillin-resistant
Staphylococcus aureus.
Expert Opinion on Pharmacotherapy 9:9, 1463-1479
Online publication date: 1-Jul-2008.
CrossRef Jason E. Farley. (2008) Epidemiology, clinical manifestations, and treatment options for skin and soft tissue infection caused by community-acquired methicillin-resistant Staphylococcus aureus.
Journal of the American Academy of Nurse Practitioners 20:2, 85-92
Online publication date: 1-Mar-2008.
CrossRef Stephanie Yee-Guardino, Deepak Kumar, Nazha Abughali, Marion Tuohy, Gerri S. Hall, Mary L. Kumar. (2008) Recognition and treatment of neonatal community-associated MRSA pneumonia and bacteremia.
Pediatric Pulmonology 43:2, 203-205
Online publication date: 1-Mar-2008.
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