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A prescription for resistance: management of Staphylococcal skin abscesses by general practitioners in Australia

Parrott, Christine, Wood, Gillian, Bogatyreva, Ekaterina, Coombs, Geoffrey W., Johnson, Paul D. R. and Bennett, Catherine M. 2016, A prescription for resistance: management of Staphylococcal skin abscesses by general practitioners in Australia, Frontiers in Microbiology, vol. 7, pp. 1-8, doi: 10.3389/fmicb.2016.00802.

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Title A prescription for resistance: management of Staphylococcal skin abscesses by general practitioners in Australia
Author(s) Parrott, Christine
Wood, Gillian
Bogatyreva, Ekaterina
Coombs, Geoffrey W.
Johnson, Paul D. R.
Bennett, Catherine M.
Journal name Frontiers in Microbiology
Volume number 7
Start page 1
End page 8
Total pages 8
Publisher Frontiers Research Foundation
Place of publication Lausanne, Switzerland
Publication date 2016-06-06
ISSN 1664-302X
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Microbiology
antibiotic resistance
Staphylococcus aureus
skin and soft tissue infections
community medicine
boils and abscesses
SOFT-TISSUE INFECTIONS
AUREUS INFECTIONS
EMERGENCY-DEPARTMENT
AMBULATORY RESEARCH
PRIMARY-CARE
PATTERNS
Summary Objectives: We investigated the management of staphylococcal abscesses (boils) by general practitioners (GPs) in the context of rising antibiotic resistance in community strains of Staphylococcus aureus.
Design, Setting, Participants: We analyzed patient-reported management of 66 cases of uncomplicated skin abscesses from the frequency matched methicillinresistant S. aureus (MRSA) and methicillin-sensitive S. aureus (MSSA) Community- Onset Staphylococcus aureus Household Cohort (COSAHC) study (Melbourne, Australia, 2008–2012). Susceptibilities in all cases were known: 50/66 abscesses were caused by MRSA. In order to investigate GP-reported management of staphylococcal abscesses, we surveyed a random subset of GPs, from the COSAHC study (41), and of GPs (39) who used the same community-based pathology service (December 2011– May 2012). Main outcome measures: Patient outcomes, antibiotics prescribed, antibiotic resistance profiles of infecting strains, rates of incision and drainage (I&D), and attitudes to ordering microbiological cultures.
Results: MRSA was three times more likely to be cultured from an abscess than MSSA. Patient-reported management revealed 100% were prescribed antibiotics and only 60.6% had I&D. Of those 85% who remembered their prescription(s), 81% of MRSA cases and 23% of MSSA cases initially received inactive antibiotics. Repeat GP visits where antibiotics were changed occurred in 45 MRSA and 7 MSSA cases, although at least 33% of subsequent prescriptions were inactive for the MRSA infections. Patients treated with I&D and antibiotics did no better than those treated with only I&D, regardless of the antibiotic activity. In the GP surveys, 89% reported I&D, with or without antibiotics, to be their preferred management. Only 29.9% of GPs would routinely swab abscesses.
Language eng
DOI 10.3389/fmicb.2016.00802
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30084681

Document type: Journal Article
Collections: Population Health
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.