This analysis examined data from 1,252 patients with upper extremity infections requiring operative management between 2011 and 2015 at the Auckland Regional Hand Unit; culture-positive community acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) upper extremity infections were identified in 150 (12%) patients. An increasing annual trend was observed. Notably, in 2014 and 2015, CA-MRSA rates in Māori and Pacific Islander populations exceeded 15%, satisfying the US Center for Disease Control (CDC) threshold for empiric antimicrobial cover.
I think more work needs to be done in this area. Our clinic is seeing higher than anticipated numbers of children and adults with MRSA. A small audit showed that at least half had been treated in hospital only, that is, they had not been seen in primary care. As the authors suggest, a review against best practice is warranted.
Independent commentary by Dr. Matire Hardwood
Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.
Research Review publications are intended for New Zealand health professionals.
Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.
