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首页> 外文期刊>Journal of the American Academy of Nurse Practitioners. >A literature review on community-acquired methicillin-resistant Staphylococcus aureus in the United States: clinical information for primary care nurse practitioners.
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A literature review on community-acquired methicillin-resistant Staphylococcus aureus in the United States: clinical information for primary care nurse practitioners.

机译：关于美国社区获得性耐甲氧西林金黄色葡萄球菌的文献综述：面向初级保健护士的临床信息。

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PURPOSE: To analyze the state of the science of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) in the United States to support the integration of current knowledge for primary care nurse practitioners' (PCNP) practice. DATA SOURCES: Published research limited to U.S. studies in MEDLINE, CINAHL, and Cochrane Review from 1950 to the week of September 4, 2008. Investigations were identified through electronic search engines and databases. Manual searches were done of hard copy references in journal articles. Citations and reference lists for English language research studies of CA-MRSA in the United States were reviewed to identify additional research that fit evaluation criteria for this analysis. CONCLUSIONS: Until the late 1990s, healthcare-associated MRSA (HA-MRSA) was the predominant cause of serious infections. Recently, CA-MRSA has caused infections in previously healthy nonhospitalized people. Major demographic and epidemiological differences exist between the two types of resistant bacteria; the emergence of CA-MRSA suggests new implications for primary care. IMPLICATIONS FOR PRACTICE: PCNPs will undoubtedly treat MRSA infections and need a comprehensive understanding of the pathogenicity, diagnosis, and management of CA-MRSA to ensure expedient and appropriate treatment. This will help to prevent invasive disease as a result of improperly treated infections.
机译：目的：分析美国社区相关耐甲氧西林金黄色葡萄球菌（CA-MRSA）的科学状况，以支持将当前知识整合到初级保健护士执业者（PCNP）的实践中。数据来源：从1950年到2008年9月4日当周，已发表的研究仅限于MEDLINE，CINAHL和Cochrane Review上的美国研究。研究通过电子搜索引擎和数据库进行识别。手动搜索期刊文章中的纸质参考文献。对美国CA-MRSA的英语语言研究的引文和参考文献清单进行了审查，以确定适合该分析评估标准的其他研究。结论直到1990年代后期，与医疗相关的MRSA（HA-MRSA）才是造成严重感染的主要原因。最近，CA-MRSA已导致以前健康的非住院患者感染。两种耐药细菌之间存在主要的人口统计学和流行病学差异。 CA-MRSA的出现暗示了对初级保健的新含义。实践的意义：PCNP无疑将治疗MRSA感染，并且需要对CA-MRSA的致病性，诊断和管理有全面的了解，以确保适当且适当的治疗。这将有助于防止由于治疗不当而导致的浸润性疾病。

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