{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T13:59:25Z","timestamp":1761487165597},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2004,5,28]],"date-time":"2004-05-28T00:00:00Z","timestamp":1085702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2004,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Background\u2002<\/jats:bold> Methicillin\u2010resistant <jats:italic>Staphylococcus aureus<\/jats:italic> (MRSA) is an important nosocomial pathogen. It can also cause community\u2010acquired infections. Indian reports about MRSA in community\u2010acquired infections are rare.<\/jats:p><jats:p><jats:bold>Aim\u2002<\/jats:bold> To evaluate the rate of MRSA in community\u2010acquired pyoderma and the nasal colonisation with <jats:italic>S. aureus<\/jats:italic> in such patients.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> Two hundred and fifty patients with community\u2010acquired pyoderma, who attended outreach camps around Mangalore, south India between January 2000 and July 2001, were studied. Swabs collected from the skin lesions and anterior nares were inoculated onto blood agar and MacConkey's agar. Antimicrobial sensitivity testing was performed using Kirby\u2013Bauer disk diffusion, agar dilution, and agar screen.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Of 250 pyoderma cases, <jats:italic>S. aureus<\/jats:italic> was isolated from 202 (80.8%) patients. Twenty\u2010two (10.9%) <jats:italic>S. aureus<\/jats:italic> isolates were methicillin resistant, 179 (88.6%) were resistant to penicillin, and 114 (56.4%) were resistant to erythromycin. <jats:italic>S. aureus<\/jats:italic> colonization in the anterior nares was observed in 136 (54.4%) cases, 11.8% of which were MRSA. Antibiograms of clinical isolates of <jats:italic>S. aureus<\/jats:italic> matched with nasal isolates in 99 (49%) cases.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> The emergence of MRSA in the community is a warning. A high nasal carriage rate may contribute to recurrent pyoderma. A correct antimicrobial policy and the avoidance of inappropriate antimicrobial usage are mandatory to reduce the spread of MRSA in the community.<\/jats:p>","DOI":"10.1111\/j.1365-4632.2004.02138.x","type":"journal-article","created":{"date-parts":[[2004,5,28]],"date-time":"2004-05-28T14:46:27Z","timestamp":1085755587000},"page":"412-414","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["Methicillin\u2010resistant <i>Staphylococcus aureus<\/i> in community\u2010acquired pyoderma"],"prefix":"10.1111","volume":"43","author":[{"given":"Nagaraju","family":"Umashankar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gopalkrishna","family":"Bhat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Kuruvila","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. 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