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CA-MRSA Infections - Management by Primary Care Clinicians of Patients Suspected of Having Community-Acquired, Methicillin-Resistant Staphylococcus Aureus Infections
Study Description and Methods
We are conducting electronic chart audits followed by more in-depth manual audits to increase our understanding of CA-MRSA diagnosis, treatments, and documentation. This will help us develop real-world sustainable strategies consistent with the CDC guidelines that busy primary care practices can adopt.
Specific Aims and Objectives
- Describe the baseline incidence and clinical practice for SSTIs in three large health systems, two private health systems and a large integrated urban community health center.
- Design two intervention strategies and associated outcome measures consistent with the CA-MRSA CDC guidelines.
- Conduct a clinical trial evaluating the effect of the intervention strategies on the outcomes in primary care clinics within two health care systems.
Timeline
This project was conducted from September 1, 2008, through March 31, 2010.
Status and Next Steps
This study is currently under data analysis and manuscript development.
Contact Information
For additional information about this study, please contact:
Elias Brandt
Data Systems Analyst
AAFP National Research Network
1-800-274-2237 x3177
ebrandt@aafp.org
Elias Brandt
Data Systems Analyst
AAFP National Research Network
1-800-274-2237 x3177
ebrandt@aafp.org
Key Findings and Publications
Findings indicate that the intervention used in this study resulted in increased use of antibiotics, including antibiotics that typically cover MRSA strains, but did not demonstrate increased rates of recommended drainage procedures.
Access the complete manuscripts:
A Toolkit to Improve the Treatment of CA-MRSA. Stewart EE, Fernald D, Staton EW, Brandt EC. Family Practice Management. 2012 Sept-Oct; 19(5) 21-24. (4-page PDF file; About PDFs)
Improving the management of skin and soft tissue infections in primary care: A report from the State Networks of Colorado Ambulatory Practices and Partners (SNOCAP-USA) and the Distributed Ambulatory Research in Therapeutics Network (DARTNet).Parnes B, Fernald D, Coombs L, De Alleaume L, Brand EC, Webster B, Dickinson LM, Pace WD, West DR. J AM Board Fam Med. 2011; 24(5): 534-542. (5-page PDF file; About PDFs)
Access the complete manuscripts:
A Toolkit to Improve the Treatment of CA-MRSA. Stewart EE, Fernald D, Staton EW, Brandt EC. Family Practice Management. 2012 Sept-Oct; 19(5) 21-24. (4-page PDF file; About PDFs)
Improving the management of skin and soft tissue infections in primary care: A report from the State Networks of Colorado Ambulatory Practices and Partners (SNOCAP-USA) and the Distributed Ambulatory Research in Therapeutics Network (DARTNet).Parnes B, Fernald D, Coombs L, De Alleaume L, Brand EC, Webster B, Dickinson LM, Pace WD, West DR. J AM Board Fam Med. 2011; 24(5): 534-542. (5-page PDF file; About PDFs)
This project is funded by a grant from Agency for Healthcare Research and Quality (AHRQ).
