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Comment & Response
November 15, 2016

Therapy for Cellulitis

Author Affiliations
  • 1Division of Infectious Diseases, Harbor-University of California, Los Angeles, Medical Center, Torrance, California

Copyright 2016 American Medical Association. All Rights Reserved.

JAMA. 2016;316(19):2046. doi:10.1001/jama.2016.15610

To the Editor There are several statements in the review of cellulitis1 that require discussion. First, the authors stated that MRSA should be considered as the causative organism of purulent infections in known high-risk populations, such as athletes, men who have sex with men, prisoners, etc. However, the concept that patients in the United States with community-associated MRSA have risk factors for acquiring an S aureus isolate with methicillin resistance is outdated, as most children and adults with community-associated MRSA infection lack any risk factors and have not had contact with persons with such exposures.2 MRSA should not be excluded based on the lack of such risks.