Abstract
Skin and soft tissue infections (SSTIs) and abscesses at the vulva, vagina, groin, breast, and postoperative wounds are vulvar manifestations of methicillin-resistant Staphylococcus aureus (MRSA) infections. Nearly two-thirds of cultures revealed MRSA. Trimethoprim-sulfamethoxazole (TMP-SMX) is largely effective against MRSA along with other common vulvar abscess microbes, such as Proteus, Escherichia coli, and group B streptococcus. Decolonization includes nasal decolonization with mupirocin and topical body decolonization with skin disinfectants. Oral antibiotics for decolonization have not been shown to be efficacious unless an active infection is present.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Gordon R, Lowy F. Pathogenesis of methicillin-resistant Staphylococcus aureus infection. Clin Infect Dis. 2008;46:S350–9.
Kilpatrick C, Alagkiozidis I, Orejuela F, et al. Factors complicating surgical management of the vulvar abscess. J Reprod Med. 2010;55(3–4):139–42.
Thurman A, Satterfield T, Soper D. Methicillin-resistant Staphylococcus aureus as a common cause of vulvar abscesses. Obstet Gynecol. 2008;112(3):538–44.
Liu C, Bayer A, Cosgrove S, et al. Clinical practice guidelines by the Infectious Diseases Society of America for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children: executive summary. Clin Infect Dis. 2011;52(3):285–92.
Stevens D, Bisno A, Chambers H, et al. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis. 2014;59(2):e10–52.
Breen J. Skin and soft tissue infections in immunocompetent patients. Am Fam Physician. 2010;81(7):893–9.
Wood S. Clinical manifestations and therapeutic management of vulvar cellulitis and abscess: methicillin-resistant Staphylococcus aureus, necrotizing fasciitis bartholin abscess, crohn disease of the vulva, hidradenitis suppurativa. Clin Obstet Gynecol. 2015;58(3):503–11.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Wood, S. (2019). Methicillin-Resistant Staphylococcus aureus. In: Bornstein, J. (eds) Vulvar Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-61621-6_46
Download citation
DOI: https://doi.org/10.1007/978-3-319-61621-6_46
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-61620-9
Online ISBN: 978-3-319-61621-6
eBook Packages: MedicineMedicine (R0)