Patients with methicillin-resistant Staphylococcus aureus infection: twenty-first century lepers.

Patients with methicillin-resistant Staphylococcus aureus infection: twenty-first century lepers.
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DOI:
10.1016/j.jhin.2009.10.031
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发表时间:
2010-06
影响因子:
6.9
通讯作者:
Miller, L. G.
Miller, L. G.
中科院分区:
医学3区
文献类型:
--
作者:
Mozzillo, K. L.;Ortiz, N.;Miller, L. G.

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近年来,耐甲氧西林金黄色葡萄球菌(MRSA)感染的发病率急剧增加,尤其是社区相关耐甲氧西林金黄色葡萄球菌。金黄色葡萄球菌(CA-MRSA)感染。许多媒体对MRSA的描述都是耸人听闻的,并专注于其严重疾病和传染性的潜力。我们的目的是通过5例CA-MRSA感染患者的病例系列来描述与MRSA感染相关的心理和社会发病率。我们还分析了与被诊断为MRSA感染相关的污名化。我们了解到,患者描述了与他们的MRSA诊断相关的各种耻辱,包括在家里和工作场所被回避。患者描述家人,同事和客户要求采取特别措施防止MRSA传播。MRSA诊断的后果包括侵蚀或终止关键的个人和商业关系。总之,诊断MRSA所导致的污名化可能具有深刻的个人和社会病态。媒体和公众对MRSA感染的卫生意识需要与MRSA传播通常如何通过简单的卫生措施预防的信息相平衡。
In the recent past, there has been a dramatic increase in the incidence of methicillin-resistant Staphylococcus aureus (MRSA) infections, especially community-associated methicillin-resistant S. aureus (CA-MRSA) infections. Many media descriptions of MRSA are sensational and focus on its potential for severe disease and contagiousness. Our objective is to describe psychological and social morbidity associated with MRSA infection via a case series of five patients with CA-MRSA infection. We also analyze the resulting stigmatization associated with being diagnosed with MRSA infection. We learned that patients describe a variety of stigmatization related to their diagnosis of MRSA, including being shunned at home and in the workplace. Patients describe being asked by family, colleagues, and clients to take extraordinary measures to prevent MRSA transmission. Consequences of MRSA diagnoses have included erosion or termination of key personal and business relationships. In conclusion, stigmatization resulting from the diagnosis of MRSA can have profound personal and social morbidity. Media and public health awareness of MRSA infection needs to be balanced with information about how MRSA transmission is usually preventable with simple hygienic measures.
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