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Table 2 Summary of major themes identified about the impact of CA-MRSA on primary care pediatric practices for SSTIs.

From: Pediatricians' perspectives on the impact of MRSA in primary care: a qualitative study

  Themes
How has your practice changed since the emergence of CA-MRSA?  
   Bacterial Epidemiology Majority is CA-MRSA.
   Clinical Presentation Increased case numbers but not severity.
Increased recurrences, household transmission and incidence among infants.
Substantial patient fear of CA-MRSA.
   Clinical Management  
Medical Management Antibiotics are highly important and routinely prescribed.
Some increased empiric prescribing of antibiotics that treat CA-MRSA.
Surgical Management Variable perception of importance of I&D.
Diagnostic Testing Increased use of bacterial culture.
Prevention and Follow-up More aggressive follow-up.
Uncertainty about role of decolonization.
What is your knowledge about SSTI treatment recommendations and how do you stay updated?  
  Limited awareness of published recommendations from CDC and AAP.
What are the barriers to compliance with current recommendations?  
  Internal Barriers
     Lack of awareness of current guidelines.
     Inexperience with antibiotics that treat CA-MRSA.
     Lack of self-efficacy with I&D.
     Skepticism about treatment with I&D alone.
  External Barriers
     Concerns about antibiotic compliance.
     Lack of epidemiologic data about resistance patterns for SSTIs.
     Lack of resources to perform office I&D.
     Delays in receiving culture results.