Low Prevalence of Community‐Acquired Methicillin‐ResistantStaphylococcus aureusColonization and Apparent Lack of Correlation with Sexual Behavior among HIV‐Infected Patients in Nebraska

Abstract
Community-acquired (CA) methicillin-resistant Staphylococcus aureus (MRSA) has become the predominant cause of skin and soft-tissue infection in the United States [1]. Human immunodeficiency virus (HIV) infection has emerged as a risk factor for increases in the incidence of CA-MRSA events up to 18-fold, compared with the incidence among HIV-uninfected patients [2]. Several lines of evidence suggest that CA-MRSA infection may be associated with sexual behavior [2–6], such as distribution of lesions predominantly around the pubic, genital, and/or perianal areas [2, 4]; the association with recent syphilis infection [2]; the protective effect of wearing condoms [5]; and a higher incidence among men who have sex with men (MSM) and among individuals with multiple sex partners [5, 6].

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