Abstract
From July 2002 to September 2003, 10 patients were identified as having CA-MRSA skin and soft tissue infections at an indigent health care clinic in San Antonio, Texas. These infections were classified as community-acquired MRSA based on several factors: (1) none of the patients had risk factors for nosocomially acquired MRSA (ie, recent hospitalization or surgery1) or those risk factors previously associated with acquisition of MRSA outside a short-term care setting: residence in a long-term care facility, current intravenous drug abuse, or underlying illnesses such as cardiovascular or pulmonary disease, diabetes mellitus, malignancy, or chronic skin disease such as eczema,14 and (2) antimicrobial resistance patterns were consistent with CA-MRSA—ie, they showed susceptibility to several classes of antimicrobial agents other than β-lactams.

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