Table 2—

Summary of when to suspect CA-MRSA in community-acquired pneumonia

When to suspect CA-MRSA
Influenza-like prodrome
Severe respiratory symptoms with a rapidly progressive pneumonia evolving to acute respiratory distress syndrome
Fever >39°C
Haemoptysis
Hypotension
Leukopenia
Chest radiograph showing multilobar infiltrates which may have cavitated
Known to be colonised with CA-MRSA or recent travel to an endemic area, such as North America, and recent contact with CA-MRSA
Belong to a group associated with increased rates of colonisation of CA-MRSA
Previous history or family history of recurrent furuncles or skin abscesses (two or more in past 6 months)
  • CA-MRSA: community-acquired methicillin-resistant Staphylococcus aureus. Reproduced from 17 with permission from the publisher.