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<div> <div>Publication: 11-0007-2-EF</div> </div> </div>
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<p><a href="North_Carolina_MRSA.pdf" class="pdf">PDF</a> [413.79 KB] </p> </div>
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<h1 class="page__title title" id="page-title">Cellulitis and Abscess Management in the Era of Resistance to Antibiotics (CAMERA)</h1><h2>Final Contract Report</h2>
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<div class="field field-name-ahrq-generic-body field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><hr />
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<p>The Agency for Healthcare Research and Quality's Practice-Based Research Networks in North Carolina conducted a 2-year project related to infections caused by community acquired methicillin-resistant <em>Staphylococcus aureus</em>. Cellulitis and Abscess Management in the Era of Resistance to Antibiotics (CAMERA) is the final contract report for the project.</p>
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<p>Prepared for the Agency for Healthcare Research and Quality (AHRQ) by the Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, and the Duke Clinical Research Institute, Durham, North Carolina under Contract No. HHSA-290-2007-10014.</p>
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<p>Select for print version ( <a href="nc_mrsa.pdf">PDF File</a>, 417 KB; <a href="http://www.hhs.gov/web/tools/plugins.html">Plugin Software Help</a>).</p>
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<hr />
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<p><em>Prepared by: Philip D Sloane, M.D., M.P.H. and Alex R. Kemper, M.D., M.P.H., M.S.; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill; Duke Clinical Research Institute, Durham, North Carolina.</em></p>
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<p><a id="contents" name="contents"> </a></p>
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<h2>Contents</h2>
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<p><a href="#acknow">Acknowledgments</a><br />
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<a href="#disclaimer">Disclaimer</a><br />
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<a href="#copy">Copyright Information</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#intro">Introduction</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#goals">Study Goals</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#over">Overview of Study Interventions</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#setting">Study Setting</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#prac">Participating Practices</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#human">Human Subjects Protection and Subject Followup</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#measures">Study Measures</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#duration">Practice Duration of Enrollment</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#barriers">Barriers to Practice Participation</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#findings">Findings</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#diagnosis">Diagnosis</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#treatment">Abscess Treatment</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#followup">Practice Followup</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1a.html#conc">Conclusions</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1a.html#recommend">Recommendations</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1a.html#dissem">Dissemination of Findings</a> <a href="/research/findings/final-reports/mrsa/nc_mrsa1a.html#ref">References</a></p>
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<p><strong>Tables</strong><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#tab1">Table 1. Characteristics of Participating Practices</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#tab2">Table 2. Duration of Practice Enrollment</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#tab3">Table 3. Number of abscesses and the total number of skin or soft tissue infections, by practice and audit point</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#tab4">Table 4. Proportion with culture by treatment</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#tab5">Table 5. Initial antibiotic therapy for those with an abscess</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#tab6">Table 6. Rates of followup within each practice after the diagnosis of an abscess or other skin or soft tissue infection</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsa1.html#tab7">Table 7. Rate of emergency department or urgent care followup or hospitalization by age</a></p>
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<p><strong>Appendixes</strong><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsaapa.html">Appendix A. Skin and Soft Tissue Infection Action Plan</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsaapb.html">Appendix B. Skin and Soft Tissue Culture Kit</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsaapc.html">Appendix C. Skin and Soft Tissue Patient Information Material</a><br />
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<strong>Appendix D.</strong><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsaapdpt1.html">Part 1: MRSA: Epidemiology and Treatment</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsaapdpt2.html">Part 2: Implementing the CDC Recommendations: Can it be done? What lessons can be learned?</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsaape.html">Appendix E. Patient Diary</a><br />
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<a href="/research/findings/final-reports/mrsa/nc_mrsaapf.html">Appendix F. Chart Audit Instrument</a></p>
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<p><a id="acknow" name="acknow"> </a></p>
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<h2>Acknowledgments</h2>
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<p>We would like to thank the following practices for their participation:</p>
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<p>A.J. Robinson Medical Clinic, Lumberton, NC<br />
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Chapel Hill Pediatrics, Chapel Hill, NC<br />
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Clayton Internal Medicine, Clayton, NC<br />
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Duke Primary Care Harps Mill, Raleigh, NC<br />
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Durham Pediatrics, Durham, NC<br />
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Lumberton Children's Clinic, Lumberton, NC<br />
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Pembroke Pediatrics, Pembroke, NC<br />
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Regional Pediatrics, Durham, NC<br />
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St. Paul's Internal Medicine, Lumberton, NC</p>
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<p>This project was completed in partnership between the University of North Carolina, Chapel Hill, and Duke University. We would like to acknowledge the following individuals.</p>
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<p>Alex R. Kemper, M.D., M.P.H., M.S., Principal Investigator (Duke University)<br />
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Rowena J. Dolor, M.D., M.H.S., Co-Investigator (Duke University)<br />
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Philip D. Sloane, M.D., M.P.H., Co-Investigator (University of North Carolina)<br />
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Katrina Donahue, M.D., M.P.H., Co-Investigator (University of North Carolina)<br />
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Vance Fowler, M.D., M.P.H., Co-investigator (Duke University)<br />
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Beth Patterson, R.N., B.S.N., Clinical Research Administrator (Duke University)<br />
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Lori Hendrickson, R.N., B.S.N., Clinical Research Coordinator (Duke University)<br />
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Lynn Harrington, R.N., B.S.N., Clinical Research Coordinator (Duke University)<br />
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Luis Ballon, Clinical Trials Assistant (Duke University)<br />
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Latosha Oxendine, Clinical Trials Assistant (Duke University)<br />
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C. Madeline Mitchell, MURP, Research Fellow (University of North Carolina)<br />
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David Reed, Ph.D., Statistician (University of North Carolina)</p>
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<p><a id="disclaimer" name="disclaimer"> </a></p>
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<h2>Disclaimer</h2>
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<p>The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of the Agency for Healthcare Research and Quality (AHRQ). No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.</p>
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<p class="size2"><a href="#contents">Return to Contents</a> <a id="copy" name="copy"> </a></p>
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<h2>Copyright</h2>
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<p>This document is in the public domain and may be used and reprinted without permission. AHRQ appreciates citation of the source. </p>
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<!-- Suggested format follows:</p><p>Sloane PD, Kemper AR. <em>Cellulitis and Abscess Management in the Era of Resistance to Antibiotics (CAMERA)</em>. Rockville, MD: Agency for Healthcare Research and Quality; October 2010. AHRQ Publication No. 11-0007-2-EF. --></p>
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<p class="size2"><a href="#contents">Return to Contents</a></p>
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Page last reviewed <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2014-10-01T00:00:00-04:00">October 2014</span> <br />Page originally created September 2012 </div>
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Internet Citation: Cellulitis and Abscess Management in the Era of Resistance to Antibiotics (CAMERA). Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD. https://archive.ahrq.gov/research/findings/final-reports/mrsa/nc_mrsa.html<div class="citation-flag"> </div> </div> <!--</div>--> <div class="footnote"> <p> The information on this page is archived and provided for reference purposes only.</p> </div> <p> </p> </div> </div></td> </tr> </tbody> </table> </td> </tr> </tbody> </table> </div>
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