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Acheter de la doxycycline as a pre-emptive treatment for patients that have not responded to azithromycin and that can cause a significant secondary bacterial colonization. The primary purpose of study is to determine whether treatment of patients diagnosed with MRSA from the pre-hospital environment is effective, does not have significant negative consequences, and if so, it is cost-effective. Background MRSA is a multidrug-resistant pathogen that becoming increasingly common in the U.S. healthcare system. It is not necessarily associated with surgical site infections (SSIs) [5] and is not considered a pathogen that requires immediate clinical management [8], price of doxycycline malaria tablets [14], although it causes significant morbidity and even death [9]. Patients identified with MRSA infection and who do not respond to at-home treatment have been described, and these patients are referred to the hospital. If hospital is unable to provide the appropriate clinical care, patients may be transferred to a tertiary care hospital be treated by a surgeon [2]. This creates the risk of infection being transmitted from the tertiary care setting to patients in the prehospital setting. This increased possibility of transmission, along with the costs of additional antibiotic prophylaxis [7], [15], has prompted many providers in the prehospital setting to routinely initiate treatment for these patients, regardless of the patient's symptoms. In this study, doxycycline 200 mg tablets we are investigating the value of treatment these patients prior to hospital discharge (Table 1). Specifically, we will test the efficacy and cost-effectiveness of prehospital azithromycin an antibiotic cocktail as a "pre-emptive treatment" before transfer to the hospital. Table 1. Commercially available products Table 2 lists the characteristics of study population. We will use a modified version of the Cochrane guidelines [16] and modified USPSTF evidence quality criteria: QALYs, clinical benefit, incidence and mortality, cost, to determine the outcome of this study. Patients who had a healthcare–associated MRSA diagnosis that was not in the prehospital setting with at least one follow-up visit and were randomized to a pre-emptive regimen of azithromycin or an antibiotic cocktail are classified as having a "pre-emptive treatment" well. Patients who had a healthcare–associated MRSA diagnosis that was not in the prehospital setting with at least one follow-up visit will still receive at-home azithromycin when requested by the patient (but not when ordered by hospital staff). Table 3. Commercially available products In the United States, 1.6 million to 4.6 hospital beds are occupied by patients with MRSA, and more than 10% of beds are preoccupied with these infections [1]. To effectively reduce MRSA infections in the prehospital setting by 30% or more, we will need to expand the prehospital MRSA care program to at least 90% of hospital beds. The primary purpose of study is to determine whether azithromycin effective for patients and are safe to treat as the number of available beds does not allow for the full number of beds to be treated with doxycycline 50 mg for sale |