Active Surveillance Cultures for Methicillin‐Resistant<i>Staphylococcus aureus</i>in an Intensive Care Unit

Wagenvoort, J. H. T.; Brauwer, Els I. De; Gronenschild, Jo M.; Toenbreker, Hub J.; Schopen, Anita M.

doi:10.1086/592358

Cited by 3 publications

(1 citation statement)

References 5 publications

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“…The prevalence of MRSA colonization in Dutch nursing homes has been also evaluated and was very low (0.33%, 95% CI 0.14-0.74) [20]. The Netherlands have one of the lowest levels of MRSA in Europe, attributed to a strict policy on antibiotic usage and guidelines for MRSA control in hospitals [21]. …”

Section: Discussionmentioning

confidence: 99%

The general status of patients and limited physical activity as risk factors of Methicillin-resistant Staphylococcus aureus occurrence in long-term care facilities residents in Krakow, Poland

et al. 2014

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BackgroundThe aim of this study was to investigate the epidemiology and resistance of methicillin-resistant Staphylococcus aureus (MRSA) isolates from long-term care facilities (LTCF) residents and to analyze the potential risk factors for MRSA occurrence, defined as MRSA colonization and/or infection.MethodsPoint prevalence (PPS) and prospective incidence continuous study (CS) was carried out on a group of 193 residents in 2009-2010.ResultsOverall MRSA occurred (with or without infection) among 17.6% of residents. There was 16 cases of infections with SA aetiology, of which 10 (58.8%) were caused by MRSA. The MRSA prevalence in PPS was 12.9%, in CS infection incidence rate was 5.2%. Factors associated with MRSA occurrence were: general status of patients, limited physical activity, wound infections (odds ratio, OR 4.6), ulcers in PPS (OR 2.1), diabetes (OR 1.6), urinary catheterization (OR 1.6) and stool incontinence (OR 1.2).ConclusionsOur data indicate a need for screening of MRSA before hospitalization or transfer to rehabilitation centres, especially in a group of residents with limitations in physical activity – i.e. with the highest risk of MRSA. Results also suggest the need for contact precautions in patients with high risk of MRSA occurrence, only. Focus on the high-risk population might be a solution for the cost-effective surveillance.

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Section: Discussionmentioning

confidence: 99%

The general status of patients and limited physical activity as risk factors of Methicillin-resistant Staphylococcus aureus occurrence in long-term care facilities residents in Krakow, Poland

et al. 2014

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Carriage rates of methicillin-resistant Staphylococcus aureus (MRSA) depend on anatomic location, the number of sites cultured, culture methods, and the distribution of clonotypes

Lauderdale

Wang

Lee

et al. 2010

Eur J Clin Microbiol Infect Dis

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The present study was carried out to determine how active surveillance for methicillin-resistant Staphylococcus aureus (MRSA) could be improved by the use of enrichment broth and the inclusion of extra-nasal sites with nares cultures. Molecular typing was also performed to identify colonization by single or multiple strains. Surveillance cultures for MRSA were obtained from 650 patients on admission to a medical and surgical intensive care unit (ICU) in Taiwan. MRSA was detected on directly plated vs. broth-enrichment cultures in any site at 10.0% vs. 24.2%, nares 8.2% vs. 17.5%, throat 4.8% vs. 13.4%, axilla 1.2% vs. 9.1%, and perineum 1.8% vs. 9.5%, respectively. Nares cultures alone detected only 81.5% and 72.5% of all colonized patients by direct and broth-enriched cultures, respectively. The molecular typing of 68 isolates from 17 patients revealed that multisite isolates were largely indistinguishable within each patient, but four patients had multiple subtypes and another three patients had different clonotypes. The detection of MRSA carriers was considerably enhanced by broth-enrichment cultures at multiple anatomic sites and simultaneous colonization by multiple strains at different sites can occur. Epidemiological studies are needed to determine the likelihood of subsequent nosocomial infection among colonized patients detected via direct nasal versus broth-enriched cultures from multiple sites.

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Control of Methicillin-resistant Staphylococcus aureus

Lee

Huttner

Harbarth

2011

Infectious Disease Clinics of North America

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Active Surveillance Cultures for Methicillin‐ResistantStaphylococcus aureusin an Intensive Care Unit

Cited by 3 publications

References 5 publications

The general status of patients and limited physical activity as risk factors of Methicillin-resistant Staphylococcus aureus occurrence in long-term care facilities residents in Krakow, Poland

The general status of patients and limited physical activity as risk factors of Methicillin-resistant Staphylococcus aureus occurrence in long-term care facilities residents in Krakow, Poland

Carriage rates of methicillin-resistant Staphylococcus aureus (MRSA) depend on anatomic location, the number of sites cultured, culture methods, and the distribution of clonotypes

Control of Methicillin-resistant Staphylococcus aureus

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