Carriage of Methicillin-Resistant Staphylococcus aureus in Home Care Settings

Lucet, Jean‐Christophe; Paolettí, Xavier; Demontpion, Christine; Degrave, Marie; Vanjak, Dominique; Vincent, Corinne; Andremont, Antoine; Jarlier, Vincent; Nicolas–Chanoine, Marie–Hélène

doi:10.1001/archinternmed.2009.217

Cited by 67 publications

(62 citation statements)

References 14 publications

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“…The duration of MRSA carriage varies between different studies [8][9][10][11][12][13][14][15]. Most studies show longer durations of carriage compared to our study and the existence of household contacts or spa-type are not taken into account.…”

Section: Discussioncontrasting

confidence: 64%

See 1 more Smart Citation

Duration of methicillin-resistant Staphylococcus aureus colonization after diagnosis: A four-year experience from southern Sweden

Larsson

Gustafsson²,

Nilsson

et al. 2011

Scandinavian Journal of Infectious Diseases

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Section: Discussioncontrasting

confidence: 64%

“…MRSA is also associated with higher healthcare costs [7]. The duration of colonization with MRSA varies widely among studies [8][9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Duration of methicillin-resistant Staphylococcus aureus colonization after diagnosis: A four-year experience from southern Sweden

Larsson

Gustafsson²,

Nilsson

et al. 2011

Scandinavian Journal of Infectious Diseases

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“…[2][3][4][5][6][7][8] Undetected MRSA-positive patients serve as reservoirs, and roommates of such patients and health care personnel are at significant risk of becoming colonized. [9][10][11][12][13] In addition, MRSA-positive persons contaminate the hospital's environment turning it into a reservoir for other patients. [14][15][16][17] After discharge from hospital, MRSA-positive patients may transmit their strain to their household members.…”

Section: Introductionmentioning

confidence: 99%

“…[14][15][16][17] After discharge from hospital, MRSA-positive patients may transmit their strain to their household members. 12 Knowledge of the prevalence of MRSA colonization and the frequency of transmission is vital for the implementation of MRSA infection control measures in hospitals. 18 However, little is known about the current epidemiology of MRSA in health care settings in Indonesia.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of Staphylococcus aureus Harboring the mecA or Panton-Valentine Leukocidin Genes in Hospitals in Java and Bali, Indonesia

Santosaningsih

Santoso

Budayanti

et al. 2014

The American Society of Tropical Medicine and Hygiene

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Abstract. Data of Staphylococcus aureus carriage in Indonesian hospitals are scarce. Therefore, the epidemiology of S. aureus among surgery patients in three academic hospitals in Indonesia was studied. In total, 366 of 1,502 (24.4%) patients carried S. aureus. The methicillin-resistant S. aureus (MRSA) carriage rate was 4.3%, whereas 1.5% of the patients carried Panton-Valentine leukocidin (PVL)-positive methicillin-sensitive S. aureus (MSSA). Semarang and Malang city (odds ratio [OR] 9.4 and OR 9.0), being male (OR 2.4), hospitalization for more than 5 days (OR 11.708), and antibiotic therapy during hospitalization (OR 2.6) were independent determinants for MRSA carriage, whereas prior hospitalization (OR 2.5) was the only one risk factor for PVL-positive MSSA carriage. Typing of MRSA strains by Raman spectroscopy showed three large clusters assigned type 21, 24, and 38, all corresponding to ST239-MRSA-SCCmec type III. In conclusion, MRSA and PVL-positive MSSA are present among patients in surgical wards in Indonesian academic hospitals.

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“…Other factors associated with prolonged carriage of MRSA include older age, household members with MRSA colonization, need for help with daily activities, indwelling devices, a recent ICU stay, less time since the last MRSA-positive culture, longer length of stay in a healthcare facility, or residence in a long-term care facility. 42,44,47,[49][50][51][52][53][54][55][56][57][58] In addition, colonization with MRSA at multiple body sites has been associated with prolonged carriage among patients readmitted to a university hospital. 59 Some studies have documented shorter duration of colonization.…”

Section: Duration Of Colonizationmentioning

confidence: 99%

Duration of Contact Precautions for Acute-Care Settings

Banach

Bearman

Barnden³

et al. 2018

Infect. Control Hosp. Epidemiol.

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purposeThis expert guidance document (EG) provides recommendations regarding discontinuation of contact precautions (CP) at the individual patient level in acute-care hospitals employing CP for 1 or more of the following organisms: methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), Clostridium difficile, and multidrug-resistant Enterobacteriaceae (MDR-E), including carbapenem-resistant Enterobacteriaceae (CRE) and extended-spectrum β-lactamase (ESBL)-producing organisms. This document also provides a review of the role of molecular testing in guiding decisions pertaining to duration of CP for patients with these organisms. The guidance does not address decisions regarding the initiation of CP for any specific organism.Previously published guidelines describe components of CP and identify situations in which CP should be used; currently, however, few publications address the issue of how long CP should be maintained. At the time of publication, decisions related to implementation of CP for select, endemic organisms are made by individual facilities based on factors such as institutional epidemiology, resources, organizational priorities, and previously published guidance, and these vary widely. The SHEA Guidelines Committee (GLC) selected this topic to address when CP should be discontinued for individual patients in acute-care settings that employ CP for the aforementioned organisms.Although the organisms addressed are frequently encountered in other settings (eg, nursing homes, long-term acute-care facilities, rehabilitation centers, outpatient medical care settings), additional considerations may affect the application of these recommendations outside the acute-care hospital environment. authorsThe authors consist of current and past members of the SHEA Guidelines Committee (GLC), who serve as volunteers. All authors are involved at their respective institutions in the development of policies pertaining to CP, either directly or in an advisory role. intended useSpecial-topic EG documents are developed to address areas of relatively narrow scope that lack the level of evidence required for a formal guideline but are important for the provision of safe and effective healthcare. As such, systematic grading of evidence level is not provided for individual recommendations. Each EG is based on a synthesis of limited evidence, theoretical rationale, current practices, practical considerations, the opinion of the writing group, and consideration of potential harms where applicable. Within the EG, a summary list of recommendations is provided, along with their respective rationales. We also conducted a survey of the SHEA Research Network (SRN).No EG can anticipate all situations and this EG is not meant to be a substitute for individual judgment by qualified professionals. methods Expert Guidance DevelopmentThis EG follows the process outlined in the Handbook for SHEA-Sponsored Guidelines and Expert Guidance Documents. 10 The topic of duration of CP was among those proposed and ...

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Carriage of Methicillin-Resistant Staphylococcus aureus in Home Care Settings

Cited by 67 publications

References 14 publications

Duration of methicillin-resistant Staphylococcus aureus colonization after diagnosis: A four-year experience from southern Sweden

Duration of methicillin-resistant Staphylococcus aureus colonization after diagnosis: A four-year experience from southern Sweden

Epidemiology of Staphylococcus aureus Harboring the mecA or Panton-Valentine Leukocidin Genes in Hospitals in Java and Bali, Indonesia

Duration of Contact Precautions for Acute-Care Settings

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