Ciprofloxacin-resistant methicillin-resistant Staphylococcus aureus in New York health care facilities, 1988. The New York MRSA Study Group.

Budnick, Lawrence D.; Schaefler, S.

doi:10.2105/ajph.80.7.810

Cited by 20 publications

(6 citation statements)

References 28 publications

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“…It is clear that multi drug-resistant organisms are commonplace in this environment, as in the acute hospital set ting. Our findings also add to the concern regarding long-term emergence of resistance to the quinolone family [2], In contrast to other reports [2], we did not find evidence of methicillin-resistant S. aure us infection.…”

Section: Discussioncontrasting

confidence: 78%

Nosocomial Infection and Antibiotic Utilization in Geriatric Patients: A Pilot Prospective Surveillance Program in Skilled Nursing Facilities

et al. 1992

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Prospective surveillance of nosocomial infection was conducted at seven skilled proprietary nursing facilities in Orange County, Calif., USA. The average incidence of facility-acquired infection was 5.2 infections/1,000 patient days. The most common source of infection was urinary tract (47 %), followed by respiratory tract (26%) and skin (14%). The four most common pathogens isolated were Proteus spp. (20%), Escherichia coli (17%), Staphylococcus aureus (13%) and Pseudomonas spp. (11%). Trimethoprim-sulfamethoxazole (20%) was the most frequently used antibiotic among all prescriptions, followed by ampicillin (16%) and ciprofioxacin (14%). Among all residents surveyed, 33% received at least one course of antibiotics during the study. Of special significance was the fact that 4 (22%) of the 18 strains of Pseudomonas were gentamicin resistant as were 12 of 80 (15 %) of the strains of Enterobacteriaceae. Furthermore, 9 of 29 (31%) strains of Pseudomonas tested were found resistant to norflox-acin as were 15 of 129 (12%) strains of enterobacteriaceae. Susceptibility patterns of the isolated pathogens were similar to those of the acute care hospital. This study indicates that infection continues to be a major problem in the skilled nursing facility and that antibiotic-resistant pathogens will be a challenge for the future.

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Section: Discussioncontrasting

confidence: 78%

Nosocomial Infection and Antibiotic Utilization in Geriatric Patients: A Pilot Prospective Surveillance Program in Skilled Nursing Facilities

et al. 1992

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“…Staphylococcus aureus serves as an example of the rapid development of resistance 20 . Four decades ago, S. aureus caused a worldwide outbreak of nosocomial infections 21 . Soon after methicillin was introduced, a methicillin‐resistant S. aureus (MRSA) developed as a leading cause of nosocomial infections, first in Europe and then in the United States.…”

Section: Discussionmentioning

confidence: 99%

The Appropriateness of Oral Fluoroquinolone‐Prescribing in the Long‐Term Care Setting

Pickering

Gurwitz

Zaleznik

et al. 1994

J American Geriatrics Society

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“…MRSA strains in nursing homes have also acquired fluoroquinolone resistance. Ciprofloxacin resistance was noted in MRSA strains isolated in 1988 from 12 residents of eight nursing homes in metropolitan New York within 3 months after the drug had become commercially available (25). During an MRSA outbreak at a VA nursing home care unit in Washington, ciprofloxacin-resistant strains of MRSA appeared in the second quarter of 1988; within a year, all strains isolated from residents in the facility were resistant to this drug (162).…”

Section: Occurrencementioning

confidence: 99%

Infections and antibiotic resistance in nursing homes

1996

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Infections occur frequently in nursing home residents. The most common infections are pneumonia, urinary tract infection, and skin and soft tissue infection. Aging-associated physiologic and pathologic changes, functional disability, institutionalization, and invasive devices all contribute to the high occurrence of infection. Antimicrobial agent use in nursing homes is intense and usually empiric. All of these factors contribute to the increasing frequency of antimicrobial agent-resistant organisms in nursing homes. Programs that will limit the emergence and impact of antimicrobial resistance and infections in nursing homes need to be developed.

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Ciprofloxacin-resistant methicillin-resistant Staphylococcus aureus in New York health care facilities, 1988. The New York MRSA Study Group.

Abstract: The emergence in 1988 of ciprofloxacin-resistant

Cited by 20 publications

References 28 publications

Nosocomial Infection and Antibiotic Utilization in Geriatric Patients: A Pilot Prospective Surveillance Program in Skilled Nursing Facilities

Nosocomial Infection and Antibiotic Utilization in Geriatric Patients: A Pilot Prospective Surveillance Program in Skilled Nursing Facilities

The Appropriateness of Oral Fluoroquinolone‐Prescribing in the Long‐Term Care Setting

Infections and antibiotic resistance in nursing homes

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