2011
DOI: 10.1093/cid/cir822
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Import and Spread of Panton-Valentine Leukocidin–Positive Staphylococcus aureus Through Nasal Carriage and Skin Infections in Travelers Returning From the Tropics and Subtropics

Abstract: Geographic variation in the risk of SSTIs in travelers supports a globally heterogeneous distribution of virulent S. aureus. Complicated SSTIs in returnees from nontemperate climates are associated with PVL(+) S. aureus and promote the emergence and spread of virulent and antibiotic-resistant strains. We propose a network for the surveillance of imported S. aureus (www.staphtrav.eu).

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Cited by 79 publications
(51 citation statements)
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References 55 publications
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“…This is of outmost importance, not only for patients in Gabon but also for travelers returning from the tropics which have acquired infections in the visited country [22]. Our study provides the basis for future prospective studies for instance on invasive infections and clearly points out the need for a more rational use of antibiotic agents paired with improved education of health care workers on the use of anti-infective drugs as part of antibiotic stewardship programs.…”
Section: Discussionmentioning
confidence: 81%
“…This is of outmost importance, not only for patients in Gabon but also for travelers returning from the tropics which have acquired infections in the visited country [22]. Our study provides the basis for future prospective studies for instance on invasive infections and clearly points out the need for a more rational use of antibiotic agents paired with improved education of health care workers on the use of anti-infective drugs as part of antibiotic stewardship programs.…”
Section: Discussionmentioning
confidence: 81%
“…This study presents evidence of a parallel spread of the European CA-MRSA lineage to most areas of present-day distribution soon after the successful dominant clone emerged. The lack of phylogeographic signal is likely the result of extensive human travel activities within Europe and through immigration from primarily North Africa and the Middle East into Europe (24, 25, 83). Put together, both phenomena shaped the dispersal pattern of the CA-MRSA clone.…”
Section: Discussionmentioning
confidence: 99%
“…Evidence further suggests that colonization with MRSA or strains harboring virulence genes imposes a significantly greater risk for the development of subsequent infections than does colonization with MSSA (31). The enhanced virulence of CA-MRSA has been well recognized, and the underlying mechanism has gradually been revealed over the past few years (32)(33)(34)(35). Although our data also suggest a greater virulence potential for MRSA strains, we were unable to draw any definite conclusion on autoinfections of the carried S. aureus strains due to the limited cases with subsequent infections, and because no responsible pathogen was isolated from the diseased subjects.…”
Section: Discussionmentioning
confidence: 99%