Predicting High Prevalence of Community Methicillin-Resistant <i>Staphylococcus aureus</i> Strains in Nursing Homes

Murphy, Courtney R.; Hudson, Lyndsey O.; Spratt, Brian G.; Quan, Victor; Kim, Diane; Peterson, Ellena M.; Tan, Grace; Evans, Kaye; Meyers, Hildy; Cheung, Michèle; Lee, Bruce Y.; Mukamel, Dana B.; Enright, Mark C.; Whealon, Matthew D.; Huang, Susan S.

doi:10.1086/669519

Cited by 23 publications

(24 citation statements)

References 10 publications

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“…14 Similar studies in other countries have reported MRSA prevalence rates in NHs ranging from 1.1% in Germany to 6.2% in Israel, 8.6% in Ireland, 19.5% in Belgium, 15 19%-22% in Leeds (UK), 16 and 24% in the US. 17 The range of MRSA carriage varies widely among institutions, but similar findings have been described in other studies. [15][16][17] In the present study, 2 NHs had 0% MRSA carriage.…”

Section: Discussionsupporting

confidence: 82%

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Prevalence and molecular characteristics of methicillin-resistant Staphylococcus aureus strains isolated in a multicenter study of nursing home residents in Croatia

Budimir

Pal

Bošnjak

et al. 2014

American Journal of Infection Control

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Section: Discussionsupporting

confidence: 82%

“…17 The range of MRSA carriage varies widely among institutions, but similar findings have been described in other studies. [15][16][17] In the present study, 2 NHs had 0% MRSA carriage. The prevalence of indwelling devices was much lower than reported in previous studies.…”

Section: Discussionsupporting

confidence: 82%

Prevalence and molecular characteristics of methicillin-resistant Staphylococcus aureus strains isolated in a multicenter study of nursing home residents in Croatia

Budimir

Pal

Bošnjak

et al. 2014

American Journal of Infection Control

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“…19 The first published report in Bangladesh about MRSA isolates was made in 1991 24 and thereafter focus on the burden of MRSA was reported in a number of scientific articles. 25,26 The majority of the studies mainly highlight Bangladeshi AR as similar to the global burden. MRSA infection was reported 37.2% and 21.6% respectively in hospitalized and non-hospitalized diabetic patients respectively in Bangladesh.…”

Section: Discussionmentioning

confidence: 99%

Insight of Medical Students of Clinical Years to Antimicrobials Prescribing and Resistance in Private Medical School, Chittagong, Bangladesh

Hoque¹,

Mostafa²,

Haque³

2016

JYP

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Background: Physicians formally receive education regarding antimicrobials and microbial resistance during a 5-6 year curriculum of the undergraduate medical program. However, the once magical bullet of antibiotics is now threatened by AR, which has become a significant hazard to global health. Thus, a doctor must possess the adequate knowledge to select an antibiotic or other drug for use in a particular disease. This issue is not currently being addressed in the undergraduate curriculum resulting in irrational prescribing. Therefore, it is essential to possess a comprehensive knowledge regarding drugs, including antimicrobials at an undergraduate level. Currently, there is no comprehensive evaluation of medical students' perception of AR in Bangladesh. This was the driving force to conduct this study and to identify gaps in KAP of medical students about AR, as well as to enrich the medical curriculum. Methods: This is a cross-sectional, randomized, questionnaire-based study. Data were collected using a validated instrument. Results: 107 students were selected using a quota sampling technique. A total of 107 participants (32.71% male and 67.29% female) attended the study. The response rate was 100%. Out of the cohort; 37.38%, 30.84%, and 31.78% were from the Year-III, Year-IV, and Year-V respectively. The participants felt more confident in 'Making an accurate diagnosis of infection/ sepsis.' Conclusion: Our study population found to be suffering from a lack of confidence partially due to a gap in their knowledge about the proper selection of antimicrobials.

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“…None of the isolates reported here were attributed to community-associated MRSA (CA-MRSA) or livestockassociated MRSA (LA-MRSA). That CA-MRSA can represent a substantial proportion of MRSA in nursing home residents has been reported from the US [49], and LA-MRSA has been identified among isolates from Dutch nursing homes [50]. In Germany, CA-MRSA is not common so far, nor is LA-MRSA as nasal coloniser and infectious agent in regions of Germany with low density of livestock farming such as the Rhine-Main region [51].…”

Section: Discussionmentioning

confidence: 99%

Current prevalence of multidrug-resistant organisms in long-term care facilities in the Rhine-Main district, Germany, 2013

Hogardt

Proba

Mischler³

et al. 2015

Eurosurveillance

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Multidrug-resistant organisms (MDRO) and in particular multidrug-resistant Gram-negative organisms (MRGN) are an increasing problem in hospital care. However, data on the current prevalence of MDRO in long-term care facilities (LTCFs) are rare. To assess carriage rates of MDRO in LTCF residents in the German Rhine-Main region, we performed a point prevalence survey in 2013. Swabs from nose, throat and perineum were analysed for meticillin-resistant Staphylococcus aureus (MRSA), perianal swabs were analysed for extended-spectrum beta-lactamase (ESBL)-producing organisms, MRGN and vancomycin-resistant enterococci (VRE). In 26 LTCFs, 690 residents were enrolled for analysis of MRSA colonisation and 455 for analysis of rectal carriage of ESBL/MRGN and VRE. Prevalences for MRSA, ESBL/MRGN and VRE were 6.5%, 17.8%, and 0.4%, respectively. MRSA carriage was significantly associated with MRSA history, the presence of urinary catheters, percutaneous endoscopic gastrostomy tubes and previous antibiotic therapy, whereas ESBL/ MRGN carriage was exclusively associated with urinary catheters. In conclusion, this study revealed no increase in MRSA prevalence in LTCFs since 2007. In contrast, the rate of ESBL/MRGN carriage in German LTCFs was remarkably high. In nearly all positive residents, MDRO carriage had not been known before, indicating a lack of screening efforts and/or a lack of information on hospital discharge.

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Predicting High Prevalence of Community Methicillin-Resistant Staphylococcus aureus Strains in Nursing Homes

Cited by 23 publications

References 10 publications

Prevalence and molecular characteristics of methicillin-resistant Staphylococcus aureus strains isolated in a multicenter study of nursing home residents in Croatia

Prevalence and molecular characteristics of methicillin-resistant Staphylococcus aureus strains isolated in a multicenter study of nursing home residents in Croatia

Insight of Medical Students of Clinical Years to Antimicrobials Prescribing and Resistance in Private Medical School, Chittagong, Bangladesh

Current prevalence of multidrug-resistant organisms in long-term care facilities in the Rhine-Main district, Germany, 2013

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