The Management of Infection and Colonization due to Methicillin‐Resistant <i>Staphylococcus aureus</i>: A CIDS/CAMM Position Paper

Simor, Andrew E.; Loeb, Mark

doi:10.1155/2004/531434

Cited by 26 publications

(27 citation statements)

References 132 publications

(153 reference statements)

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“…The high prevalence of healthy subjects colonized with S aureus and MRSA has been well described. 13 Commonly, S aureus and MRSA act as commensals of the upper respiratory tract, but if a patient is immunocompromised, a potentially fatal infection can develop. As a result, many hospitals implement S aureus and MRSA infection reduction protocols and use active surveillance programs to decolonize patients before admission or surgery.…”

Section: Discussionmentioning

confidence: 99%

Seasonal variation of respiratory pathogen colonization in asymptomatic health care professionals: A single-center, cross-sectional, 2-season observational study

Hassoun

Huff²,

Weisman

et al. 2015

American Journal of Infection Control

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Nasopharyngeal carriage among asymptomatic HCPs was common, but the frequency and presence of potential pathogens varied with each season. Understanding the colonization and infection potential of upper respiratory organisms is important, particularly for viruses. Although asymptomatic HCPs certainly harbor a number of different potentially infectious agents, future studies are needed to determine whether colonized pathogens are transmitted or initiate infection in at-risk patient populations.

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Section: Discussionmentioning

confidence: 99%

Seasonal variation of respiratory pathogen colonization in asymptomatic health care professionals: A single-center, cross-sectional, 2-season observational study

Hassoun

Huff²,

Weisman

et al. 2015

American Journal of Infection Control

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“…A meta-analysis and review by the CDC in 2006 included 24 non-experimental studies and these used various treatment approaches [62]. Guidelines for management of MRSA provided in non-CF patients differ between the CDC and Canadian guidelines [63,64] and attempts to eradicate MRSA colonization in non-CF hospitalized patients have had variable success.…”

Section: Eradication Strategies Of Mrsamentioning

confidence: 99%

Review: Staphylococcus aureus and MRSA in cystic fibrosis

Goss

Muhlebach

2011

Journal of Cystic Fibrosis

187

160

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“…2) [11,42,[44][45][46][47][48][49][50][51][52][53][54][55][56][57]. The Russian clone (ST239/ SCCmecIII R ) can also be noted [57].…”

Section: Ha-mrsamentioning

confidence: 99%

Community-acquired methicillin-resistant Staphylococcus aureus: community transmission, pathogenesis, and drug resistance

Yamamoto

Nishiyama

Takano

et al. 2010

Journal of Infection and Chemotherapy

135

167

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Methicillin-resistant Staphylococcus aureus (MRSA) is able to persist not only in hospitals (with a high level of antimicrobial agent use) but also in the community (with a low level of antimicrobial agent use). The former is called hospital-acquired MRSA (HA-MRSA) and the latter community-acquired MRSA (CA-MRSA). It is believed MRSA clones are generated from S. aureus through insertion of the staphylococcal cassette chromosome mec (SCCmec), and outbreaks occur as they spread. Several worldwide and regional clones have been identified, and their epidemiological, clinical, and genetic characteristics have been described. CA-MRSA is likely able to survive in the community because of suitable SCCmec types (type IV or V), a clone-specific colonization/infection nature, toxin profiles (including Pantone-Valentine leucocidin, PVL), and narrow drug resistance patterns. CA-MRSA infections are generally seen in healthy children or young athletes, with unexpected cases of diseases, and also in elderly inpatients, occasionally surprising clinicians used to HA-MRSA infections. CA-MRSA spreads within families and close-contact groups or even through public transport, demonstrating transmission cores. Re-infection (including multifocal infection) frequently occurs, if the cores are not sought out and properly eradicated. Recently, attention has been given to CA-MRSA (USA300), which originated in the US, and is growing as HA-MRSA and also as a worldwide clone. CA-MRSA infection in influenza season has increasingly been noted as well. MRSA is also found in farm and companion animals, and has occasionally transferred to humans. As such, the epidemiological, clinical, and genetic behavior of CA-MRSA, a growing threat, is focused on in this study.

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The Management of Infection and Colonization due to Methicillin‐Resistant Staphylococcus aureus: A CIDS/CAMM Position Paper

Cited by 26 publications

References 132 publications

Seasonal variation of respiratory pathogen colonization in asymptomatic health care professionals: A single-center, cross-sectional, 2-season observational study

Seasonal variation of respiratory pathogen colonization in asymptomatic health care professionals: A single-center, cross-sectional, 2-season observational study

Review: Staphylococcus aureus and MRSA in cystic fibrosis

Community-acquired methicillin-resistant Staphylococcus aureus: community transmission, pathogenesis, and drug resistance

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