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Cumulative Yield From Patient Surveillance Cultures for Methicillin-Resistant Staphylococcus aureus During a Hospital Outbreak

Published online by Cambridge University Press:  02 January 2015

Kevin R. Forward  and
Judy C. Arbique
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Abstract

The cumulative yield from cultures of separate sites was determined during the investigation of a methicillin-resistant Staphylococcus aureus (MRSA) outbreak. Surveillance cultures were submitted from clinical sites, nose, groin, and axilla of 421 patients on two different occasions. MRSA was recovered most often from various clinical sites, including lower respiratory tract, surgical wounds, urinary tract, and decubitus ulcers (total, 13 patients). Four additional patients were identified as positive from the first nasal swab, one patient from the second nasal swab, and two others from swabs of the groin. The submission of axillary swabs or a second groin swab did not identify additional MRSA-colonized patients and resulted in additional costs of $4,525.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 18 , Issue 11 , November 1997 , pp. 776 - 778
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1997

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References

1. Simor, AE, Payton, S, Ofner, M, Johnson, W, Smith, J. Surveillance for methicillin-resistant Staphylococcus aureus (MRSA) in Canadian hospitals. Abstracts of the Sixth Annual Meeting of the Society for Healthcare Epidemiology of America; Washington, DC; 04 1996. Abstract 77.Google Scholar
2. Jernigan, JA, Clemence, MA, Stott, GA, et al. Control of methicillin-resistant Staphylococcus aureus at a university hospital: one decade later. Infect Control Hosp Epidemiol 1995;16:686–696.Google Scholar
3. Rao, N, Jacobs, S, Joyce, L. Cost-effective eradication of an outbreak of methicillin-resistant Staphylococcus aureus in a community teaching hospital. Infect Control Hosp Epidemiol 1988;6:255–260.CrossRefGoogle Scholar
4. Craven, DE, Reed, C, Kollisch, N, et al. A large outbreak of infections caused by a strain of Staphylococcus aureus resistant to oxacillin and aminoglycosides. Am J Med 1981;71:53–58.Google Scholar
5. Bitar, CM, Mayhall, CG, Lamb, VA, Bradshaw, TJ, Spadora, AC, Dalton, HP. Outbreak due to methicillin- and rifampin-resistant Staphylococcus aureus: epidemiology and eradication of the resistant strain from the hospital. Infect Control 1987;8:15–23.Google Scholar
6. National Committee for Clinical Laboratory Standards. Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically. Approved standard M7-A3. Villanova, PA: National Committee for Clinical Laboratory Standards; 1993.Google Scholar
7. Murakami, K, Minamide, W, Wda, K, Nakamura, E, Teroaka, H, Watanabe, S. Identification of methicillin-resistant strains of staphylococci by polymerase chain reaction. J Clin Microbiol 1991;29:2240–2244.Google Scholar
8. Jansen, MA, Webster, JA, Straus, N. Rapid identification of bacteria on the basis of polymerase chain reaction-amplified ribosomal DNA spacer polymorphisms. Appl Environ Microbiol 1993;59:945–952.Google Scholar
9. Wakefield, DS, Helms, CM, Massanare, RM, Mori, M, Pfaller, M. Cost of nosocomial infection: relative contribution of laboratory, antibiotic, and per diem costs in serious Staphylococcus aureus infections. Am J Infect Control 1988;16:185–192.Google Scholar
10. Rimland, D, Roberson, B. Gastrointestinal carriage of methicillin-resistant Staphylococcus aureus . J Clin Microbiol 1986;24:137–138.CrossRefGoogle ScholarPubMed