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Development of Mupirocin Resistance Among Methicillin-Resistant Staphylococcus aureus After Widespread Use of Nasal Mupirocin Ointment

Published online by Cambridge University Press:  02 January 2015

Abstract

All methicillin-resistant Staphylococcus aureus (MRSA) strains isolated from colonized or infected patients in a 625-bed public teaching hospital during an epidemic, and for 3 years thereafter, underwent susceptibility testing to mupirocin. Mupirocin resistance among MRSA increased markedly over this period (1990, 2.7%; 1991, 8.0%; 1992, 61.5%; 1993, 65%) in association with increased use of mupirocin ointment as an adjunct to infection control measures.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1996

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References

1. Boyce, JM. Methicillin-resistant Staphylococcus aureus in hospitals and long-term care facilities: microbiology, epidemiology, and preventive measures. Infect Control Hosp Epidemiol 1992;13:725737.CrossRefGoogle ScholarPubMed
2. Hill, RLR, Duckworth, GJ, Casewell, MW. Elimination of nasal carriage of methicillin-resistant Staphylococcus aureus with mupirocin during a hospital outbreak. J Antimicrob Chemother 1988;22:377384.CrossRefGoogle ScholarPubMed
3. Casewell, MW, Hill, RLR. Elimination of nasal carriage of Staphylococcus aureus with mupirocin (‘pseudomonic acid2’)a controlled trial. J Antimicrob Chemother 1986;17:365372.CrossRefGoogle Scholar
4. Cookson, BD, Lacey, RW, Noble, WC, Reeves, DS, Wise, R, Redhead, RJ. Mupirocin-resistant Staphylococcus aureus . Lancet 1990;335:10951096.CrossRefGoogle ScholarPubMed
5. Kavi, J, Andrews, JM, Wise, R. Mupirocin-resistant Staphylococcus aureus . Lancet 1987;2:14721473.CrossRefGoogle Scholar
6. National Committee for Clinical Laboratory Standards. Performance standards for antimicrobial disk susceptibility tests. Villanova, PA: NCCLS; 1993. Approved standard M2A5.Google Scholar
7. Gaspar, MC, Sanchez, P, Uribe, P, Coello, R, Arroyo, P, Cruzet, F. Mupirocin susceptibility in vitro and nasal eradication of epidemic methicillin-resistant Staphylococcus aureus . J Hosp Infect 1993;24:237238.CrossRefGoogle ScholarPubMed
8. Bradley, SF, Ramsey, MA, Morton, TM, Kauffman, CA. Mupirocin resistance: clinical and molecular epidemiology. Infect Control Hosp Epidemiol 1995;16:354358.CrossRefGoogle ScholarPubMed
9. Rahman, M, Noble, WC, Cookson, B. Mupirocin-resistant Staphylococcus aureus . Lancet 1987;2:387388.CrossRefGoogle Scholar
10. Wise, R, Johnson, J. Mupirocin resistance. Lancet 1991;338:578.Google Scholar
11. Hill, RLR, Casewell, MW. Nasal carriage of MRSA: the role of mupirocin and outlook for resistance. Drugs Exp Clin Res 1990;16:397402.Google ScholarPubMed
12. Janssen, DA, Zarins, LT, Schaberg, DR, Bradley, SF, Terpenning, MS, Kauffman, CA. Detection and characterization of mupirocin resistance in Staphylococcus aureus . Antimicrob Agents Chemother 1993;37:20032006.CrossRefGoogle ScholarPubMed
13. Gilbart, J, Perry, CR, Slocombe, B. High-level mupirocin resistance in Staphylococcus aureus: evidence for two distinct isoleucyl-tRNA synthetases. Antimicrob Agents Chemother 1993;37:3238.CrossRefGoogle ScholarPubMed
14. Rahman, M, Connolly, S, Noble, WC, Cookson, B, Phillips, I. Diversity of staphylococci exhibiting high-level resistance to mupirocin. J Med Microbiol 1990;33:97100.CrossRefGoogle ScholarPubMed
15. Fuchs, PC, Jones, RN, Barry, AL. Interpretive criteria for disk diffusion susceptibility testing of mupirocin, a topical antibiotic. J Clin Microbiol 1990;28:608609.CrossRefGoogle ScholarPubMed