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Molecular Epidemiology of Methicillin-Resistant Staphylococcus aureus in Nursing Homes: A Cross-Sectional Study

Published online by Cambridge University Press:  02 January 2015

Annette Hoefnagels-Schuermans*
Affiliation:
Infection Control and Hospital Epidemiology, University Hospitals, Leuven, Belgium
Luc Niclaes
Affiliation:
Department of General Practice, Leuven, Belgium
Frank Buntinx
Affiliation:
Department of General Practice, Leuven, Belgium
Carl Suetens
Affiliation:
Scientific Institute of Public Health, Brussels, Belgium
Beatrice Jans
Affiliation:
Scientific Institute of Public Health, Brussels, Belgium
Jan Verhaegen
Affiliation:
Department of Microbiology, Laboratory Medicine, University Hospitals, Leuven, Belgium
Johan Van Eldere
Affiliation:
Department of Microbiology, Laboratory Medicine, University Hospitals, Leuven, Belgium
*
University Hospitals, Infection Control and Hospital Epidemiology, Herestraat 49 CDG–4, 3000 Leuven, Belgium

Abstract

A cross-sectional study of methicillin-resistant Staphylococcus aureus carriage in 2,857 nursing home residents showed an overall prevalence of 4.9%. The three clones identified by genetic analysis were identical to those in the acute care facilities; only their relative prevalence differed. Clone 2 took epidemic proportions in five of these nursing homes.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2002

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References

1.Bradley, SF. Methicillin-resistant Staphylococcus aureus in nursing homes. Drugs Aging 1997;10:185198.CrossRefGoogle ScholarPubMed
2.O'Sullivan, NP, Keane, CT. The prevalence of methicillin-resistant Staphylococcus aureus among the residents of six nursing homes for the elderly. J Hosp Infect 2000;45:322329.CrossRefGoogle ScholarPubMed
3.Layton, MC, Hierholzer, WJ Jr, Patterson, JE. The evolving epidemiology of methicillin-resistant Staphylococcus aureus at a university hospital. Infect Control Hosp Epidemiol 1995;16:1217.CrossRefGoogle ScholarPubMed
4.Hoefnagels-Schuermans, A, Peetermans, WE, Struelens, MJ, Van Lierde, S, Van Eldere, J. Clonal analysis and identification of epidemic strains of methicillin-resistant Staphylococcus aureus by antibiotyping and determination of protein A gene and coagulase gene polymorphisms. J Clin Microbiol 1997;35:25142520.CrossRefGoogle ScholarPubMed
5.European Antimicrobial Resistance Surveillance System. Antibiotic Resistance of Invasive Streptococcus pneumoniae and Staphylococcus aureus strains Belgium (1998–1999). Brussels, Belgium: Scientific Institute of Public Health. Antimicrobial Resistance Surveillance System. Riot Phase report. IPH/EPI Reports Nr. D/2000/2505/31.Google Scholar
6.Cookson, BD. Methicillin-resistant Staphylococcus aureus in the community: new battlefronts, or are the battles lost? Infect Control Hosp Epidemiol 2000;21:398403.CrossRefGoogle ScholarPubMed
7.Bryce, EA, Tiffin, SM, Isaac-Renton, JL, Wright, CJ. Evidence of delays in transferring patients with methicillin-resistant Staphylococcus aureus or vancomycin-resistant Enterococcus to long-term–care facilities. Infect Control Hosp Epidemiol 2000;21:270271.CrossRefGoogle ScholarPubMed
8.Niclaes, L, De Turck, L, Buntinx, F, Heyrman, J, Borremans, A. Methicillin-resistant Staphylococcus aureus in a nursing home: prevalence and determinants. Archives of Public Health 1996;54:18.Google Scholar
9.Groep ter Opsporing, Studie en Preventie van de Infecties in de Ziekenhuizen (GOSPIZ). Guidelines for control and prevention of methicillin-resistant Staphylococcus aureus transmission in Belgian hospitals. Ada Clin Belg 1994;49:108113.CrossRefGoogle Scholar
10.Flamaing, J, Schuermans, A, Verschraegen, G. Consensus: infectiepreventie door screening, dekolonisatie en isolatie in geriatriediensten, rustoorden en rust en verzorgingstehuizen. Tijdschr voor Geneeskunde 2001;57:664668.CrossRefGoogle Scholar