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

Published online by Cambridge University Press:  02 January 2015

Courtney R. Murphy ,
Lyndsey O. Hudson ,
Brian G. Spratt ,
Victor Quan ,
Diane Kim ,
Ellena Peterson ,
Grace Tan ,
Kaye Evans ,
Hildy Meyers  and
Michele Cheung
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Courtney R. Murphy*
Affiliation:
Division of Infectious Diseases and Health Policy Research Institute, University of California, Irvine, School of Medicine, Irvine, California
Lyndsey O. Hudson
Affiliation:
Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom
Brian G. Spratt
Affiliation:
Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom
Victor Quan
Affiliation:
Division of Infectious Diseases and Health Policy Research Institute, University of California, Irvine, School of Medicine, Irvine, California
Diane Kim
Affiliation:
Division of Infectious Diseases and Health Policy Research Institute, University of California, Irvine, School of Medicine, Irvine, California
Ellena Peterson
Affiliation:
Department of Pathology and Laboratory Medicine, University of California, Irvine, School of Medicine, Irvine, California
Grace Tan
Affiliation:
Department of Pathology and Laboratory Medicine, University of California, Irvine, School of Medicine, Irvine, California
Kaye Evans
Affiliation:
Department of Pathology and Laboratory Medicine, University of California, Irvine, School of Medicine, Irvine, California
Hildy Meyers
Affiliation:
Epidemiology and Assessment Program, Orange County Health Care Agency, Santa Ana, California
Michele Cheung
Affiliation:
Epidemiology and Assessment Program, Orange County Health Care Agency, Santa Ana, California
Bruce Y. Lee
Affiliation:
Department of Medicine, Epidemiology and Biomedical Informatics, University of Pittsburgh School of Medicine and Graduate School of Public Health, Pittsburgh, Pennsylvania
Dana B. Mukamel
Affiliation:
Department of Medicine and Health Policy Research Institute, University of California, Irvine, School of Medicine, Irvine, California
Mark C. Enright
Affiliation:
AmphliPhi Biosciences, Colworth Science Park, Sharnbrook, Bedfordshire, United Kingdom
Matthew Whealon
Affiliation:
Division of Infectious Diseases and Health Policy Research Institute, University of California, Irvine, School of Medicine, Irvine, California
Susan S. Huang
Affiliation:
Division of Infectious Diseases and Health Policy Research Institute, University of California, Irvine, School of Medicine, Irvine, California
*
100 Theory Drive, Suite 110, Center for Health Policy Research, University of California, Irvine, Irvine, CA 92617 (courtner@uci.edu)
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Abstract

We assessed characteristics associated with community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) carriage among residents of 22 nursing homes. Of MRSA-positive swabs, 25% (208/824) were positive for CA-MRSA. Median facility CA-MRSA percentage was 22% (range, 0%–44%). In multivariate models, carriage was associated with age less than 65 years (odds ratio, 1.2; P < .001) and Hispanic ethnicity (odds ratio, 1.2; P = .006). Interventions are needed to target CA-MRSA.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 34 , Issue 3 , March 2013 , pp. 325 - 328
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

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References

1. King, MD, Humphrey, BJ, Wang, YF, et al. Emergence of community-acquired methicillin-resistant Staphylococcus aureus USA 300 clone as the predominant cause of skin and soft-tissue infections. Ann Intern Med 2006;144:309–317.CrossRefGoogle ScholarPubMed
2. Otter, JA, French, GL. Community-associated methicillin-resistant Staphylococcus aureus strains as a cause of healthcare-associated infection. J Hosp Infect 2011;79(3):189–193.CrossRefGoogle ScholarPubMed
3. Maree, CL, Daum, RS, Boyle-Vavra, S, Matayoshi, K, Miller, LG. Community-associated methicillin-resistant Staphylococcus aureus isolates causing healthcare-associated infections. Emerg Infect Dis 2007;13(2):236–242.CrossRefGoogle ScholarPubMed
4. Seybold, U, Kourbatova, EV, Johnson, JG, et al. Emergence of community-associated methicillin-resistant Staphylococcus aureus USA300 genotype as a major cause of health care-associated blood stream infections. Clin Infect Dis 2006;42:647–656.CrossRefGoogle Scholar
5. Shilo, N, Quach, C. Pulmonary infections and community associated methicillin-resistant Staphylococcus aureus: a dangerous mix? Paediatr Respir Rev 2011;12(3):182–189.CrossRefGoogle ScholarPubMed
6. Ellington, MJ, Yearwood, L, Ganner, M, East, C, Kearns, AM. Distribution of the АCМЕ-ЙГCЛ gene among methicillin-resistant Staphylococcus aureus from England and Wales. J Antimicrob Chemother 2008;61(1):73–77.CrossRefGoogle Scholar
7. Lo, WT, Wang, CC. Panton-Valentine leukocidin in the pathogenesis of community-associated methicillin-resistant Staphylococcus aureus infection. Pediatr Neonatol 2011;52(2):59–65.CrossRefGoogle ScholarPubMed
8. Smith, PW, Bennett, G, Bradley, S, et al. SHEA/APIC guideline: infection prevention and control in the long-term care facility. Infect Control Hosp Epidemiol 2008;29:785–814.CrossRefGoogle ScholarPubMed
9. Tattevin, P, Diep, BA, Jula, M, Perdreau-Remington, F. Methicillin-resistant Staphylococcus aureus USA300 clone in long-term care facility. Emerg Infect Dis 2009:15(6):953–955.CrossRefGoogle ScholarPubMed
10. Shurland, SM, Stiñe, OC, Venezia, RA, et al. Colonization sites of USA300 methicillin-resistant Staphylococcus aureus in residents of extended care facilities. Infect Control Hosp Epidemiol 2009;30(4):313–318.CrossRefGoogle ScholarPubMed