Antibiotic ointments and methicillin-resistant Staphylococcus aureus with a reservoir in a healthcare worker in a tertiary hospital

被引：4

作者：

Molina-Cabrillana, Jesus ^{[1
]}

del Rosario-Quintana, Cristobal ^{[2
]}

Tosco-Nunez, Tomas ^{[2
]}

Dorta-Hung, Elena ^{[1
]}

Quori, Anna ^{[1
]}

Martin-Sanchez, Antonio M. ^{[2
]}

机构：

[1] CHUIMI, Serv Med Prevent, Las Palmas Gran Canaria, Spain

[2] HUIGC, Microbiol Serv, Las Palmas Gran Canaria, Spain

来源：

ENFERMEDADES INFECCIOSAS Y MICROBIOLOGIA CLINICA | 2013年 / 31卷 / 08期

关键词：

Methicillin-resistant Staphylococcus aureus; Mupirocin; Fusidic acid; Pulsed field gel electrophoresis; Healthcare worker; FIELD GEL-ELECTROPHORESIS; MUPIROCIN-RESISTANT; CONSENSUS; SURVEILLANCE; STRAINS; MRSA;

D O I：

10.1016/j.eimc.2012.10.002

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Background: Methicillin-resistant Staphylococcus aureus (MRSA) has become an important hospital-acquired pathogen, with transfer of the organism from a carrier or infected patient to uninfected patients by the hands or clothing of staff as the main mode of transmission. Methods: Investigation of a cluster of new cases of MRSA resistant to mupirocin and fusidic acid, using epidemiological and microbiological resources. Results: From September 2010 to February 2012, sixteen patients had at least one culture positive for MRSA resistant to mupirocin and fusidic acid. Some not apparently related cases and outbreaks appeared. By analysing cultures taken from patients and staff using pulsed-field gel electrophoresis, it was demonstrated that most likely this situation was started by an auxiliary nurse who was a carrier of the MRSA. Healthcare worker decontamination using oral antibiotic therapy was unsuccessful. Eventually, the situation was controlled by placing the carrier in a different job, with no further cases to date (September, 2012). Conclusion: This report illustrates the risk of nosocomial transmission linked to care delivered by healthcare workers. (C) 2012 Elsevier Espana, S.L. All rights reserved.

引用

页码：511 / 515

页数：5

共 17 条

[1] Causal inference: The case of hygiene and health [J].

Aiello, AE ;

Larson, EL .

AMERICAN JOURNAL OF INFECTION CONTROL, 2002, 30 (08) :503-510

[2] Health-care workers: source, vector, or victim of MRSA? [J].

Albrich, Werner C. ;

Harbarth, Stephan .

LANCET INFECTIOUS DISEASES, 2008, 8 (05) :289-301

[3]

Cercenado E, 2007, PROCEDIMIENTOS MICRO

[4]

Cercenado E, 2003, Procedimientos en Microbiologia Clinica. Recomendaciones de la Sociedad Espanola de Enfermedades Infecciosas y Microbiologia Clinica

[5]

Cercenado E, 2000, PROCEDIMIENTOS MICRO

[6]

Cercenado E, 2011, PROCEDIMIENTOS MICRO

[7]

Clinical and Laboratory Standards Institute, 2012, M100S22 CLIN LAB STA

[8]

European Committee on Antimicrobial Susceptibility Testing, 2010, FUS AC RAT CLIN BRAK

[9] Harmonization of pulsed-field gel electrophoresis protocols for epidemiological typing of strains of methicillin-resistant Staphylococcus aureus:: a single approach developed by consensus in 10 European laboratories and its application for tracing the spread of related strains [J].

Murchan, S ;

Kaufmann, ME ;

Deplano, A ;

de Ryck, R ;

Struelens, M ;

Zinn, CE ;

Fussing, V ;

Salmenlinna, S ;

Vuopio-Varkila, J ;

El Solh, N ;

Cuny, C ;

Witte, W ;

Tassios, PT ;

Legakis, N ;

van Leeuwen, W ;

van Belkum, A ;

Vindel, A ;

Laconcha, I ;

Garaizar, J ;

Haeggman, S ;

Olsson-Liljequist, B ;

Ransjo, U ;

Coombes, G ;

Cookson, B .

JOURNAL OF CLINICAL MICROBIOLOGY, 2003, 41 (04) :1574-1585

[10] Evaluation of three chromogenic media (MRSA-ID, MRSA-Select and CHROMagar MRSA) and ORSAB for surveillance cultures of methicillin-resistant Staphylococcus aureus [J].

Nahimana, I. ;

Francioli, P. ;

Blanc, D. S. .

CLINICAL MICROBIOLOGY AND INFECTION, 2006, 12 (12) :1168-1174

← 1 2 →