Cargando…
Community-Acquired Methicillin-Resistant Staphylococcus aureus in Institutionalized Adults with Developmental Disabilities
Methicillin-resistant Staphylococcus aureus (MRSA) has recently been reported to emerge in the community setting. We describe the investigation and control of a community-acquired outbreak of MRSA skin infections in a closed community of institutionalized adults with developmental disabilities. In a...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
Centers for Disease Control and Prevention
2002
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2732561/ https://www.ncbi.nlm.nih.gov/pubmed/12194775 http://dx.doi.org/10.3201/eid0809.020300 |
_version_ | 1782171053525565440 |
---|---|
author | Borer, Abraham Gilad, Jacob Yagupsky, Pablo Peled, Nechama Porat, Nurith Trefler, Ronit Shprecher-Levy, Hannah Riesenberg, Klaris Shipman, Miriam Schlaeffer, Francisc |
author_facet | Borer, Abraham Gilad, Jacob Yagupsky, Pablo Peled, Nechama Porat, Nurith Trefler, Ronit Shprecher-Levy, Hannah Riesenberg, Klaris Shipman, Miriam Schlaeffer, Francisc |
author_sort | Borer, Abraham |
collection | PubMed |
description | Methicillin-resistant Staphylococcus aureus (MRSA) has recently been reported to emerge in the community setting. We describe the investigation and control of a community-acquired outbreak of MRSA skin infections in a closed community of institutionalized adults with developmental disabilities. In a 9-month period in 1997, 20 (71%) of 28 residents had 73 infectious episodes. Of the cultures, 60% and 32% obtained from residents and personnel, respectively, grew S. aureus; 96% and 27% were MRSA. All isolates were genetically related by pulsed-field gel electrophoresis and belonged to a phage type not previously described in the region. No known risk factors for MRSA acquisition were found. However, 58 antibiotic courses had been administered to 16 residents during the preceding 9 months. Infection control measures, antibiotic restriction, and appropriate therapy resulted in successful termination of this outbreak. Selective antibiotic pressure may result in the emergence, persistence, and dissemination of MRSA strains, causing prolonged disease. |
format | Text |
id | pubmed-2732561 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2002 |
publisher | Centers for Disease Control and Prevention |
record_format | MEDLINE/PubMed |
spelling | pubmed-27325612009-09-16 Community-Acquired Methicillin-Resistant Staphylococcus aureus in Institutionalized Adults with Developmental Disabilities Borer, Abraham Gilad, Jacob Yagupsky, Pablo Peled, Nechama Porat, Nurith Trefler, Ronit Shprecher-Levy, Hannah Riesenberg, Klaris Shipman, Miriam Schlaeffer, Francisc Emerg Infect Dis Research Methicillin-resistant Staphylococcus aureus (MRSA) has recently been reported to emerge in the community setting. We describe the investigation and control of a community-acquired outbreak of MRSA skin infections in a closed community of institutionalized adults with developmental disabilities. In a 9-month period in 1997, 20 (71%) of 28 residents had 73 infectious episodes. Of the cultures, 60% and 32% obtained from residents and personnel, respectively, grew S. aureus; 96% and 27% were MRSA. All isolates were genetically related by pulsed-field gel electrophoresis and belonged to a phage type not previously described in the region. No known risk factors for MRSA acquisition were found. However, 58 antibiotic courses had been administered to 16 residents during the preceding 9 months. Infection control measures, antibiotic restriction, and appropriate therapy resulted in successful termination of this outbreak. Selective antibiotic pressure may result in the emergence, persistence, and dissemination of MRSA strains, causing prolonged disease. Centers for Disease Control and Prevention 2002-09 /pmc/articles/PMC2732561/ /pubmed/12194775 http://dx.doi.org/10.3201/eid0809.020300 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited. |
spellingShingle | Research Borer, Abraham Gilad, Jacob Yagupsky, Pablo Peled, Nechama Porat, Nurith Trefler, Ronit Shprecher-Levy, Hannah Riesenberg, Klaris Shipman, Miriam Schlaeffer, Francisc Community-Acquired Methicillin-Resistant Staphylococcus aureus in Institutionalized Adults with Developmental Disabilities |
title | Community-Acquired Methicillin-Resistant Staphylococcus aureus in Institutionalized Adults with Developmental Disabilities |
title_full | Community-Acquired Methicillin-Resistant Staphylococcus aureus in Institutionalized Adults with Developmental Disabilities |
title_fullStr | Community-Acquired Methicillin-Resistant Staphylococcus aureus in Institutionalized Adults with Developmental Disabilities |
title_full_unstemmed | Community-Acquired Methicillin-Resistant Staphylococcus aureus in Institutionalized Adults with Developmental Disabilities |
title_short | Community-Acquired Methicillin-Resistant Staphylococcus aureus in Institutionalized Adults with Developmental Disabilities |
title_sort | community-acquired methicillin-resistant staphylococcus aureus in institutionalized adults with developmental disabilities |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2732561/ https://www.ncbi.nlm.nih.gov/pubmed/12194775 http://dx.doi.org/10.3201/eid0809.020300 |
work_keys_str_mv | AT borerabraham communityacquiredmethicillinresistantstaphylococcusaureusininstitutionalizedadultswithdevelopmentaldisabilities AT giladjacob communityacquiredmethicillinresistantstaphylococcusaureusininstitutionalizedadultswithdevelopmentaldisabilities AT yagupskypablo communityacquiredmethicillinresistantstaphylococcusaureusininstitutionalizedadultswithdevelopmentaldisabilities AT pelednechama communityacquiredmethicillinresistantstaphylococcusaureusininstitutionalizedadultswithdevelopmentaldisabilities AT poratnurith communityacquiredmethicillinresistantstaphylococcusaureusininstitutionalizedadultswithdevelopmentaldisabilities AT treflerronit communityacquiredmethicillinresistantstaphylococcusaureusininstitutionalizedadultswithdevelopmentaldisabilities AT shprecherlevyhannah communityacquiredmethicillinresistantstaphylococcusaureusininstitutionalizedadultswithdevelopmentaldisabilities AT riesenbergklaris communityacquiredmethicillinresistantstaphylococcusaureusininstitutionalizedadultswithdevelopmentaldisabilities AT shipmanmiriam communityacquiredmethicillinresistantstaphylococcusaureusininstitutionalizedadultswithdevelopmentaldisabilities AT schlaefferfrancisc communityacquiredmethicillinresistantstaphylococcusaureusininstitutionalizedadultswithdevelopmentaldisabilities |