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Methicillin-Resistant Staphylococcus aureus in the Community: A Hospital-Based Study

Published online by Cambridge University Press:  02 January 2015

Angella Goetz
Affiliation:
VA Pittsburgh Healthcare System, University of Pittsburgh Medical Center, the Mercy Hospital of Pittsburgh, St Clair Hospital, Forbes Regional Hospital, Pittsburgh, Pennsylvania
Kathy Posey
Affiliation:
VA Pittsburgh Healthcare System, University of Pittsburgh Medical Center, the Mercy Hospital of Pittsburgh, St Clair Hospital, Forbes Regional Hospital, Pittsburgh, Pennsylvania
Jean Fleming
Affiliation:
VA Pittsburgh Healthcare System, University of Pittsburgh Medical Center, the Mercy Hospital of Pittsburgh, St Clair Hospital, Forbes Regional Hospital, Pittsburgh, Pennsylvania
Sharon Jacobs
Affiliation:
VA Pittsburgh Healthcare System, University of Pittsburgh Medical Center, the Mercy Hospital of Pittsburgh, St Clair Hospital, Forbes Regional Hospital, Pittsburgh, Pennsylvania
Linda Boody
Affiliation:
VA Pittsburgh Healthcare System, University of Pittsburgh Medical Center, the Mercy Hospital of Pittsburgh, St Clair Hospital, Forbes Regional Hospital, Pittsburgh, Pennsylvania
Marilyn M. Wagener
Affiliation:
VA Pittsburgh Healthcare System, University of Pittsburgh Medical Center, the Mercy Hospital of Pittsburgh, St Clair Hospital, Forbes Regional Hospital, Pittsburgh, Pennsylvania
Robert R. Muder*
Affiliation:
VA Pittsburgh Healthcare System, University of Pittsburgh Medical Center, the Mercy Hospital of Pittsburgh, St Clair Hospital, Forbes Regional Hospital, Pittsburgh, Pennsylvania
*
VA Medical Center, University Dr C, Pittsburgh, PA 15240

Abstract

To determine the proportion of methicillin-resistant Staphylococcus aureus (MRSA) among patients presenting for hospitalization and to assess risk factors for MRSA carriage, we conducted a study for 13 months at five Pittsburgh-area hospitals. Of 504 S aureus identified, 125 (25%) were MRSA Independent risk factors for MRSA included organ transplantation, employment in a healthcare facility, pressure sores, tube feeding, and hospitalization within the preceding year.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1999

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References

1. Rao, N, Jacobs, S, Joyce, L Cost effective eradication of an outbreak of methicillin-resistant Staphylococcus aureus in a community teaching hospital. Infect Control Hosp Epidemiol 1988;9:255260.CrossRefGoogle Scholar
2. Muder, RR, Brennen, C, Wagener, MM, Vickers, RM, Rihs, JD, Hancock, GA, et al. Methicillin resistant staphylococcal colonization and infection in a long-term care facility. Ann Intern Med 1991:114:107112.Google Scholar
3. Layton, MC, Hierholzer, WJ, Patterson, JE. The evolving epidemiology of methicillin resistant Staphylococcus aureus at a university hospital. Infect Control Hosp Epidemiol 1995;16:1217.CrossRefGoogle ScholarPubMed
4. Steinberg, JP, Clark, CC, Hackman, BO. Nosocomial and community acquired Staphylococcus aureus bacteremias from 1980 to 1993: impact of intravascular devices and methicillin resistance. Clin Infect Dis 1996;23:255259.Google Scholar
5. Troillet, N, Carmeli, Y, Samore, MH, Dakos, J, Eichelberger, K, DeGirolami, PC, et al. Carriage of methicillin-resistant Staphylococcus aureus at hospital admission. Infect Control Hosp Epidemiol 1998;19:181185.Google Scholar
6. Herold, BC, Immergluck, LC, Maranan, MC, Lauderdale, DS, Gaskin, RE, Boyle-Vavra, S, et al. Community acquired methicillin-resistant Staphylococcus aureus in children with no identified predisposing risk. JAMA 1998;279:593598.Google Scholar
7. Cookson, B, Peters, B, Webster, M, Phillips, I, Rahman, M, Noble, W. Staff carriage of epidemic methicillin-resistant Staphylococcus aureus . J Clin Microbiol 1989;27:14711476.Google Scholar
8. Opal, SM, Mayer, KH, Stenberg, MJ, Blazek, JE, Mikolich, DJ, Dickensheets, DL, et al. Frequent acquisition of multiple strains of methicillin-resistant Staphylococcus aureus by healthcare workers in an endemic hospital environment. Infect Control Hosp Epidemiol 1990;11:479485.CrossRefGoogle Scholar
9. Reboli, AC, John, JF, Platt, CG, Cantey, JR. Methicillin resistant Staphylococcus aureus outbreak at a Veterans' Affairs medical center: importance of carriage of the organism by hospital personnel. Infect Control Hosp Epidemiol 1990;11:291296.Google Scholar
10. Na'was, T, Fakhoury, J. Nasal carriage of methicillin resistant Staphylococcus aureus by hospital staff in north Jordan. J Hosp Infect 1991;17:223229.Google Scholar
11. Simmons, BP, Munn, C, Gelfand, M. Toxic shock in a hospital employee due to methicillin-resistant Staphylococcus aureus . Infect Control 1986;7:350.CrossRefGoogle Scholar
12. Muder, RR, Brennen, C, Goetz, AM. Infection with methicillin-resistant Staphylococcus aureus among hospital employees. Infect Control Hosp Epidemiol 1993;14:576578.Google Scholar