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Risk Factors for Persistent Methicillin-Resistant Staphylococcus aureus Colonization in Children with Multiple Intensive Care Unit Admissions

Published online by Cambridge University Press:  02 January 2015

Victor O. Popoola ,
Pranita Tamma ,
Nicholas G. Reich ,
Trish M. Perl  and
Aaron M. Milstone
Victor O. Popoola
Affiliation:
Department of Pediatrics, Division of Pediatric Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland
Pranita Tamma
Affiliation:
Department of Pediatrics, Division of Pediatric Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland
Nicholas G. Reich
Affiliation:
Division of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts, Amherst, Massachusetts
Trish M. Perl
Affiliation:
Department of Medicine, Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland
Aaron M. Milstone*
Affiliation:
Department of Pediatrics, Division of Pediatric Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland
*
Johns Hopkins Department of Pediatric Infectious Diseases, 200 North Wolfe Street, Rubenstein 3141, Baltimore, MD 21287 ([email protected]).
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Abstract

We studied methicillin-resistant Staphylococcus aureus (MRSA)-colonized children with multiple intensive care unit (ICU) admissions to assess the persistence of MRSA colonization. Our data found that children with more than 1 year between ICU admissions had a higher prevalence of MRSA colonization than the overall ICU population, which supports empirical contact precautions for children with previous MRSA colonization.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 34 , Issue 7 , July 2013 , pp. 748 - 750
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

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References

1.Creel, AM, Durham, SH, Benner, KW, Alten, JA, Winkler, MK. Severe invasive community-associated methicillin-resistant Staphylococcus aureus infections in previously healthy children. Pediatr Crit Care Med 2009;10(3):323–327.Google Scholar
2.Milstone, AM, Goldner, BW, Ross, T, Shepard, JW, Carroll, KC, Perl, TM. Methicillin-resistant Staphylococcus aureus colonization and risk of subsequent infection in critically ill children: importance of preventing nosocomial methicillin-resistant Staphylococcus aureus transmission. Clin Infect Dis 2011;53(9):853–859.Google Scholar
3.Milstone, AM, Carroll, KC, Ross, T, Shangraw, KA, Perl, TM. Community-associated methicillin-resistant Staphylococcus aureus strains in pediatric intensive care unit. Emerg Infect Dis 2010;16(4):647–655.Google Scholar
4.Kirkland, KB, Weinstein, JM. Adverse effects of contact isolation. Lancet 1999;354(9185):1177–1178.Google Scholar
5.Larson, EL, Cohen, B, Ross, B, Behta, M. Isolation Precautions for methicillin-resistant Staphylococcus aureus: electronic surveillance to monitor adherence. Am J Crit Care 2010;19(1):16–26.Google Scholar
6.Feudtner, C, Christakis, DA, Connell, FA. Pediatric deaths attributable to complex chronic conditions: national trends and implications for supportive care services. Pediatrics 2001;107(6): E99.CrossRefGoogle ScholarPubMed
7.Advani, S, Reich, NG, Sengupta, A, Gosey, L, Milstone, AM. Central line-associated bloodstream infection in hospitalized children with peripherally inserted central venous catheters: extending risk analyses outside the intensive care unit. Clin Infect Dis 2011;52(9):1108–1115.Google Scholar
8.Robicsek, A, Beaumont, JL, Peterson, LR. Duration of colonization with methicillin-resistant Staphylococcus aureus. Clin Infect Dis 2009;48(7):910–913.Google Scholar
9.Fritz, SA, Krauss, MJ, Epplin, EK, et al. The natural history of contemporary staphylococcus aureus nasal colonization in community children. Pediatr Infect Dis J 2011;30(4):349–351.CrossRefGoogle ScholarPubMed
10.Lautenbach, E, Nachamkin, I, Hu, B, et al. Surveillance cultures for detection of methicillin-resistant staphylococcus aureus: diagnostic yield of anatomic sites and comparison of provider-and patient-collected samples. Infect Control Hosp Epidemiol 2009;30(4):380–382.CrossRefGoogle ScholarPubMed