Document Detail


Control of a cluster of community-associated, methicillin-resistant Staphylococcus aureus in neonatology.
MedLine Citation:
PMID:  16542756     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To control an outbreak of community-associated MRSA (CA-MRSA) in a neonatology unit, an investigation was conducted that involved screening neonates and parents, molecular analysis of MRSA isolates and long-term follow-up of cases. During a two-month period in the summer of 2000, Panton-Valentine leukocidin (PVL)-producing CA-MRSA (strain ST5-MRSA-IV) was detected in five neonates. The mother of the index caseshowed signs of mastitis and wound infection and consequently tested positive for CA-MRSA. A small cluster of endemic, PVL-negative MRSA strains (ST228-MRSA-I) occurred in parallel. Enhanced hygiene measures, barrier precautions, topical decolonization of carriers, and cohorting of new admissions terminated the outbreak. Four months after the outbreak, the mother of another neonate developed furunculosis with the epidemic CA-MRSA strain. One infant had persistent CA-MRSA carriage resulting in skin infection in a sibling four years after the outbreak. In conclusion, an epidemic CA-MRSA strain was introduced by the mother of the index case. This spread among neonates and was subsequently transmitted to another mother and a sibling. This is the first report of a successfully controlled neonatology outbreak of genetically distinct PVL-producing CA-MRSA in Europe.
Authors:
H Sax; K Posfay-Barbe; S Harbarth; P Francois; S Touveneau; C L Pessoa-Silva; J Schrenzel; S Dharan; A Gervaix; D Pittet
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Publication Detail:
Type:  Journal Article     Date:  2006-03-15
Journal Detail:
Title:  The Journal of hospital infection     Volume:  63     ISSN:  0195-6701     ISO Abbreviation:  J. Hosp. Infect.     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-04-24     Completed Date:  2006-06-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8007166     Medline TA:  J Hosp Infect     Country:  England    
Other Details:
Languages:  eng     Pagination:  93-100     Citation Subset:  IM    
Affiliation:
Infection Control Programme, University of Geneva Hospitals, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anti-Bacterial Agents / therapeutic use
Community-Acquired Infections / microbiology,  prevention & control,  transmission
Disease Outbreaks*
Humans
Infant, Newborn
Infection Control / methods*
Intensive Care Units, Neonatal
Methicillin Resistance*
Staphylococcal Infections / drug therapy,  epidemiology*,  transmission
Staphylococcus aureus / drug effects*,  isolation & purification,  pathogenicity
Switzerland / epidemiology
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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