Document Detail


Triple swabbing allows sensitive MRSA detection in dermatologic patients of a university tertiary care hospital.
MedLine Citation:
PMID:  23205950     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background: To optimize preventive measures to control MRSA, we investigated retrospectively the suitability of a multiple site screening model and the optimal sampling technique to detect MRSA in a university-based phlebology and skin cancer center in Germany. Patients and Methods: During 4.5 years samples of 3 712 inpatients in a dermatologic department were analyzed for MRSA by conventional microbiologic cultures and in parallel by PCR. Samples were taken from nares, wounds and skin lesions. Results: MRSA was detected in 60 inpatients (1.6%). 268 of 7 269 (3.7%) samples at admission and during hospital stay were found positive - 96 (35.8%) of these were swabs of nares, 59 (22.0%) surveillance swabs, 53 (19.8%) wound swabs and 42 (15.7%) from other dermatologic lesions. Twenty-five of 60 patients (41.7%) were found positive only in the nares, 10 (16.7%) patients only in wounds and 4 (6.7%) patients only in lesions. 166 (61.9%) of all positive culture samples became positive 24 hours after cultivation, 86 (32.1%) after 48 hours, and 16 (6.0%) after 72 hours. Conclusions: Highest sensitivity to detect MRSA can be reached by combining three swabs: nares, wounds and skin lesions ("triple-test"). Culture of screening specimens for 72 hours is recommended.
Authors:
Georg Daeschlein; Tina Bloom; Sebastian von Podewils; Ojan Assadian; Johann Ht Wagenvoort; Helene Riebe; Sebastian Fochler; Abdulkareem Al-Jebori; Syrus Karsai; Ellen Kaisermayer; Hermann Haase; Sebastian Scholz; Michael Jünger
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-4
Journal Detail:
Title:  Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG     Volume:  -     ISSN:  1610-0387     ISO Abbreviation:  J Dtsch Dermatol Ges     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101164708     Medline TA:  J Dtsch Dermatol Ges     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© The Authors | Journal compilation © Blackwell Verlag GmbH, Berlin.
Affiliation:
 Department of Dermatology of the Ernst Moritz Arndt University, Greifswald, Germany  Clinical Institute for Hospital Hygiene, Medical University of Vienna, Vienna, Austria  Department of Medical Microbiology, Atrium Medical Centre Parkstad, Heerlen, The Netherlands  Department of Dermatology, Darmstadt Hospital, Darmstadt, Germany.
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