Infection Control · 1987 · 119 citations · 17 references
Veterinary MedicineInfectious DiseasesMicrobiologyAntimicrobial ResistanceInfectious Disease EpidemiologyMedical MicrobiologyAntibiotic ResistanceBacterial InfectionsCommunity-acquired InfectionsHealthcare-associated Infection PreventionHealthcare-associated InfectionsNosocomial Infection EpidemiologyBacterial Infection PreventionControl Measures EvaluationEliminationMethicillin-resistant Staphylococcus Aureus SurveillanceNursing Home Antibiotic UsePreventive Control MeasuresSputum MicrobiologyStaphylococcus Aureus Colonization
During a 13-month period, 25 residents of a nursing home were found to have positive cultures for methicillin-resistant Staphylococcus aureus (MRSA), including 17 with clinically significant infections. The outbreak came to attention in February 1985 when pneumonia was diagnosed in five residents during a 10-day period, and sputum cultures from all five were positive for MRSA. A survey revealed that nine (12%) of a sample of 74 residents and nine (7%) of 130 personnel had positive cultures for MRSA. Six of nine residents with MRSA detected in the culture survey had not been hospitalized for 6 or more months before the survey, suggesting acquisition of MRSA in the nursing home. Implementation of control measures was associated with a decreased occurrence but not complete elimination of new cases. MRSA in nursing homes is of concern because these institutions might serve as reservoirs for MRSA in the community. Further studies are required to define the magnitude of the problem, as well as optimal control measures.
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Principles and Practice of Infectious Diseases.
Annals of Internal Medicine · 1991 · 12.1K citations
Tilak Man Singha · Journal of Nepal Medical Association · 2003 · 587 citations · Full text