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Prevalence of and Risk Factors for Carriage of Panton-Valentine Leukocidin–Positive Methicillin-Resistant Staphylococcus aureus Among Residents and Staff of a German Nursing Home

Published online by Cambridge University Press:  21 June 2016

Abstract

The aims of this cross-sectional study were to determine the prevalence of and risk factors for carriage of Panton-Valentine leukocidin–producing methicillin-resistant Staphylococcus aureus (PVL-MRSA) in residents and personnel of a nursing home in Germany. In this study, PVL-MRSA carriage status among nursing home residents was associated with risk factors reflecting their dependence on nursing care. No specific risk factors were detected among staff.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

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References

1.Saiman, L, O'Keefe, M, Graham, PL, et al. Hospital transmission of community-acquired methicillin-resistant Staphylococcus aureus among postpartum women. Clin Infect Dis 2003; 37:13131319.Google Scholar
2.Eckhardt, C, Halvosa, JS, Ray, SM, Blumberg, HM. Transmission of methicillin-resistant Staphylococcus aureus in the neonatal intensive care unit from a patient with community-acquired disease. Infect Control Hosp Epidemiol 2003; 24:460461.Google Scholar
3.Linde, H, Wagenlehner, F, Strommenger, B, et al. Healthcare-associated outbreaks and community-acquired infections due to MRSA carrying the Panton-Valentine leucocidin gene in southeastern Germany. Eur J Clin Microbiol Infect Dis 2005; 24:419422.Google Scholar
4.Lina, G, Piemont, Y, Godail-Gamot, F, et al. Involvement of Panton-Valentine leukocidin-producing Staphylococcus aureus in primary skin infections and pneumonia. Clin Infect Dis 1999; 29:11281132.CrossRefGoogle ScholarPubMed
5.Miller, LGF, Perdreau-Remington, G, Rieg, S, et al. Necrotizing fasciitis caused by community-associated methicillin-resistant Staphylococcus aureus in Los Angeles. N Engl J Med 2005; 352:14451453.Google Scholar
6.Adcock, PM, Pastor, P, Medley, F, Patterson, JE, Murphy, TV. Methicillin-resistant Staphylococcus aureus in two child care centers. J Infect Dis 1998; 178:577580.CrossRefGoogle ScholarPubMed
7.Gorak, EJ, Yamada, SM, Brown, JD. Community-acquired methicillin-resistant Staphylococcus aureus in hospitalized adults and children without known risk factors. Clin Infect Dis 1999; 29:797800.Google Scholar
8.Ma, XX, Ito, T, Tiensasitorn, C, et al. Novel type of staphylococcal cassette chromosome mec identified in community-acquired methicillin-resistant Staphylococcus aureus strains. Antimicrob Agents Chemother 2002; 46: 11471152.Google Scholar
9.Okuma, K, Iwakawa, K, Turnidge, JD, et al. Dissemination of new methicillin-resistant Staphylococcus aureus clones in the community. J Clin Microbiol 2002; 40:42894294.CrossRefGoogle ScholarPubMed
10.Baba, T, Takeuchi, F, Kuroda, M, et al. Genome and virulence determinants of high virulence community-acquired MRSA. Lancet 2002; 359: 18191827.Google Scholar
11.Clinical and Laboratory Standards Institute (CLSI). Performance standards for antimicrobial susceptibility testing: twelfth international supplement. Wayne, PA: CLSI; 2002.Google Scholar
12.Skov, R, Frimodt-Moller, N, Espersen, F. Correlation of MIC methods and tentative interpretive criteria for disk diffusion susceptibility testing using NCCLS methodology for fusidic acid. Diagn Microbiol Infect Dis 2001; 40:111116.CrossRefGoogle ScholarPubMed
13.Reischl, U, Linde, HJ, Metz, M, Leppmeier, B, Lehn, N. Rapid identification of methicillin-resistant Staphylococcus aureus and simultaneous species confirmation using real-time fluorescence PCR. J Clin Microbiol 2000; 38:24292433.Google Scholar
14.Witte, W, Kresken, M, Braulke, C, Cuny, C. Increasing incidence and widespread dissemination of methicillin-resistant Staphylococcus aureus (MRSA) in hospitals in central Europe, with special reference to German hospitals. Clin Microbiol Infect 1997; 3:414422.Google Scholar
15.Harmsen, D, Claus, H, Witte, W, et al. Typing of methicillin-resistant Staphylococcus aureus in a University hospital setting using a novel software for spa-repeat determination and database management. J Clin Microbiol 2003; 41:54425448.Google Scholar
16.Robinson, DA, Enright, MC. Multilocus sequence typing and the evolution of methicillin-resistant Staphylococcus aureus. Clin Micriobiol Infect 2004; 10:9297.CrossRefGoogle ScholarPubMed
17.Huang, SS, Platt, R. Risk of methicillin-resistant Staphylococcus aureus infection after previous infection or colonization. Clin Infect Dis 2003; 36:281285.CrossRefGoogle ScholarPubMed
18.Hsu, CC. Serial survey of methicillin-resistant Staphylococcus aureus nasal carriage among residents in a nursing home. Infect Control Hosp Epidemiol 1991; 12:416421.Google Scholar
19.Bradley, SF. Methicillin-resistant Staphylococcus aureus: long-term care concerns. Am J Med 1999; 106:2S10S.Google Scholar
20.Heuck, D, Nassauer, A. Methicillin-resistente Staphylococcus aureus alten-und pflegeheimen. Hygiene und Medizin 1999;24:7280.Google Scholar