Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-17T14:56:24.149Z Has data issue: false hasContentIssue false

Regional Dissemination and Control of Epidemic Methicillin-Resistant Staphylococcus aureus

Published online by Cambridge University Press:  02 January 2015

Lindsay E. Nicolle*
Affiliation:
Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada Department of Medical Microbiology, Medical Microbiology, University of Manitoba, Winnipeg, Manitoba, Canada St Boniface Hospital, Winnipeg, Manitoba, Canada
Brenda Dyck
Affiliation:
Health Sciences Centre, Winnipeg, Manitoba, Canada
Genevieve Thompson
Affiliation:
Misericordia General Hospital, Winnipeg, Manitoba, Canada
Susan Roman
Affiliation:
Department of Medical Microbiology, Medical Microbiology, University of Manitoba, Winnipeg, Manitoba, Canada
Amin Kabani
Affiliation:
Department of Pediatrics, University of Manitoba, Winnipeg, Manitoba, Canada Department of Medical Microbiology, Medical Microbiology, University of Manitoba, Winnipeg, Manitoba, Canada Health Sciences Centre, Winnipeg, Manitoba, Canada
Pierre Plourde
Affiliation:
Department of Medical Microbiology, Medical Microbiology, University of Manitoba, Winnipeg, Manitoba, Canada St Boniface Hospital, Winnipeg, Manitoba, Canada
Margaret Fast
Affiliation:
City of Winnipeg Health Department, Winnipeg, Manitoba, Canada
John Embil
Affiliation:
Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada Department of Medical Microbiology, Medical Microbiology, University of Manitoba, Winnipeg, Manitoba, Canada Health Sciences Centre, Winnipeg, Manitoba, Canada
*
Health Sciences Centre, GC430-820 Sherbrook St, Winnipeg, Manitoba R3A 1R9, Canada

Abstract

A methicillin-resistant Staphylococcus aureus (MRSA) strain introduced into the largest tertiary-care teaching hospital in Manitoba in 1993 led to a sustained outbreak with secondary outbreaks at one community hospital, two large long-term-care facilities, and nosocomial transmission at a second teaching hospital. Control measures were consistent at each institution and were coordinated on a province-wide basis. MRSA is not currently endemic in any facility in the province.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Boyce, JM. Methicillin-resistant Staphylococcus aureus in hospitals and long-term care facilities. Microbiology, epidemiology, and preventive measures. Infect Control Hosp Epidemiol 1992;13:725737.CrossRefGoogle ScholarPubMed
2. Boyce, JM, Jackson, MM, Pugliese, G, Batt, MD, Fleming, D, Garner, JS, et al. Methicillin-resistant Staphylococcus aureus. A briefing for acute care hospitals and nursing facilities. Infect Control Hosp Epidemiol 1994;15:105115.CrossRefGoogle ScholarPubMed
3. Cox, RA, Conquest, C, Mallaghan, C, Marples, RR. A major outbreak of methicillin-resistant Staphylococcus aureus caused by a new phage-type (EMRSA-16). J Hosp Infect 1995;29:87106.CrossRefGoogle Scholar
4. Morvan, A, Aubert, S, Godard, C, el Solh, N. Contribution of a typing method based on IS256 probing of Smal-digested cellular DNA to discrimination of European phage type 77 methicillin-resistant Staphylococcus aureus strains. J Clin Microbiol 1997;35:14151423.CrossRefGoogle Scholar
5. Sanches, IS, Ramirez, M, Troni, H, Abecassis, M, Padua, M, Tomasz, A, et al. Evidence for the geographic spread of a methicillin-resistant Staphylococcus aureus clone between Portugal and Spain. J Clin Microbiol 1995;33:12431246.CrossRefGoogle ScholarPubMed
6. Roman, RS, Smith, J, Walker, M, Byrne, S, Ramotar, K, Dyck, B, et al. Rapid geographic spread of a methicillin-resistant Staphylococcus aureus strain. Clin Infect Dis 1997;25:698705.CrossRefGoogle ScholarPubMed
7. Zhanel, G, Harding, G, Rosser, S, Hoban, D, Alfa, M, Kabani, A, et al. Lack of colonization with vancomycin-resistant enterococci in high risk hospitalized patients in tertiary care and community hospitals in Manitoba, Canada. 38th Interscience Conference on Antimicrobial Agents and Chemotherapy; San Diego, CA September 1998. Abstract E-79.Google Scholar