Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-20T03:28:23.481Z Has data issue: false hasContentIssue false

Molecular Epidemiology of Methicillin-Resistant Staphylococcus aureus in Nursing Homes: A Cross-Sectional Study

Published online by Cambridge University Press:  02 January 2015

Annette Hoefnagels-Schuermans*
Affiliation:
Infection Control and Hospital Epidemiology, University Hospitals, Leuven, Belgium
Luc Niclaes
Affiliation:
Department of General Practice, Leuven, Belgium
Frank Buntinx
Affiliation:
Department of General Practice, Leuven, Belgium
Carl Suetens
Affiliation:
Scientific Institute of Public Health, Brussels, Belgium
Beatrice Jans
Affiliation:
Scientific Institute of Public Health, Brussels, Belgium
Jan Verhaegen
Affiliation:
Department of Microbiology, Laboratory Medicine, University Hospitals, Leuven, Belgium
Johan Van Eldere
Affiliation:
Department of Microbiology, Laboratory Medicine, University Hospitals, Leuven, Belgium
*
University Hospitals, Infection Control and Hospital Epidemiology, Herestraat 49 CDG–4, 3000 Leuven, Belgium

Abstract

A cross-sectional study of methicillin-resistant Staphylococcus aureus carriage in 2,857 nursing home residents showed an overall prevalence of 4.9%. The three clones identified by genetic analysis were identical to those in the acute care facilities; only their relative prevalence differed. Clone 2 took epidemic proportions in five of these nursing homes.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2002

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.Bradley, SF. Methicillin-resistant Staphylococcus aureus in nursing homes. Drugs Aging 1997;10:185198.CrossRefGoogle ScholarPubMed
2.O'Sullivan, NP, Keane, CT. The prevalence of methicillin-resistant Staphylococcus aureus among the residents of six nursing homes for the elderly. J Hosp Infect 2000;45:322329.CrossRefGoogle ScholarPubMed
3.Layton, MC, Hierholzer, WJ Jr, Patterson, JE. The evolving epidemiology of methicillin-resistant Staphylococcus aureus at a university hospital. Infect Control Hosp Epidemiol 1995;16:1217.CrossRefGoogle ScholarPubMed
4.Hoefnagels-Schuermans, A, Peetermans, WE, Struelens, MJ, Van Lierde, S, Van Eldere, J. Clonal analysis and identification of epidemic strains of methicillin-resistant Staphylococcus aureus by antibiotyping and determination of protein A gene and coagulase gene polymorphisms. J Clin Microbiol 1997;35:25142520.CrossRefGoogle ScholarPubMed
5.European Antimicrobial Resistance Surveillance System. Antibiotic Resistance of Invasive Streptococcus pneumoniae and Staphylococcus aureus strains Belgium (1998–1999). Brussels, Belgium: Scientific Institute of Public Health. Antimicrobial Resistance Surveillance System. Riot Phase report. IPH/EPI Reports Nr. D/2000/2505/31.Google Scholar
6.Cookson, BD. Methicillin-resistant Staphylococcus aureus in the community: new battlefronts, or are the battles lost? Infect Control Hosp Epidemiol 2000;21:398403.CrossRefGoogle ScholarPubMed
7.Bryce, EA, Tiffin, SM, Isaac-Renton, JL, Wright, CJ. Evidence of delays in transferring patients with methicillin-resistant Staphylococcus aureus or vancomycin-resistant Enterococcus to long-term–care facilities. Infect Control Hosp Epidemiol 2000;21:270271.CrossRefGoogle ScholarPubMed
8.Niclaes, L, De Turck, L, Buntinx, F, Heyrman, J, Borremans, A. Methicillin-resistant Staphylococcus aureus in a nursing home: prevalence and determinants. Archives of Public Health 1996;54:18.Google Scholar
9.Groep ter Opsporing, Studie en Preventie van de Infecties in de Ziekenhuizen (GOSPIZ). Guidelines for control and prevention of methicillin-resistant Staphylococcus aureus transmission in Belgian hospitals. Ada Clin Belg 1994;49:108113.CrossRefGoogle Scholar
10.Flamaing, J, Schuermans, A, Verschraegen, G. Consensus: infectiepreventie door screening, dekolonisatie en isolatie in geriatriediensten, rustoorden en rust en verzorgingstehuizen. Tijdschr voor Geneeskunde 2001;57:664668.CrossRefGoogle Scholar