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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Webb, Glenn F. D'Agata, Erica M. C. Ruan, Shigui Horn, Mary Ann Moellering, Robert C. |
| Description | Country affiliation: United States Author Affiliation: D'Agata EM ( Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215, USA. edagata@bidmc.harvard.edu) |
| Abstract | BACKGROUND: Methicillin-resistant Staphylococcus aureus (MRSA) has traditionally been associated with infections in hospitals. Recently, a new strain of MRSA has emerged and rapidly spread in the community, causing serious infections among young, healthy individuals. Preliminary reports imply that a particular clone (USA300) of a community-acquired MRSA (CA-MRSA) strain is infiltrating hospitals and replacing the traditional hospital-acquired MRSA strains. If true, this event would have serious consequences, because CA-MRSA infections in hospitals would occur among a more debilitated, older patient population. METHODS: A deterministic mathematical model was developed to characterize the factors contributing to the replacement of hospital-acquired MRSA with CA-MRSA and to quantify the effectiveness of interventions aimed at limiting the spread of CA-MRSA in health care settings. RESULTS: The model strongly suggests that CA-MRSA will become the dominant MRSA strain in hospitals and health care facilities. This reversal of dominant strain will occur as a result of the documented expanding community reservoir and increasing influx into the hospital of individuals who harbor CA-MRSA. Competitive exclusion of hospital-acquired MRSA by CA-MRSA will occur, with increased severity of CA-MRSA infections resulting in longer hospitalizations and a larger in-hospital reservoir of CA-MRSA. CONCLUSIONS: Improving compliance with hand hygiene and screening for and decolonization of CA-MRSA carriers are effective strategies. However, hand hygiene has the greatest return of benefits and, if compliance is optimized, other strategies may have minimal added benefit. |
| ISSN | 10584838 |
| e-ISSN | 15376591 |
| Journal | Clinical Infectious Diseases |
| Issue Number | 3 |
| Volume Number | 48 |
| Language | English |
| Publisher | Oxford University Press |
| Publisher Date | 2009-02-01 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Community-acquired Infections Epidemiology Transmission Cross Infection Microbiology Methicillin-resistant Staphylococcus Aureus Isolation & Purification Staphylococcal Infections Hand Disinfection Infection Control Models, Theoretical Research Support, N.i.h., Extramural Research Support, U.s. Gov't, Non-p.h.s. Discipline Infectious Diseases |
| Content Type | Text |
| Resource Type | Article |
| Subject | Infectious Diseases Microbiology (medical) |
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