Changing epidemiology of methicillin-resistant Staphylococcus aureus in Alberta, Canada: population-based surveillance, 2005-2008

被引:14
作者
Kim, J. [1 ]
Ferrato, C. [2 ]
Golding, G. R. [3 ]
Mulvey, M. R. [3 ]
Simmonds, K. A. [4 ]
Svenson, L. W. [4 ,5 ]
Keays, G. [5 ]
Chui, L. [2 ,6 ]
Lovgren, M. [2 ]
Louie, M. [1 ,2 ,7 ,8 ]
机构
[1] Univ Calgary, Dept Med, Calgary, AB, Canada
[2] Alberta Hlth Serv, Alberta Prov Lab Publ Hlth, Edmonton, AB, Canada
[3] Natl Microbiol Lab, Winnipeg, MB, Canada
[4] Alberta Hlth & Wellness, Surveillance & Assessment, Edmonton, AB, Canada
[5] Univ Alberta, Dept Publ Hlth Sci, Edmonton, AB, Canada
[6] Univ Alberta, Dept Lab Med & Pathol, Edmonton, AB, Canada
[7] Univ Calgary, Dept Microbiol & Infect Dis, Calgary, AB, Canada
[8] Univ Calgary, Dept Pathol & Lab Med, Calgary, AB, Canada
关键词
Epidemiology; infectious disease; methicillin-resistant S. aureus (MRSA); public health; INFECTIONS; MRSA; EMERGENCE; EVOLUTION; GENOMICS; CRITERIA; DISEASE; STRAIN;
D O I
10.1017/S0950268810002128
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Increasing prevalence of methicillin-resistant Staphylococcus aureus (MRSA) has been reported in Canada. We report the results of a prospective surveillance of MRSA infections in Alberta over a consecutive 3-year period. A total of 8910 unique clinical MRSA isolates was analysed from July 2005 to June 2008. The incidence of MRSA infection increased over the study period and was highest in males, age group >= 85 years, and the Calgary Area. CMRSA10 (USA300) and CMRSA2 (USA100/800) were the most common PFGE strain types, representing 53.0% and 27.9% of all isolates, respectively. Significant differences were noted between MRSA strains in the source of infection and antimicrobial susceptibility. The incidence of MRSA infection in Alberta has nearly doubled in the last 3 years; this is attributed to the emergence of CMRSA10 as the predominant strain.
引用
收藏
页码:1009 / 1018
页数:10
相关论文
共 37 条
[31]   Methicillin-Resistant Staphylococcus aureus Colonization or Infection in Canada: National Surveillance and Changing Epidemiology, 1995-2007 [J].
Simor, Andrew E. ;
Gilbert, Nicolas L. ;
Gravel, Denise ;
Mulvey, Michael R. ;
Bryce, Elizabeth ;
Loeb, Mark ;
Matlow, Anne ;
McGeer, Allison ;
Louie, Lisa ;
Campbell, Jennifer .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2010, 31 (04) :348-356
[32]   Correlation of MIC methods and tentative interpretive criteria for disk diffusion susceptibility testing using NCCLS methodology for fusidic acid [J].
Skov, R ;
Frimodt-Moller, N ;
Espersen, F .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 2001, 40 (03) :111-116
[33]   Epidemiology of methicillin-resistant staphylococci in Europe [J].
Stefani, S ;
Varaldo, PE .
CLINICAL MICROBIOLOGY AND INFECTION, 2003, 9 (12) :1179-1186
[34]   INTERPRETING CHROMOSOMAL DNA RESTRICTION PATTERNS PRODUCED BY PULSED-FIELD GEL-ELECTROPHORESIS - CRITERIA FOR BACTERIAL STRAIN TYPING [J].
TENOVER, FC ;
ARBEIT, RD ;
GOERING, RV ;
MICKELSEN, PA ;
MURRAY, BE ;
PERSING, DH ;
SWAMINATHAN, B .
JOURNAL OF CLINICAL MICROBIOLOGY, 1995, 33 (09) :2233-2239
[35]   Characterization of a strain of community-associated methicillin-resistant Staphylococcus aureus widely disseminated in the United States [J].
Tenover, FC ;
McDougal, LK ;
Goering, RV ;
Killgore, G ;
Projan, SJ ;
Patel, JB ;
Dunman, PM .
JOURNAL OF CLINICAL MICROBIOLOGY, 2006, 44 (01) :108-118
[36]   EPIDEMIOLOGY OF NOSOCOMIAL INFECTIONS CAUSED BY METHICILLIN-RESISTANT STAPHYLOCOCCUS-AUREUS [J].
THOMPSON, RL ;
CABEZUDO, I ;
WENZEL, RP .
ANNALS OF INTERNAL MEDICINE, 1982, 97 (03) :309-317
[37]   A decline in mupirocin resistance in methicillin-resistant Staphylococcus aureus accompanied administrative control of prescriptions [J].
Walker, ES ;
Levy, F ;
Shorman, M ;
David, G ;
Abdalla, J ;
Sarubbi, FA .
JOURNAL OF CLINICAL MICROBIOLOGY, 2004, 42 (06) :2792-2795