Epidemiology and Susceptibilities of Methicillin-Resistant Staphylococcus aureus in Northeastern Ohio

被引:16
作者
Delorme, Thierry [1 ]
Rose, Stacy [2 ]
Senita, Julie [2 ]
Callahan, Cynthia [3 ]
Nasr, Payman [1 ]
机构
[1] Kent State Univ, Dept Biol Sci, Ashtabula, OH 44004 USA
[2] Kent State Univ, Coll Nursing, Ashtabula, OH 44004 USA
[3] Ashtabula Cty Med Ctr, Ashtabula, OH USA
关键词
Staphylococcus aureus; Methicillin resistance; MRSA; Community acquired; Hospital acquired; Epidemiology; CHANGING EPIDEMIOLOGY; MRSA;
D O I
10.1309/AJCPQ46ZPQXVHHNC
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
A retrospective survey was performed on all staphylococcal infections diagnosed by the Ashtabula County Medical Center (Ashtabula, OH) during 2006 and 2007. Of the 1,612 Staphylococcus aureus isolates evaluated for their antibiotic resistances, 947 were methicillin-resistant S aureus (MRSA). In 2007, MRSA infections reached 589 cases per 100, 000 inhabitants, a 77% increase compared with 2006 The increase in AMSA infections was noticeable among youth (6-25 years old), middle-aged people (45-50 years old), and elderly people (86-90 years old). MRSA infections increased among inpatients by 58%, among outpatients by 43%, and among nursing home residents by 183%. More than 66% of MRSA infections were found among healthy people in the community with no apparent risk Actors. More than 88.7% of the infections belong to only 9 profiles of antibiotic resistance indiscriminately distributed among inpatients, outpatients, and nursing home residents. This report sheds further light on the rapid spread of MRSA across Northeastern Ohio, stressing the need for better education in preventive measures and infection control at the level of community and health care settings.
引用
收藏
页码:668 / 677
页数:10
相关论文
共 38 条
[1]  
[Anonymous], 1961, BMJ-BRIT MED J, V1, P113
[3]   Genome and virulence determinants of high virulence community-acquired MRSA [J].
Baba, T ;
Takeuchi, F ;
Kuroda, M ;
Yuzawa, H ;
Aoki, K ;
Oguchi, A ;
Nagai, Y ;
Iwama, N ;
Asano, K ;
Naimi, T ;
Kuroda, H ;
Cui, L ;
Yamamoto, K ;
Hiramatsu, K .
LANCET, 2002, 359 (9320) :1819-1827
[4]   METHICILLIN-RESISTANT STAPHYLOCOCCI [J].
BARBER, M .
JOURNAL OF CLINICAL PATHOLOGY, 1961, 14 (04) :385-&
[5]   Community-acquired methicillin-resistant Staphylococcus aureus:: the role of Panton-Valentine Leukocidin [J].
Boyle-Vavra, Susan ;
Daum, Robert S. .
LABORATORY INVESTIGATION, 2007, 87 (01) :3-9
[6]  
*CDCP, 2007, INV MRSA
[7]   The changing epidemiology of Staphylococcus aureus? [J].
Chambers, HF .
EMERGING INFECTIOUS DISEASES, 2001, 7 (02) :178-182
[8]  
Clinical and Laboratory Standards Institute, 2006, M100S16 CLSI
[9]   Fifteen-year study of the changing epidemiology of methicillin-resistant Staphylococcus aureus [J].
Crum, Nancy F. ;
Lee, Rachel U. ;
Thornton, Scott A. ;
Stine, Colin ;
Wallace, Mark R. ;
Barrozo, Chris ;
Keefer-Norris, Ananda ;
Judd, Sharon ;
Russell, Kevin L. .
AMERICAN JOURNAL OF MEDICINE, 2006, 119 (11) :943-951
[10]   Contrasting pediatric and adult methicillin-resistant Staphylococcus aureus isolates [J].
David, MZ ;
Crawford, SE ;
Boyle-Vavra, S ;
Hostetler, MA ;
Kim, DC ;
Daum, RS .
EMERGING INFECTIOUS DISEASES, 2006, 12 (04) :631-637