Differences between Staphylococcus aureus isolates from medical and nonmedical hospital personnel

被引:44
作者
Cespedes, C
Miller, M
Quagliarello, B
Vavagiakis, P
Klein, RS
Lowy, FD
机构
[1] Columbia Univ, Coll Phys & Surg, Div Infect Dis, Dept Med, New York, NY 10032 USA
[2] Columbia Univ, Coll Phys & Surg, Dept Pathol, New York, NY 10032 USA
[3] Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, New York, NY 10032 USA
[4] Panna Technol Inc, New York, NY USA
[5] Montefiore Med Ctr, Div Infect Dis, Dept Med, New York, NY USA
[6] Montefiore Med Ctr, Dept Epidemiol & Social Med, New York, NY USA
[7] Albert Einstein Coll Med, New York, NY USA
关键词
D O I
10.1128/JCM.40.7.2594-2597.2002
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
It is unclear whether the levels of Staphylococcus aureus colonization of hospital personnel with patient exposure are increased or whether personnel become colonized with more antibiotic-resistant strains. Differences in nasal and hand carriage of S. aureus between medical and nonmedical hospital personnel were examined. No differences in nasal carriage between the two groups were found; however, there was a trend that suggested differences in the rates of hand carriage of S. aureus (18% of nonmedical personnel and 10% of medical personnel). Medical personnel were colonized with more antibiotic-resistant isolates than nonmedical personnel (mean, 2.8 versus 2.1 isolates [P < 0.03]), and the strain profiles indicated that they tended to be more clonal in origin, suggesting that exposure to hospital isolates alters the colonization profile.
引用
收藏
页码:2594 / 2597
页数:4
相关论文
共 20 条
[1]   Nasal carriage of Staphylococcus aureus and epidemiology of surgical-site infections in a Sudanese University Hospital [J].
Ahmed, AOA ;
van Belkum, A ;
Fahal, AH ;
Abu Elnor, AE ;
Abougroun, ESAM ;
VandenBergh, MFQ ;
Zijlstra, EE ;
Verbrugh, HA .
JOURNAL OF CLINICAL MICROBIOLOGY, 1998, 36 (12) :3614-3618
[2]   Antimicrobial resistance in isolates from inpatients and outpatients in the united states: Increasing importance of the intensive care unit [J].
Archibald, L ;
Phillips, L ;
Monnet, D ;
McGowan, JE ;
Tenover, F ;
Gaynes, R .
CLINICAL INFECTIOUS DISEASES, 1997, 24 (02) :211-215
[3]   Innate antimicrobial activity of nasal secretions [J].
Cole, AM ;
Dewan, P ;
Ganz, T .
INFECTION AND IMMUNITY, 1999, 67 (07) :3267-3275
[4]   Epidemiological study of staphylococcal colonization and cross-infection in two west African hospitals [J].
De Sousa, MA ;
Sanches, IS ;
Ferro, ML ;
de Lencastre, H .
MICROBIAL DRUG RESISTANCE, 2000, 6 (02) :133-141
[5]   Survey of infections due to Staphylococcus species:: Frequency of occurrence and antimicrobial susceptibility of isolates collected in the United States, Canada, Latin America, Europe, and the Western Pacific region for the SENTRY Antimicrobial Surveillance Program, 1997-1999 [J].
Diekema, DJ ;
Pfaller, MA ;
Schmitz, FJ ;
Smayevsky, J ;
Bell, J ;
Jones, RN ;
Beach, M .
CLINICAL INFECTIOUS DISEASES, 2001, 32 :S114-S132
[6]   SPREAD AND MAINTENANCE OF A DOMINANT METHICILLIN-RESISTANT STAPHYLOCOCCUS-AUREUS (MRSA) CLONE DURING AN OUTBREAK OF MRSA DISEASE IN A SPANISH HOSPITAL [J].
DOMINGUEZ, MA ;
DELENCASTRE, H ;
LINARES, J ;
TOMASZ, A .
JOURNAL OF CLINICAL MICROBIOLOGY, 1994, 32 (09) :2081-2087
[7]   Epidemiology and susceptibility of 3,051 Staphylococcus aureus isolates from 25 university hospitals participating in the European SENTRY study [J].
Fluit, AC ;
Wielders, CLC ;
Verhoef, J ;
Schmitz, FJ .
JOURNAL OF CLINICAL MICROBIOLOGY, 2001, 39 (10) :3727-3732
[8]   Computerized analysis of restriction fragment length polymorphism patterns: Comparative evaluation of two commercial software packages [J].
Gerner-Smidt, P ;
Graves, LM ;
Hunter, S ;
Swaminathan, B .
JOURNAL OF CLINICAL MICROBIOLOGY, 1998, 36 (05) :1318-1323
[9]   Nasal carriage of Staphylococcus aureus: Epidemiology, underlying mechanisms, and associated risks [J].
Kluytmans, J ;
vanBelkum, A ;
Verbrugh, H .
CLINICAL MICROBIOLOGY REVIEWS, 1997, 10 (03) :505-+
[10]   EVIDENCE FOR A CLONAL ORIGIN OF METHICILLIN RESISTANCE IN STAPHYLOCOCCUS-AUREUS [J].
KREISWIRTH, B ;
KORNBLUM, J ;
ARBEIT, RD ;
EISNER, W ;
MASLOW, JN ;
MCGEER, A ;
LOW, DE ;
NOVICK, RP .
SCIENCE, 1993, 259 (5092) :227-230