Evaluating the Effectiveness of Contact Isolation in Preventing Healthcare-Associated Methicillin-Resistant Staphylococcus aureus Infection

2004 ◽  
Vol 32 (3) ◽  
pp. E11-E12
Author(s):  
K. Strelczyk
2003 ◽  
Vol 24 (6) ◽  
pp. 436-438 ◽  
Author(s):  
Paul A. Tambyah ◽  
Abdulrazaq G. Habib ◽  
Toon-Mae Ng ◽  
Helen Goh ◽  
Gamini Kumarasinghe

AbstractObjecttve:To assess the frequency of community-acquired methicillin-resistant Staphylococcus aureus (MRSA) infections.Setting:A teaching hospital in Singapore.Methods:Prospectively collected surveillance data were reviewed during a 1-year period to determine the extent and origin of community-acquired MRSA infections.Results:Whereas 32% of 383 MRSA infections were detected less than 48 hours after hospital admission and would, by convention, be classified as “community acquired,” all but one of these were among patients who had been exposed to outpatient centers including dialysis or chemotherapy clinics, visiting nurses, community hospitals, or all three.Conclusions:With health care increasingly being delivered in an outpatient setting, community-acquired MRSA infections are often acquired in hospital-related sites and most may be more accurately described as “healthcare acquired.” Infection control measures need to move beyond the traditional paradigm of acute care hospitals to effectively control the spread of resistant pathogens.


2006 ◽  
Vol 27 (10) ◽  
pp. 1137-1139 ◽  
Author(s):  
Jaffar A. Al-Tawfiq

During 1999-2003 in a Saudi Arabian Hospital, methicillin-resistant Staphylococcus aureus constituted 6% of all S. aureus isolates; the proportion had increased from 2% in 1999, to 9.7% in 2002, to 8% in 2003. Of all MRSA isolates, 62% represented community-acquired infection, 20.4% represented healthcare-associated infection, and 17.6% represented nosocomial infection. The proportion of community-acquired isolates increased from 41.7% in 1999 to 66.6% in 2002, and the proportion representing nosocomial infection decreased from 33% in 1999 to 19% in 2003. Isolates representing nosocomial infection showed higher rates of resistance to ciprofloxacin (76.6%), clindamycin (76.6%), erythromycin (68%) and trimethoprim-sulfamethoxazole (68%) than did isolates in the other categories (P<.001).


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