Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2005-7-8
pubmed:abstractText
Until recently, infections with methicillin-resistant Staphylococcus aureus (MRSA) have mainly been associated with hospital outbreaks in Norway. However, increasingly cases are contracted outside hospitals. This paper reports the first two outbreaks of MRSA in two nursing homes in central Norway, affecting 23 residents and five staff members. Pulsed-field gel electrophoresis analysis showed that all strains from nursing home A were identical and that the strains from nursing home B were genotypically similar with one or two band differences. Multi-locus sequence typing (MLST) showed that the strains from the two nursing homes belong to clonal complex 45, with each strain being a single-locus variant of sequence type 45 (ST 45), a well-known European epidemic strain. No evident source of the two outbreaks was found, and there was no obvious connection between the two outbreaks. The latter is also supported by the minor differences observed by MLST, suggesting a connection at some time in the past. The outbreaks led to a heavier workload and economic strain on both nursing homes. The outbreak in nursing home A was brought to an end, whereas two residents remained colonized in nursing home B despite several eradication attempts. These outbreaks show the potential for MRSA spread in a nursing home. If the prevalence of MRSA in Norway continues to increase, nursing home staff and residents may have to be included in the groups to be screened for MRSA upon hospital admission.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0195-6701
pubmed:author
pubmed:issnType
Print
pubmed:volume
60
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
312-6
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:15951057-Aged, pubmed-meshheading:15951057-Aged, 80 and over, pubmed-meshheading:15951057-Cross Infection, pubmed-meshheading:15951057-DNA, Bacterial, pubmed-meshheading:15951057-DNA Fingerprinting, pubmed-meshheading:15951057-Disease Outbreaks, pubmed-meshheading:15951057-Electrophoresis, Gel, Pulsed-Field, pubmed-meshheading:15951057-Genotype, pubmed-meshheading:15951057-Humans, pubmed-meshheading:15951057-Methicillin Resistance, pubmed-meshheading:15951057-Molecular Epidemiology, pubmed-meshheading:15951057-Norway, pubmed-meshheading:15951057-Nose, pubmed-meshheading:15951057-Nursing Homes, pubmed-meshheading:15951057-Sequence Analysis, DNA, pubmed-meshheading:15951057-Staphylococcal Infections, pubmed-meshheading:15951057-Staphylococcus aureus, pubmed-meshheading:15951057-Suppuration, pubmed-meshheading:15951057-Wounds and Injuries
pubmed:year
2005
pubmed:articleTitle
Outbreak of methicillin-resistant Staphylococcus aureus in two nursing homes in Central Norway.
pubmed:affiliation
Department of Microbiology, St Olav University Hospital, Olav Kyrresgt 17, N-7006 Trondheim, Norway. kjersti.wik.larssen@stolav.no
pubmed:publicationType
Journal Article