Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2009-3-6
pubmed:abstractText
Since patient exchange between hospitals sharing a common catchment area might favour regional spread of meticillin-resistant Staphylococcus aureus (MRSA), the reliable detection of patients colonised at admission is crucial. Thus, hospitals in the Dutch-German border area EUREGIO MRSA-net aim at synchronising their local MRSA standards in order to prevent unidentified inter-hospital as well as cross-border spread. This assumes enhanced knowledge of MRSA prevalence and risk factors associated with MRSA carriage at admission. We conducted nasal MRSA screening of all inpatients admitted to 39 German hospitals (in the period 1 November to 30 November 2006) and to one Dutch hospital (in the period 1 July to 30 September 2007) in the EUREGIO MRSA-net. A total of 390 MRSA cases were detected among 25,540 patients screened. The admission prevalence was 1.6 MRSA/100 patients (6.5% of all S. aureus) in the German and 0.5 MRSA/100 patients (1.4% of all S. aureus) in the Dutch part of the border region. Overall, the predominating S. aureus protein A gene (spa) sequence types were t003, t032 and t011. One isolate (t044) carried Panton-Valentine leukocidin (PVL) encoding genes. Altogether, 79% and 67% of all MRSA patients in the German and Dutch regions respectively, were identifiable by the classical nosocomial risk factors assessed. In patients lacking all risk factors assessed, spa types t011 and t034 were predominant (P<0.001).
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
1532-2939
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
71
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
320-6
pubmed:meshHeading
pubmed-meshheading:19201056-Bacterial Toxins, pubmed-meshheading:19201056-Bacterial Typing Techniques, pubmed-meshheading:19201056-Carrier State, pubmed-meshheading:19201056-DNA, Bacterial, pubmed-meshheading:19201056-Exotoxins, pubmed-meshheading:19201056-Genotype, pubmed-meshheading:19201056-Germany, pubmed-meshheading:19201056-Hospitals, pubmed-meshheading:19201056-Humans, pubmed-meshheading:19201056-Leukocidins, pubmed-meshheading:19201056-Methicillin-Resistant Staphylococcus aureus, pubmed-meshheading:19201056-Netherlands, pubmed-meshheading:19201056-Nose, pubmed-meshheading:19201056-Patient Admission, pubmed-meshheading:19201056-Prevalence, pubmed-meshheading:19201056-Sequence Analysis, DNA, pubmed-meshheading:19201056-Staphylococcal Infections, pubmed-meshheading:19201056-Staphylococcal Protein A
pubmed:year
2009
pubmed:articleTitle
Cross-border comparison of the admission prevalence and clonal structure of meticillin-resistant Staphylococcus aureus.
pubmed:affiliation
Institute of Hygiene, University Hospital Münster, Münster, Germany.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't