Rapid Geographic Spread of a Methicillin‐ResistantStaphylococcus aureusStrain
| Autor: | S. Byrne, M. Walker, A. Kabani, B. Dyck, K. Ramotar, Jeremy Smith, Lindsay E. Nicolle, R. S. Roman |
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| Rok vydání: | 1997 |
| Předmět: |
DNA
Bacterial Microbiology (medical) Staphylococcus aureus medicine.medical_specialty medicine.disease_cause Polymerase Chain Reaction Disease Outbreaks Microbiology Hospitals University Antibiotic resistance Internal medicine Epidemiology Humans Medicine Typing Index case DNA Primers Cross Infection Infection Control Molecular Epidemiology Base Sequence British Columbia business.industry Outbreak Manitoba Staphylococcal Infections Methicillin-resistant Staphylococcus aureus Bacterial Typing Techniques Electrophoresis Gel Pulsed-Field Infectious Diseases Methicillin Resistance Coagulase business Polymorphism Restriction Fragment Length |
| Zdroj: | Clinical Infectious Diseases. 25:698-705 |
| ISSN: | 1537-6591 1058-4838 |
| DOI: | 10.1086/513758 |
| Popis: | In May 1993, an outbreak of methicillin-resistant Staphylococcus aureus (MRSA) was identified at our tertiary care teaching center. The epidemic MRSA strain was transmitted efficiently in the hospital environment. Subsequent investigations indicated that the strain had been introduced into western Canada by a patient who had recently been hospitalized for 3 months in the Punjab, India, and had been admitted to a hospital in rural British Columbia shortly after his arrival in Canada. Transfer of the patient to a hospital in Vancouver and subsequent transfer of a colonized patient contact to a hospital in Winnipeg, Manitoba, resulted in major outbreaks of MRSA at these two large tertiary care centers within 6 weeks of the arrival of the index case in Canada. Epidemiological typing of the S. aureus coagulase gene with use of a polymerase chain reaction method and pulsed-field gel electrophoresis documented clonality of this strain. These outbreaks again illustrate both the propensity of certain strains of S. aureus to produce epidemic disease, including rapid spread within the institutional setting, and the global nature of problems with antimicrobial resistance. |
| Databáze: | OpenAIRE |
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