Spread of methicillin-resistant Staphylcoccus aureus in a hospital after exposure to a health care worker with chronic sinusitis.
A dramatic increase in the incidence of methicillin-resistant Staphylococcus aureus at a teaching hospital was documented to be due to three factors: a hospital-wide outbreak of 32 cases caused by an epidemic strain, an increase in the number of nosocomial cases caused by several other strains, and an increase in the number of patients admitted carrying strains acquired at other institutions.
Case patients with the epidemic strain were significantly more likely than control patients to have had previous exposure to a respiratory therapist (P=.005) who had chronic sinusitis due to the epidemic strain.
The plasmid DNA of isolates from the implicated respiratory therapist and affected patients yielded the same patterns on restriction endonuclease digestion.
Mots-clés Pascal : Méticilline, Staphylococcus aureus, Micrococcaceae, Micrococcales, Bactérie, Staphylococcie, Bactériose, Infection, Transmission homme homme, Hôpital, Sinusite, Personnel sanitaire, Homme, Résistance, Chronique, Epidémiologie, ORL pathologie, Sinus face pathologie
Mots-clés Pascal anglais : Staphylococcus aureus, Micrococcaceae, Micrococcales, Bacteria, Staphylococcal infection, Bacteriosis, Infection, Transmission from man to man, Hospital, Sinusitis, Health staff, Human, Resistance, Chronic, Epidemiology, ENT disease, Paranasal sinus disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0007907
Code Inist : 002B05B02B. Création : 199406.