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Related Experiment Videos

Nafcillin resistant Staphylococcus aureus: a possible community origin.

A C Hamoudi, R N Palmer, T L King

    Infection Control : IC
    |May 1, 1983
    PubMed
    Summary

    Nafcillin-resistant Staphylococcus aureus (SR-SA) outbreaks can originate in the community, not just hospitals. Monitoring community and hospital isolates for nafcillin resistance is crucial.

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    Area of Science:

    • * Infectious Diseases
    • * Clinical Microbiology
    • * Epidemiology

    Background:

    • * An increase in nafcillin-resistant Staphylococcus aureus (SR-SA) was observed at Columbus Children's Hospital (CCH).
    • * SR-SA was previously thought to be exclusive to hospital environments.

    Purpose of the Study:

    • * To investigate the source and incidence of an SR-SA outbreak at CCH.
    • * To determine if SR-SA originates in the community or solely within hospitals.

    Main Methods:

    • * Review of S. aureus isolates' susceptibility patterns at CCH over a 12-month period (July 1979-June 1980).
    • * Analysis of 773 isolates from 706 patients, identifying 40 cases of SR-SA colonization or infection.

    Main Results:

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    • * Approximately 25% of SR-SA cases were diagnosed in ambulatory clinics, suggesting community origin.
    • * Eight nosocomial infections were identified, with the first appearing in December 1979.
    • * The baseline incidence of SR-SA at CCH was approximately 2% of total S. aureus isolates; 35% of SR-SA showed multi-drug resistance.

    Conclusions:

    • * SR-SA may originate in the community and is not exclusive to hospital settings.
    • * Continuous monitoring of both community and nosocomial S. aureus isolates for nafcillin resistance is recommended.
    • * Vancomycin susceptibility testing is advised for all isolates, especially for SR-SA in severe infections.