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[Methicillin resistant yellow staphylococci]

B M Andersen1, H E Dalen, M Steinbakk

  • 1Seksjon for sykehushygiene, Klinikk for forebyggende medisin, Ullevål sykehus, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|May 6, 1998
PubMed
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Methicillin-resistant Staphylococcus aureus (MRSA) is rare in Norway, often linked to international travel. A 1993-1997 Oslo outbreak involved unusual MRSA strains resistant to fucidic acid, impacting hospital patients and staff.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Epidemiology

Context:

  • Norway has a very low incidence of methicillin-resistant Staphylococcus aureus (MRSA).
  • MRSA isolations in Norway are typically linked to imported cases.
  • A study period from December 1993 to January 1997 at Ullevål University Hospital, Oslo.

Purpose:

  • To report the isolation of MRSA in Oslo during a specific period.
  • To identify and characterize a cluster of MRSA infections with an unusual resistance pattern.
  • To discuss challenges in the epidemiological investigation and control of MRSA.

Summary:

  • Twenty-two MRSA cases (17 patients, 5 healthy carriers) were identified in Oslo.
  • A cluster of ten individuals (5 patients, 5 nurses) exhibited MRSA strains resistant to fucidic acid and beta-lactams, but sensitive to other antistaphylococcal agents.

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  • The MRSA cluster was traced to two hospitals, including an intensive care unit and a long-term care facility.

    • Impact:

    • Highlights the potential for MRSA importation and nosocomial spread, even in low-prevalence settings.
    • Identifies a specific MRSA resistance profile (fucidic acid resistance) that warrants attention.
    • Underscores the importance of robust epidemiological surveillance and control measures for MRSA in healthcare settings.