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Screening for methicillin-resistant Staphylococcus aureus (MRSA) in community-recruited injection drug users: are throat swabs necessary?

  • E. LLOYD-SMITH (a1), M. W. HULL (a2) (a3), D. HAWKINS (a1), S. CHAMPAGNE (a2), T. KERR (a2) (a3) and M. G. ROMNEY (a1) (a2)...

Summary

We examined and described colonization of MRSA in the anterior nares and throat from 184 community-recruited injection drug users. Thirty-seven (20%) were positive for MRSA: most (34, 92%) were carriers in the nares; while only three (8%) were carriers detected by throat swabs alone. The majority (29, 78%) of MRSA isolates were PVL positive.

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Copyright

Corresponding author

*Author for correspondence: Dr E. Lloyd-Smith, Infection Prevention and Control, Providence Health Care, 1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada.(Email: elloydsmith@providencehealth.bc.ca)

References

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1. Milloy, ME, et al. Recent incarceration linked to cutaneous injection-related infections among active injection drug users in a Canadian setting. Journal of Community Health 2010; 35: 660666.
2. Charlebois, ED, et al. Population-based community prevalence of methicillin-resistant Staphylococcus aureus in the urban poor of San Francisco. Clinical Infectious Diseases 2002; 34: 425433.
3. Lloyd-Smith, E, et al. Community-associated methicillin-resistant Staphylococcus aureus is prevalent in wounds of community-based injection drug users. Epidemiology and Infection 2010; 138: 713720.
4. Kuehnert, MJ, et al. Prevalence of Staphylococcus aureus nasal colonization in the United States, 2001–2002. Clinical Infectious Diseases 2006; 193: 172179.
5. Girou, EG, et al. Selective screening of carriers for control of methicillin-resistant Staphylococcus aureus (MRSA) in high-risk hospital areas with a high level of endemic MRSA. Clinical Infectious Diseases 1998; 27: 543550.
6. Sanford, MD, et al. Efficient detection and long-term persistence of the carriage of methicillin-resistant Staphylococcus aureus . Clinical Infectious Diseases 1994; 19: 11231128.
7. Mertz, D, et al. Throat swabs are necessary to reliably detect carriers of Staphylococcus aureus . Clinical Infectious Diseases 2007; 45: 475477.
8. Bignardi, GE, Lowes, B. MRSA screening: throat swabs are better than nose swabs. Journal of Hospital Infection 2009; 71: 373374.
9. Nilsson, P, Ripa, T. Staphylococcus aureus throat colonization is more frequent than colonization in the anterior nares. Journal Clinical Microbiology 2006; 44: 33343339.
10. Wood, E, et al. Unsafe injection practices in a cohort of injection drug users in Vancouver: could safer injecting rooms help? Canadian Medical Association Journal 2001; 165: 405.
11. Deurenberg, RH, et al. The molecular evolution of methicillin-resistant Staphylococcus aureus . Clinical Microbiology and Infection 2007; 13: 222235.
12. Wilmer, A, et al. Methicillin-resistant Staphylococcus aureus strain USA300 is prevalent among hospital-onset cases in an urban Canadian setting. Infection Control and Hospital Epidemiology 2011; 32: 12271229.
13. Abudu, L, et al. Methicillin-resistant Staphylococcus aureus (MRSA): a community-based prevalence survey. Epidemiology and Infection 2001; 126: 351356.
14. Hidron, AE, et al. Risk factors for colonization with methicillin-resistant Staphylococcus aureus (MRSA) in patients admitted to an urban hospital: emergence of community-associated MRSA nasal carriage. Clinical Infectious Diseases 2005; 41: 159166.
15. Lloyd-Smith, E, et al. Determinants of hospitalization for a cutaneous injection-related infection among injection drug users: a cohort study. BMC Public Health 2010; 10: 327.

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