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A Cluster of Community-Acquired Methicillin-Resistant Staphylococcus aureus Infections in Hospital Security Guards

Published online by Cambridge University Press:  02 January 2015

Eleni Patrozou
Affiliation:
Department of Medicine, The Warren Alpert Medical School of Brown University, Providence, Rhode Island
Kim Reid
Affiliation:
Department of Epidemiology and Infection Control, Rhode Island Hospital, Providence, Rhode Island
Julie Jefferson
Affiliation:
Department of Community Health, The Warren Alpert Medical School of Brown University, Providence, Rhode Island Department of Epidemiology and Infection Control, Rhode Island Hospital, Providence, Rhode Island
Leonard A. Mermel*
Affiliation:
Department of Medicine, The Warren Alpert Medical School of Brown University, Providence, Rhode Island Department of Epidemiology and Infection Control, Rhode Island Hospital, Providence, Rhode Island
*
Division of Infectious Diseases, Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903 (lmermel@lifespan.org)

Abstract

We investigated a cluster of methicillin-resistant Staphylococcus aureus soft-tissue infections in 5 security guards employed in a hospital emergency department. An epidemiologic investigation and molecular subtyping of isolates revealed that the source was a patient and that a community-acquired methicillin-resistant S. aureus strain (USA-300) was transmitted to healthcare workers through physical contact.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

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References

1.Groom, AV, Wolsey, DH, Naimi, TS, et al.Community-acquired methicillin-resistant Staphylococcus aureus in a rural American Indian community. JAMA 2001;286:12011205.Google Scholar
2.Herold, BC, Immergluck, LC, Maranan, MC, et al.Community-acquired methicillin-resistant Staphylococcus aureus in children with no identified predisposing risk. JAMA 1998;279:593598.Google Scholar
3.Diep, BA, Chambers, HF, Graber, CJ, et al.Emergence of multidrug-resistant, community-associated, methicillin-resistant Staphylococcus aureus clone USA300 in men who have sex with men. Ann Intern Med 2008;148:249257.Google Scholar
4.Lindenmayer, JM, Schoenfeld, S, O'Grady, R, Carney, JK. Methicillin-resistant Staphylococcus aureus in a high school wrestling team and the surrounding community. Arch Intern Med 1998;158:895899.Google Scholar
5.Otter, JA, French, GL. Nosocomial transmission of community-associated methicillin-resistant Staphylococcus aureus: an emerging threat. Lancet Infect Dis 2006;6:753755.Google Scholar
6.Johnston, CP, Cooper, L, Ruby, W, Carroll, KC, Cosgrove, SE, Perl, TM. Epidemiology of community-acquired methicillin-resistant Staphylococcus aureus skin infections among healthcare workers in an outpatient clinic. Infect Control Hasp Epidemiol 2006;27:11331136.CrossRefGoogle Scholar
7.McDougal, LK, Steward, CD, Killgore, GE, Chaitram, JM, McAllister, SK, Tenover, FC. Pulsed-field gel electrophoresis typing of oxacillin-resistant Staphylococcus aureus isolates from the United States: establishing a national database. J Clin Microbiol 2003;41:51135120.Google Scholar
8.Pallin, DJ, Egan, DJ, Pelletier, AJ, Espinola, JA, Hooper, DC, Camargo, CA Jr. Increased US emergency department visits for skin and soft tissue infections, and changes in antibiotic choices, during the emergence of community-associated methicillin-resistant Staphylococcus aureus. Ann Emerg Med 2008;51:291298.CrossRefGoogle ScholarPubMed