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Low Prevalence of Mupirocin Resistance Among Hospital-Acquired Methicillin-Resistant Staphylococcus aureus Isolates in a Neonatal Intensive Care Unit with an Active Surveillance Cultures and Decolonization Program

  • Nuntra Suwantarat (a1), Karen C. Carroll (a1) (a2), Tsigereda Tekle (a2), Tracy Ross (a2), Victor O. Popoola (a3) and Aaron M. Milstone (a3) (a4)...

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Corresponding author

Address correspondence to Nuntra Suwantarat, MD, Division of Medical Microbiology, Johns Hopkins University School of Medicine, Meyer B1-193, 600 N. Wolfe St, Baltimore, MD 21287 (nsuwant1@ jhmi.edu).

References

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1. Patel, JB, Gorwitz, RJ, Jernigan, JA. Mupirocin resistance. Clin Infect Dis 2009;49:935941.
2. McDanel, JS, Murphy, CR, Diekema, DJ, et al. Chlorhexidine and mupirocin susceptibilities of methicillin-resistant Staphylococcus aureus from colonized nursing home residents. Antimicrob Agents Chemother 2013;57:552558.
3. Fritz, SA, Hogan, PG, Camins, BC, et al. Mupirocin and chlorhexidine resistance in Staphylococcus aureus in patients with community-onset skin and soft tissue infections. Antimicrob Agents Chemother 2013;57:559568.
4. Popoola, VO, Budd, A, Wittig, SM, et al. Methicillin-resistant Staphylococcus aureus transmission and infections in a neonatal intensive care unit despite active surveillance cultures and decolonization: challenges for infection prevention. Infect Control Hosp Epidemiol 2014;35:412418.
5. Huang, YC, Chou, YH, Su, LH, et al. Methicillin-resistant Staphylococcus aureus colonization and its association with infection among infants hospitalized in neonatal intensive care units. Pediatrics 2006;118:469474.
6. Popoola, VO, Carroll, KC, Ross, T, Reich, NG, Perl, TM, Milstone, AM. Impact of colonization pressure and strain type on methicillin-resistant Staphylococcus aureus transmission in children. Clin Infect Dis 2013;57:14581460.
7. Clinical and Laboratory Standards Institute. Performance standards for antimicrobial susceptibility testing: 24th informational supplement CLSI M100-S24. Clinical and Laboratory Standards Institute, Wayne, PA. 2014.
8. Delaney, HM, Wang, E, Melish, M. Comprehensive strategy including prophylactic mupirocin to reduce Staphylococcus aureus colonization and infection in high-risk neonates. J Perinatol 2013;33:313318.
9. Hitomi, S, Kubota, M, Mori, N, et al. Control of a methicillin-resistant Staphylococcus aureus outbreak in a neonatal intensive care unit by unselective use of nasal mupirocin ointment. J Hosp Infect 2000;46:123129.
10. Miller, MA, Dascal, A, Portnoy, J, Mendelson, J. Development of mupirocin resistance among methicillin-resistant Staphylococcus aureus after widespread use of nasal mupirocin ointment. Infect Control Hosp Epidemiol 1996;17:811813.

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