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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)...


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@


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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.
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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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