Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-05T05:27:25.285Z Has data issue: false hasContentIssue false
  • English
  • Français

Epidemiology of Community-Acquired Methicillin-Resistant Staphylococcus aures Skin Infections Among Healthcare Workers in an Outpatient Clinic

Published online by Cambridge University Press:  21 June 2016

Cecilia P. Johnston ,
Lisa Cooper ,
William Ruby ,
Karen C. Carroll ,
Sara E. Cosgrove  and
Trish M. Perl
Cecilia P. Johnston*
Affiliation:
Division of Infectious Diseases, Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland
Lisa Cooper
Affiliation:
Department of Hospital Epidemiology and Infection Control, School of Medicine, Johns Hopkins University, Baltimore, Maryland
William Ruby
Affiliation:
Division of Infectious Diseases, Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland
Karen C. Carroll
Affiliation:
Division of Infectious Diseases, Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland Division of Medical Microbiology, Department of Pathology, School of Medicine, Johns Hopkins University, Baltimore, Maryland
Sara E. Cosgrove
Affiliation:
Division of Infectious Diseases, Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland Department of Hospital Epidemiology and Infection Control, School of Medicine, Johns Hopkins University, Baltimore, Maryland
Trish M. Perl
Affiliation:
Division of Infectious Diseases, Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland Department of Hospital Epidemiology and Infection Control, School of Medicine, Johns Hopkins University, Baltimore, Maryland
*
600 North Wolfe Street, Osier 425, Johns Hopkins Hospital, Baltimore, MD 21287 (cpark@jhmi.edu)
Get access Rights & Permissions [Opens in a new window]

Abstract

We describe an investigation of soft-tissue infections caused by community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) strains in 2 healthcare workers employed in an outpatient clinic for patients with human immunodeficiency virus infection. Cultures of environmental samples from multiple surfaces in the clinic grew toxin-producing CA-MRSA strains, suggesting fomites may play a role in the transmission of these strains of MRSA.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 27 , Issue 10 , October 2006 , pp. 1133 - 1136
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Outbreaks of community-associated methicillin-resistant Staphylococcus aureus skin infections—Los Angeles County, California, 2002-2003. MMWR Morb Mortal Wkly Rep 2003; 52:88.Google Scholar
2. Baggett, HC, Hennessy, TW, Rudolph, K, et al. Community-onset methicillin-resistant Staphylococcus aureus associated with antibiotic use and the cytotoxin Panton-Valentine leukocidin during a furunculosis outbreak in rural Alaska. J Infect Dis 2004; 189:1565–1573.Google Scholar
3. Charlebois, ED, Perdreau-Remington, F, Kreiswirth, B, et al. Origins of community strains of methicillin-resistant Staphylococcus aureus . Clin Infect Dis 2004; 39:47–54.Google Scholar
4. Zinderman, CE, Conner, B, Malakooti, MA, LaMar, JE, Armstrong, A, Bohnker, BK. Community-acquired methicillin-resistant Staphylococcus aureus among military recruits. Emerg Infect Dis 2004; 10:941–944.Google Scholar
5. Baba, T, Takeuchi, F, Kuroda, M, et al. Genome and virulence determinants of high virulence community-acquired MRSA. Lancet 2002; 359:1819–1827.Google Scholar
6. Kazakova, SV, Hageman, JC, Matava, M, et al. A clone of methicillin-resistant Staphylococcus aureus among professional football players. N Engl J Med 2005; 352:468–475.CrossRefGoogle ScholarPubMed
7. Saiman, L, O'Keefe, M, Graham, PL III, et al. Hospital transmission of community-acquired methicillin-resistant Staphylococcus aureus among postpartum women. Clin Infect Dis 2003; 37:1313–1319.CrossRefGoogle ScholarPubMed
8. Sexton, T, Clarke, P, O'Neill, E, Dillane, T, Humphreys, H. Environmental reservoirs of methicillin-resistant Staphylococcus aureus in isolation rooms: correlation with patient isolates and implications for hospital hygiene. J Hosp Infect 2006; 62:187–194.Google Scholar
9. Francis, JS, Doherty, MC, Lopatin, U, et al. Severe community-onset pneumonia in healthy adults caused by methicillin-resistant Staphylococcus aureus carrying the Panton-Valentine leukocidin genes. Clin Infect Dis 2005; 40:100–107.Google Scholar
10. Saiman, L, Cronquist, A, Wu, F, et al. An outbreak of methicillin-resistant Staphylococcus aureus in a neonatal intensive care unit. Infect Control Hosp Epidemiol 2003; 24:317–321.CrossRefGoogle Scholar
11. Chemaly, RF, Perego, C, Dvorak, T, Toguchi, K. Outbreak of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) skin infection among healthcare workers (HCWs). In: Proceedings of the 44th Interscience Conference on Antimicrobial Agents and Chemotherapy; October 30, 2004-November 2, 2004. Washington, DC; ASM PRess; 2004. Abstract L-96.Google Scholar