Higher overall nosocomial infection rate because of increased attack rate of methicillin-resistantStaphylococcus aureus

作者: Alan M. Stamm , Martha N. Long , Becky Belcher

DOI: 10.1016/0196-6553(93)90227-U

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摘要: Abstract Background: Methicillin-resistant Staphylococcus aureus has become a frequent cause of hospital-acquired infectious disease. However, the impact methicillin-resistant S. on overall nosocomial infection rate not been clearly defined. Methods: The University Alabama at Birmingham Hospital is tertiary care facility and participant in National Nosocomial Infections Surveillance system. Prospective, hospital-wide surveillance for infections was conducted 8 months per year during 1986 through 1991. Results: total increased from 4.5% 1987 to 5.9% 1990. This temporally associated with rise attack 0% 0.4%. remainder increase caused by other gram-positive microorganisms, including methicillin-sensitive aureus. We identified most commonly surgical intensive unit as lower respiratory tract infections. In contrast, frequently found neurologic etiologic agent wound Conclusions: common pathogen. There no decrease or cocci. result equally emergence renewed activity pathogens. added burden

参考文章(17)
Robin Pavillard, Ken Harvey, David Douglas, Arthur Hewstone, John Andrew, Brian Collopy, Valerie Asche, Peter Carson, Alistair Davidson, Gwendolyn Gilbert, John Spicer, Fred Tosolini, Epidemic of hospital-acquired infection due to methicillin-resistant Staphylococcus aureus in major Victorian hospitals. The Medical Journal of Australia. ,vol. 1, pp. 451- 454 ,(1982) , 10.5694/J.1326-5377.1982.TB132413.X
ROBERT L. THOMPSON, Epidemiology of Nosocomial Infections Caused by Methicillin-Resistant Staphylococcus aureus Annals of Internal Medicine. ,vol. 97, pp. 309- 317 ,(1982) , 10.7326/0003-4819-97-3-309
Richard M Locksley, Mitchell L Cohen, THOMAS C QUINN, LUCY S TOMPKINS, MARIE B COYLE, JEAN M KIRIHARA, GEORGE W COUNTS, Multiply Antibiotic-Resistant Staphylococcus aureus: Introduction, Transmission, and Evolution of Nosocomial Infection Annals of Internal Medicine. ,vol. 97, pp. 317- 324 ,(1982) , 10.7326/0003-4819-97-3-317
C J Hackbarth, H F Chambers, Methicillin-resistant staphylococci: detection methods and treatment of infections. Antimicrobial Agents and Chemotherapy. ,vol. 33, pp. 995- 999 ,(1989) , 10.1128/AAC.33.7.995
T.Grace Emori, David H. Culver, Teresa C. Horan, William R. Jarvis, John W. White, David R. Olson, Shailen Banerjee, Jonathan R. Edwards, William J. Martone, Robert P. Gaynes, James M. Hughes, National nosocomial infections surveillance system (NNIS): description of surveillance methods. American Journal of Infection Control. ,vol. 19, pp. 19- 35 ,(1991) , 10.1016/0196-6553(91)90157-8
A. Y-C. TAM, C-Y. YEUNG, The changing pattern of severe neonatal staphylococcal infection: A 10‐year study Journal of Paediatrics and Child Health. ,vol. 24, pp. 275- 278 ,(1988) , 10.1111/J.1440-1754.1988.TB01361.X
Julia S. Garner, William R. Jarvis, T.Grace Emori, Teresa C. Horan, James M. Hughes, CDC definitions for nosocomial infections, 1988 American Journal of Infection Control. ,vol. 16, pp. 128- 140 ,(1988) , 10.1016/0196-6553(88)90053-3
John M. Boyce, Burn Units as a Source of Methicillin-Resistant JAMA. ,vol. 249, pp. 2803- 2807 ,(1983) , 10.1001/JAMA.1983.03330440041029
John M. Boyce, Increasing prevalence of methicillin-resistant Staphylococcus aureus in the United States. Infection Control and Hospital Epidemiology. ,vol. 11, pp. 639- 642 ,(1990) , 10.2307/30146866
M. R. Law, O. N. Gill, Hospital-acquired infection with methicillin-resistant and methicillin-sensitive staphylococci. Epidemiology and Infection. ,vol. 101, pp. 623- 629 ,(1988) , 10.1017/S0950268800029496