Presence of methicillin resistant Staphylococcus aureus in respiratory cultures from cystic fibrosis patients is associated with lower lung function

作者: Clement L. Ren , Wayne J. Morgan , Michael W. Konstan , Michael S. Schechter , Jeffrey S. Wagener

DOI: 10.1002/PPUL.20604

关键词:

摘要: The prevalence of methicillin resistant Staphylococcus aureus (MRSA) infections is increasing in both the general population and cystic fibrosis (CF) patients. We hypothesized that MRSA infection conductive airways as seen CF would be associated with more severe disease than sensitive S. (MSSA). To test this hypothesis, we used data from Epidemiologic Study Cystic Fibrosis (ESCF), a large observational study patients North America, to compare their respiratory tract cultures those MSSA. During 1-year time period January 1, 2001 December 31, 2001, 20,451 were collected by ESCF, 1,834 (7.5%) had positive for only. Compared MSSA only, only significantly airflow obstruction, measured forced expiratory volume 1 sec (FEV1). mean FEV1 6-17 years old was 80.7% predicted compared 89.4% group (P or=18 old. results our highlight growing clinical impact

参考文章(26)
Wayne J. Morgan, Steven M. Butler, Charles A. Johnson, Andrew A. Colin, Stacey C. FitzSimmons, David E. Geller, Michael W. Konstan, Michael J. Light, Harvey R. Rabin, Warren E. Regelmann, Daniel V. Schidlow, Dennis C. Stokes, Mary Ellen B. Wohl, Haley Kaplowitz, Matthew M. Wyatt, , Epidemiologic study of cystic fibrosis: design and implementation of a prospective, multicenter, observational study of patients with cystic fibrosis in the U.S. and Canada. Pediatric Pulmonology. ,vol. 28, pp. 231- 241 ,(1999) , 10.1002/(SICI)1099-0496(199910)28:4<231::AID-PPUL1>3.0.CO;2-2
James D Knoke, Robert C Stern, Carl F Doershuk, Thomas F Boat, Leroy W Matthews, Cystic Fibrosis: The Prognosis for Five-year Survival Pediatric Research. ,vol. 12, pp. 676- 679 ,(1978) , 10.1203/00006450-197805000-00012
S.R. Thomas, K.M. Gyi, H. Gaya, M.E. Hodson, Methicillin-resistant Staphylococcus aureus: impact at a national cystic fibrosis centre Journal of Hospital Infection. ,vol. 40, pp. 203- 209 ,(1998) , 10.1016/S0195-6701(98)90138-4
Bonnie W. Ramsey, Kim R. Wentz, Arnold L. Smith, Mark Richardson, Judy Williams-Warren, Donna L. Hedges, Ronald Gibson, Gregory J. Redding, Karen Lent, Kim Harris, Predictive value of oropharyngeal cultures for identifying lower airway bacteria in cystic fibrosis patients. The American review of respiratory disease. ,vol. 144, pp. 331- 337 ,(1991) , 10.1164/AJRCCM/144.2.331
Todd J. Kowalski, Elie F. Berbari, Douglas R. Osmon, Epidemiology, Treatment, and Prevention of Community-Acquired Methicillin-Resistant Staphylococcus aureus Infections Mayo Clinic Proceedings. ,vol. 80, pp. 1201- 1208 ,(2005) , 10.4065/80.9.1201
Margaret Rosenfeld, Julia Emerson, Judy Williams-Warren, Margaret Pepe, Arnold Smith, A.Bruce Montgomery, Bonnie Ramsey, Defining a pulmonary exacerbation in cystic fibrosis The Journal of Pediatrics. ,vol. 139, pp. 359- 365 ,(2001) , 10.1067/MPD.2001.117288
Carolyn Dakin, R.L. Henry, P. Field, J. Morton, Defining an exacerbation of pulmonary disease in cystic fibrosis. Pediatric Pulmonology. ,vol. 31, pp. 436- 442 ,(2001) , 10.1002/PPUL.1072
Thomas Ferkol, Margaret Rosenfeld, Carlos E. Milla, Cystic fibrosis pulmonary exacerbations. The Journal of Pediatrics. ,vol. 148, pp. 259- 264 ,(2006) , 10.1016/J.JPEDS.2005.10.019
Kavitha Nadesalingam, Steven P. Conway, Miles Denton, Risk factors for acquisition of methicillin-resistant Staphylococcus aureus (MRSA) by patients with cystic fibrosis Journal of Cystic Fibrosis. ,vol. 4, pp. 49- 52 ,(2005) , 10.1016/J.JCF.2004.09.002
Henry F. Chambers, Community-Associated MRSA — Resistance and Virulence Converge The New England Journal of Medicine. ,vol. 352, pp. 1485- 1487 ,(2005) , 10.1056/NEJME058023