scholarly journals Molecular Epidemiology ofStaphylococcus aureusColonization in 2 Long-Term Care Facilities

2006 ◽  
Vol 27 (2) ◽  
pp. 212-214 ◽  
Author(s):  
Lona Mody ◽  
Erica Flannery ◽  
Andrew Bielaczyc ◽  
Suzanne F. Bradley

Persistent colonization withStaphylococcus aureuswas assessed in 22 nursing home residents. Eighteen residents (82%) remained colonized with the same strain found at baseline; 6 (33%) of 18 residents transiently acquired a new strain. Four residents (18%) acquired a new persistent strain. Residents colonized with methicillin-resistantS. aureuswere more likely to acquire a new strain (67%) than were residents colonized with methicillin-susceptibleS. aureus(20%) (P= .04).

2020 ◽  
Vol 23 (2-3) ◽  
pp. 57-60 ◽  
Author(s):  
Edward H Wagner

Residents in nursing homes and other long-term care facilities comprise a large percentage of the deaths from Covid 19. Is this inevitable or are there problems with NHs and their care that increase the susceptibility of their residents. The first U.S. cluster of cases involved the residents, staff, and visitors of a Seattle-area nursing home. Study of this cluster suggested that infected staff members were transmitting the disease to residents. The quality of nursing home care has long been a concern and attributed to chronic underfunding and resulting understaffing. Most NH care is delivered by minimally trained nursing assistants whose low pay and limited benefits compel them to work in multiple long-term care settings, increasing their risk of infection, and work while ill. More comparative studies of highly infected long-term care facilities with those organizations that were able to better protect their residents are urgently needed. Early evidence suggests that understaffing of registered nurses may increase the risk of larger outbreaks.


2000 ◽  
Vol 21 (4) ◽  
pp. 270-271 ◽  
Author(s):  
Elizabeth A. Bryce ◽  
Shelley M. Tiffin ◽  
Judith L. Isaac-Renton ◽  
Charles J. Wright

This retrospective case-control study examined whether there was a difference in length of time awaiting long-term-care lacement for patients identified as having methicillin-resistant Staphylococcus aureus or vancomycin-resistant Enterococcus compared to controls. Thirty-nine patients with methicillin-resistant Staphylococcus aureus or vancomycin-resistant Enterococcus waited for placement an average of 61 days longer than controls (P<.0002). The average number of requests for placement was 2.5 compared to 1.7 for controls (P=.015).


2013 ◽  
Vol 57 (9) ◽  
pp. 4551-4553 ◽  
Author(s):  
Sanchita Das ◽  
Christopher J. Anderson ◽  
Althea Grayes ◽  
Katherine Mendoza ◽  
Maureen Harazin ◽  
...  

ABSTRACTThe spread of pandemic methicillin-resistantStaphylococcus aureus(MRSA) clones such as USA300 and EMRSA-15 is a global health concern. As a part of a surveillance study of three long-term care facilities in the Greater Chicago area, phenotypic and molecular characterization of nasal MRSA isolates was performed. We report a cluster of pandemic EMRSA-15, an MRSA clone rarely reported from the United States, detected during this study.


2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Vincent CC Cheng ◽  
Josepha WM Tai ◽  
Zoie SY Wong ◽  
Jonathan HK Chen ◽  
Kris BQ Pan ◽  
...  

2005 ◽  
Vol 26 (10) ◽  
pp. 811-815 ◽  
Author(s):  
Trisha Kreman ◽  
Jianfang Hu ◽  
Jean Pottinger ◽  
Loreen A. Herwaldt

AbstractObjectives:To identify infection control policies and practices used by long-term-care facilities (LTCFs) in Iowa for residents with methicillin-resistant Staphylococcus aureus (MRSA) or vancomycin-resistant enterococci (VRE), and to estimate the prevalence of residents known to have these organisms.Design:Survey.Setting:LTCFs in Iowa from December 2002 through March 2003.Results:Of the 429 LTCFs in Iowa, 331 (77%) responded to the survey. The estimated prevalence of residents known to have MRSA was 13.4 per 1,000 and that of residents known to have VRE was 2.3 per 1,000. Facilities owned by the government or those with an average of more than 86 occupied beds were more likely to have residents known to have MRSA and VRE (P = .002 and .007, respectively). Of the responding facilities, 7.3% acknowledged that they refused to accept individuals known to have MRSA and 16.9% acknowledged that they refused to accept those known to have VRE. Facilities in large communities (population, > 100,000) were least likely to deny admission to an individual known to have either MRSA or VRE (P = .05). Most facilities reported adhering to the national guidelines, but fewer than half (44.7%) of the respondents had heard of the Iowa Antibiotic Resistance Task Force's guidelines regarding residents with MRSA or VRE.Conclusions:Many LTCFs in Iowa care for residents known to have MRSA or VRE, but some refuse to admit these individuals. Infection control personnel and public health officials should work together to educate LTCF staff so that residents receive proper care and resistant organisms do not spread within this setting.


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