scholarly journals Outbreak of Methicillin-Resistant Staphylococcus aureus ST398 in a Dutch Nursing Home

2012 ◽  
Vol 33 (6) ◽  
pp. 624-626 ◽  
Author(s):  
Erwin Verkade ◽  
Thijs Bosch ◽  
Yvonne Hendriks ◽  
Jan Kluytmans
Keyword(s):  
Staphylococcus Aureus ◽  
Nursing Home ◽  
Nursing Homes ◽  
The Netherlands ◽  
Healthcare Workers ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Methicillin Resistant ◽  
Mrsa St398

We describe an outbreak of methicillin-resistant Staphybcoccus aureus (MRSA) ST398 in a nursing home in the Netherlands. Seven residents and 4 healthcare workers were identified with MRSA ST398, but 2 of the healthcare workers carried other strains. This study demonstrates that MRSA ST398 can spread in nursing homes.

scholarly journals Study shows low rate of transmission of MRSA in Dutch nursing homes

2003 ◽  
Vol 7 (51) ◽  
Author(s):  
A J de Neeling ◽  
W J B Wannet
Keyword(s):  
Staphylococcus Aureus ◽  
Nursing Homes ◽  
The Netherlands ◽  
Systematic Study ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Methicillin Resistant ◽  
Low Rate

A systematic study was undertaken from 2000 to 2002 to determine the occurrence of methicillin resistant Staphylococcus aureus (MRSA) in nursing homes in four regions of the Netherlands

Risk Factors for Methicillin-Resistant Staphylococcus Aureus Carriage in Residents of German Nursing Homes

2002 ◽  
Vol 23 (9) ◽  
pp. 511-515 ◽  
Author(s):  
H. von Baum ◽  
C. Schmidt ◽  
D. Svoboda ◽  
O. Bock-Hensley ◽  
Constanze Wendt
Keyword(s):  
Risk Factors ◽  
Staphylococcus Aureus ◽  
Nursing Home ◽  
Nursing Homes ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Significant Risk ◽  
Nursing Home Residents ◽  
Medium Size ◽  
Prevalence Survey ◽  
Methicillin Resistant

Objectives:To determine the prevalence of and the risk factors for methicillin-resistant Staphylococcus aureus (MRSA) carriage in nursing home residents in the Rhine-Neckar region of southern Germany.Design:Point-prevalence survey.Setting:Forty-seven nursing homes in the region.Participants:All residents of the approached nursing homes who agreed to participate.Methods:After informed consent was obtained, all participants had their nares swabbed, some personal data collected, or both. All swabs were examined for growth of MRSA All S. aureus isolates underwent oxacillin susceptibility testing and polymerase chain reaction for demonstration of the meek gene. All MRSA isolates were typed using pulsed-field gel electrophoresis after digestion with SmaI.Results:Swabs from 3,236 nursing home residents yielded 36 MRSA strains, contributing to a prevalence rate of 1.1%. Significant risk factors for MRSA carriage in the multivariate analysis were the presence of wounds or urinary catheters, limited mobility, admission to a hospital during the preceding 3 months, or stay in a medium-size nursing home. One predominant MRSA strain could be detected in 30 of the 36 MRSA carriers.Conclusions:The prevalence of MRSA in German nursing homes is still low. These residents seemed to acquire their MRSA in the hospital and transfer it to their nursing home. Apart from well-known risk factors for the acquisition of MRSA we identified the size of the nursing home as an independent risk factor. This might be due to an increased use of antimicrobials in nursing homes of a certain size.

Nursing Homes: Not a Source of Methicillin-Resistant Staphylococcus aureus in the Netherlands

1994 ◽  
Vol 19 (1) ◽  
pp. 213-214 ◽  
Author(s):  
H. M. E. Frenay ◽  
P. G. H. Peerbooms ◽  
W. J. van Leeuwen ◽  
H. J. A. Wynne ◽  
J. Verhoef ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Nursing Homes ◽  
The Netherlands ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Methicillin Resistant

scholarly journals First outbreak of methicillin-resistant Staphylococcus aureus ST398 in a Dutch hospital, June 2007

2008 ◽  
Vol 13 (9) ◽  
pp. 3-4
Author(s):  
M WH Wulf ◽  
A Markestein ◽  
F T van der Linden ◽  
A Voss ◽  
C Klaassen ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
The Netherlands ◽  
Healthcare Workers ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Dutch Hospital ◽  
Methicillin Resistant ◽  
Surgical Ward

We describe the first outbreak of non-typable methicillin-resistant Staphylococcus aureus on a surgical ward in the Netherlands in June 2007. Nine cases of infection and/or colonisation were found among patients and healthcare workers.

Methicillin-Resistant Staphylococcus aureus in a Nursing Home

1987 ◽  
Vol 8 (1) ◽  
pp. 24-29 ◽  
Author(s):  
Gregory A. Storch ◽  
Jan L. Radcliff ◽  
Patricia L. Meyer ◽  
James H. Hinrichs
Keyword(s):  
Staphylococcus Aureus ◽  
Optimal Control ◽  
Nursing Home ◽  
Nursing Homes ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Control Measures ◽  
Complete Elimination ◽  
Methicillin Resistant ◽  
Clinically Significant

AbstractDuring a 13-month period, 25 residents of a nursing home were found to have positive cultures for methicillin-resistant Staphylococcus aureus (MRSA), including 17 with clinically significant infections. The outbreak came to attention in February 1985 when pneumonia was diagnosed in five residents during a 10-day period, and sputum cultures from all five were positive for MRSA. A survey revealed that nine (12%) of a sample of 74 residents and nine (7%) of 130 personnel had positive cultures for MRSA. Six of nine residents with MRSA detected in the culture survey had not been hospitalized for 6 or more months before the survey, suggesting acquisition of MRSA in the nursing home. Implementation of control measures was associated with a decreased occurrence but not complete elimination of new cases. MRSA in nursing homes is of concern because these institutions might serve as reservoirs for MRSA in the community. Further studies are required to define the magnitude of the problem, as well as optimal control measures.

scholarly journals MRSA in nursing homes in the Netherlands 1989 to 1998: a developing reservoir?

2000 ◽  
Vol 5 (3) ◽  
pp. 28-31 ◽  
Author(s):  
W Goettsch ◽  
E Geubbels ◽  
W Wannet ◽  
M G R Hendrix ◽  
J H T Wagenvoort ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Nursing Homes ◽  
The Netherlands ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Methicillin Resistant

The prevalence of methicillin resistant Staphylococcus aureus (MRSA) in Dutch nursing homes in 1998 was higher than that found in 1989 to 1997. The increased prevalence of MRSA could lead to colonisation outside these nursing homes. A study of the prevale

scholarly journals Molecular characterisation of PFGE non-typable methicillin-resistant Staphylococcus aureus in the Netherlands, 2007

2009 ◽  
Vol 14 (38) ◽  
Author(s):  
X W Huijsdens ◽  
T Bosch ◽  
M G van Santen-Verheuvel ◽  
E Spalburg ◽  
G N Pluister ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
The Netherlands ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Molecular Characterisation ◽  
Clonal Lineage ◽  
Methicillin Resistant ◽  
Type Iv ◽  
Sccmec Types ◽  
Spa Types ◽  
Mrsa St398

In 2007 in the Netherlands, 30% of all human isolates of methicillin-resistant Staphylococcus aureus (MRSA) sent to the National Institute for Public Health and the Environment could not be typed by pulsed-field gel electrophoresis (non-typable (NT)-MRSA). Molecular characterisation of the NT-MRSA isolates revealed 27 different spa types and two distinct SCCmec types, type IV and V. All NT-MRSA isolates were closely related based on spa and multi-locus sequence typing and belonged to the ST398 lineage. The rapid increase of NT-MRSA (ST398) isolates over the last years shows the importance of this relatively new clonal lineage.

scholarly journals Methicillin-Resistant Staphylococcus aureus Prevalence Among Healthcare Workers in Contact Tracings in a Dutch Hospital

2020 ◽  
Vol 41 (S1) ◽  
pp. s316-s317
Author(s):  
Veronica Weterings ◽  
Heidi Kievits ◽  
Miranda van Rijen ◽  
Jan Kluytmans
Keyword(s):  
Staphylococcus Aureus ◽  
The Netherlands ◽  
Healthcare Workers ◽  
Index Case ◽  
Contact Tracing ◽  
Secondary Case ◽  
National Guidelines ◽  
Carriage Rate ◽  
Methicillin Resistant ◽  
Mlva Type

Background: In The Netherlands, the national guidelines on Methicillin-Resistant Staphylococcus aureus (MRSA) prevention and control advocate screening of healthcare workers (HCWs) after unprotected exposure to MRSA carriers. Although this strategy is largely successful, contact tracing of staff is a time-consuming and costly component. We evaluated our contact tracing policy for HCWs over the years 2010–2018. Methods: A retrospective, observational study was performed in a Dutch teaching hospital. All HCWs who had unprotected contact with an MRSA carrier were included in contact tracing. When there had been a long period of unprotected admission prior to an MRSA finding, or when the index case was an HCW, the entire (nursing) team was tested. All samples of HCWs who were tested for MRSA carriage as part of contact tracing from 2010 until 2018 were included. A pooled nose, throat, and perineum swab was collected using the eSwab medium (Copan) and inoculated on chromID MRSA agar plates (bioMérieux) after enrichment in a broth. Molecular typing was performed using multiple-locus variable number of tandem repeat analysis (MLVA). Results: In total, we included 8,849 samples (range, 677–1,448 samples per year) from 287 contact tracings (range, 26–55 contact tracings per year). Overall, 32 HCWs were colonized with MRSA (0.36%; 95% CI, 0.26%–0.51%). None of them developed a clinical infection. Moreover, 8 HCWs (0.10%; 95% CI, 0.05%–0.19%) were colonized with the same MLVA type as the index case and were detected in 6 of 287 contact tracings (2%). In 4 of 8 of these cases, a positive HCW was the index for undertaking contact tracing. In 3 of 8 cases, it was clear that the HCW who was identified in the contact tracing was the source of the outbreak and was the cause of invasive MRSA infections in patients. Notably, a different MLVA type as the index case was found in 24 HCWs (0.27%; 95% CI, 0.18%–0.40%) of whom 7 of 24 HCWs (29.2%) were intermittent carriers. Conclusions: This study revealed a sustained low MRSA prevalence among samples in contact tracing of HCWs over 9 years. Furthermore, it shows that when MRSA contact tracing is performed according to the national guideline, only 1 of 1,000 samples results in a secondary case. This is similar to the population carriage rate of MRSA in The Netherlands. More frequently, an unrelated strain is found. These findings raise questions regarding the efficacy of the current strategy to perform contact tracing after unprotected exposure.Funding: NoneDisclosures: None

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