Implementation of a methicillin-resistant Staphylococcus aureus (MRSA) prevention bundle results in decreased MRSA surgical site infections
The American Journal of Surgery, 11/03/2009
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Awad SS et al. – The data demonstrate that successful implementation of the MRSA bundle significantly decreases MRSA transmission between patients, the overall number of nosocomial MRSA infections, and MRSA SSIs
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Twenty-five year epidemiology of invasive methicillin-resistant Staphylococcus aureus (MRSA) isolates recovered at a burn center
Burns, 11/16/2009
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Murray CK et al. – A transition was found in hospital–associated MRSA isolates over the 25 years, but no introduction of community–associated MRSA isolates into this burn unit. Continued active ... control strategies are recommended to prevent the spread of community–acquired MRSA to this burn unit.
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Transmission of MRSA to household contacts
Journal of Clinical Microbiology, 12/02/2009
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Mollema FPN et al. – Screening household contacts and, to those found positive, providing MRSA eradication therapy simultaneously with the index person is not included in the ‘search–and–destroy’ policy. The authors suggest including both in MRSA ... prevention guidelines, as this may reduce further spread of MRSA.
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MRSA as a Cause of Postpartum Breast Abscess in Infant and Mother
Journal of Human Lactation, 12/10/2009
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Montalto M et al. – This report describes the unusual occurrence of mastitis and breast abscess in both mother and infant, both caused by methicillin–resistant Staphylococcus aureus (MRSA). Mother and child were both ... immunocompetent, and their only risk factor was routine confinement. The case highlights the importance of considering MRSA as a cause for mastitis in mothers and infants. MRSA is increasingly common, and failure to consider it as a cause for mastitis will lead to delays in treatment.
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Staphylococcus aureus Endophthalmitis: Antibiotic Susceptibilities, Methicillin Resistance, and Clinical Outcomes
American Journal of Ophthalmology, 11/19/2009
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Major JC et al. – Although all MSSA and MRSA isolates were sensitive to vancomycin, fewer than half of MRSA isolates were sensitive to the fourth–generation fluoroquinolones. Visual acuity outcomes between MRSA and MSSA eyes were not significantly different.
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Clinical Importance of Purulence in Methicillin-Resistant Staphylococcus aureus Skin and Soft Tissue Infections
Journal of the American Board of Family Medicine, 11/09/2009
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Crawford SE et al. – A purulent MRSA SSTI strongly predicted the presence of a clindamycin–susceptible MRSA isolate. Presence of the pvl genes was almost universal among MRSA isolates causing purulent SSTIs; this was less common in nonpurulent SSTIs and
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Aerosolized vancomycin for the treatment of MRSA after lung transplantation
Respirology, 11/10/2009
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Hayes D et al. – Lung transplantation is the only life–prolonging therapy available for cystic fibrosis (CF) patients with end–stage lung disease. The presence of pathogens in the airways of CF patients ... MRSA) having a growing impact. Aerosolized vancomycin has been used successfully in the treatment of MRSA in the CF population but its use after lung transplantation has not been previously reported. The authors report the case of a lung transplant recipient who was successfully treated for MRSA
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SpectraTM MRSA, A New Chromogenic Agar Medium to Screen for Methicillin-Resistant Staphylococcus aureus
Journal of Clinical Microbiology, 11/13/2009
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Peterson JF et al. – The authors found that SpectraTM MRSA was able to rapidly identify and differentiate methicillin–resistant S. aureus from methicillin–susceptible S. aureus ... colonies, thus eliminating the need for biochemical analysis and antimicrobial susceptibility testing. Extending the incubation beyond 24 h did not significantly improve the recovery of MRSA and resulted in decreased specificity.
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Reducing MRSA Infections in College Student Athletes: Implementation of a Prevention Program
Journal of Community Health Nursing, 11/06/2009
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Sanders JC – Results showed a greater than 75% reduction in CA–MRSA in the target population, with only 3 cases recorded for the entire 2008 college football season. A 1–group pretest
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Vancomycin MIC creep in MRSA isolates from 1997 to 2008 in a healthcare region in Hong Kong
Journal of Infection, 12/15/2009
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Ho PL et al. – This study found vancomycin MIC creep among blood MRSA isolates over time. As elevated MIC within the susceptible range may reduce vancomycin efficacy, clinical laboratories should
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