Initial stage of hospital contamination with methicillin-resistant Staphylococcus aureus in Lao Peoples Democratic Republic》.pdfVIP

Initial stage of hospital contamination with methicillin-resistant Staphylococcus aureus in Lao Peoples Democratic Republic》.pdf

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Initial stage of hospital contamination with methicillin-resistant Staphylococcus aureus in Lao Peoples Democratic Republic》.pdf

Journal of Hospital Infection (2004) 56, 125–130 /journals/jhin Initial stage of hospital contamination with methicillin-resistant Staphylococcus aureus in Lao People’s Democratic Republic a,*, N. Sithivongb b b N. Higa , B. Phantouamath , S. Insisiengmay , T. Miyazatoa, M. Iwanagaa aDepartment of Bacteriology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan bCenter for Laboratory and Epidemiology, Ministry of Health, Vientiane, Lao People’s Democratic Republic Received 28 April 2003; accepted 25 September 2003 KEYWORDS Summary Monitoring drug-resistant Staphylococcus aureus has been carried Monitoring; MRSA; Initial out in Lao People’s Democratic Republic (Lao PDR) since 1993. No methicillin- stage; SCCmec; Epidemic resistant S. aureus (MRSA) strains were detected until 2001 when two isolates were found: 01LP40, which was coagulase type IV, enterotoxin non- productive, and SCCmec (staphylococcal chromosome cassette mec) type III; and 01LP63 from a different hospital, which was coagulase type II, enterotoxin productive, and the SCCmec belonged to a new type. In 2002 four MRSA isolates similar to the latter were detected, 02LP211, 02LP214, 02LP217 from the same hospital as 01LP63, and 02LP100 from a third hospital. This appears to be the initial stage of a MRSA epidemic in Lao PDR. Careful monitoring and intensive monitoring and precautions are rec

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