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Acquisition of methicillin-resistant Staphylococcus aureus (MRSA) in contacts of patients newly identified as colonized or infected with MRSA in the immediate postexposure and postdischarge periods.pdf
American Journal of Infection Control 45 (2017) 295-7
Contents lists available at ScienceDirect
American Journal of Infection Control
journal homepage:
Brief Report
Acquisition of methicillin-resistant Staphylococcus aureus (MRSA) in contacts of patients newly identi?ed as colonized or infected with MRSA in the immediate postexposure and postdischarge periods
Victoria R. Williams MPH, CIC a,*, Sandra Callery RN, MHSc, CIC a, Mary Vearncombe MD, FRCPC a,b, Andrew E. Simor MD, FRCPC b,c
a Infection Prevention and Control, Sunnybrook Health Sciences Centre, Toronto, ON, Canada b Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada c Department of Microbiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
American Journal of Infection Control
Key Words: Methicillin-resistant Staphylococcus aureus Contact Surveillance screening
The acquisition of methicillin-resistant Staphylococcus aureus (MRSA) after exposure to patients colonized or infected with MRSA was assessed. Among contacts with complete surveillance screening, the rate of acquisition was 5.7% and was lower in those identi?ed postdischarge (17/683, 2.5%) compared with those tested in the immediate postexposure period (62/706, 8.8%).
? 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
BACKGROUND
Although the incidence of methicillin-resistant Staphylococcus aureus (MRSA) infection has decreased in recent years in Canada and other countries, it remains a signi?cant cause of morbidity and mortality.1,2 Patients colonized or infected with MRSA in health care facilities are a reservoir for transmission to others.3 Preemptive use of contact precautions and active surveillance cultures of patients exposed to those with MRSA are recommended as measures to control transmission.4,5 The objective of this study was to measure the acquisition of MRSA after exposure in order to assess the appropria
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