COLONIZATION BY STAPHYLOCOCCUS SPECIES RESISTANT TO METHICILLIN OR QUINOLONE ON HANDS OF MEDICAL PERSONNEL IN A SKILLED-NURSING FACILITY

被引：21
|
作者：
LEE, YL [1 ]
CESARIO, T [1 ]
LEE, R [1 ]
NOTHVOGEL, S [1 ]
NASSAR, J [1 ]
FARSAD, N [1 ]
THRUPP, L [1 ]
机构：
[1] UNIV CALIF IRVINE,IRVINE MED CTR,DEPT MED,DIV INFECT DIS,INFECT CONTROL SECT,101 CITY DR,ORANGE,CA 92668
来源：
AMERICAN JOURNAL OF INFECTION CONTROL | 1994年 / 22卷 / 06期
关键词：
D O I：
10.1016/0196-6553(94)90033-7
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
We report here a pilot survey of colonization with methicillin- and/or ciprofloxacin-resistant Staphylococcus species on hands of nursing personnel in a private skilled-nursing facility. We found only one nurses aide who carried metchillin-resistant Staphylococcus aureus and one who carried ciprofloxacin-resistant S. aureus, each on only one of the surveys. None of the control nonmedical personnel were found to carry methicillin-resistant S. aureus or ciprofloxacin-resistant S. aureus. The colonization rate of methicillin-resistant coagulase-negative staphylococci on the hands of medical personnel was 59%, compared with 13% for the nonmedical personnel, and the counts of methicillin-resistant coagulase-negative staphylococci were also significantly higher for nursing personnel. For ciprofloxacin-resistant coagulase-negative staphylococci, 30% of nursing personnel had positive cultures whereas no ciprofloxacin-resistant coagulase-negative staphylococci strains were recovered from the nonmedical control cohort. Three of the patients had presumptive infections with methicillin- or ciprofloxacin-resistant coagulase-negative staphylococci, all urinary tract infections. Personnel hands represent a likely mode of transmission of such strains between patients, and skilled-nursing facility patients may represent a reservoir for carrying the coagulase-negative staphylococci back to acute care facilities.
引用
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页码：346 / 351
页数：6
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