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Prevalence, risk factors and molecular epidemiology of methicillin-resistantStaphylococcus aureus(MRSA) colonization in residents of long-term care facilities in Luxembourg, 2010
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Zeitschriftentitel: | Epidemiology and Infection |
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Personen und Körperschaften: | , , , , , , |
In: | Epidemiology and Infection, 141, 2013, 6, S. 1199-1206 |
Format: | E-Article |
Sprache: | Englisch |
veröffentlicht: |
Cambridge University Press (CUP)
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Schlagwörter: |
Zusammenfassung: | <jats:title>SUMMARY</jats:title><jats:p>A prevalence survey of methicillin-resistant<jats:italic>Staphylococcus aureus</jats:italic>(MRSA) was performed in 2010 in 19 long-term care facilities in Luxembourg. Of the 954 participating residents, 69 (7·2%) were colonized by MRSA. Previous history of MRSA [odds ratio (OR) 7·20, 95% confidence interval (CI) 3·19–16·27], quinolone therapy in the previous year (OR 2·27, 95% CI 1·17–4·41) and ⩾24 h care administered per week (OR 4·29, 95% CI 1·18–15·56) were independent risk factors for MRSA colonization. More than 75% of strains were of clonal complex (CC)5, mainly<jats:italic>spa</jats:italic>-type t003 or sequence type (ST)225 and ST710, which is a rapidly emerging lineage prevalent in central Europe. Five residents were colonized by livestock-associated genotypes belonging to CC398. Previously dominant CC8 strains have recently been replaced by more resistant CC5 strains in Luxembourg.</jats:p> |
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Umfang: | 1199-1206 |
ISSN: |
0950-2688
1469-4409 |
DOI: | 10.1017/s0950268812001999 |