Staphylococcus aureus colonization among nursing home residents in a large Finnish nursing home
We studied colonization with methicillin-resistant and -sensitive Staphylococcus aureus (MRSA, MSSA) in the second largest nursing home in Finland, in which the residents volunteered had their nostrils, throats, perineums, skin lesions, and catheter exit sites swabbed, and catheter urines cultured....
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Veröffentlicht in: | Scandinavian journal of infectious diseases 2007, Vol.39 (11-12), p.996-1001 |
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creator | Kerttula, Anne-Marie Lyytikäinen, Outi Virolainen, Anni Finne-Soveri, Harriet Agthe, Niina Vuopio-Varkila, Jaana |
description | We studied colonization with methicillin-resistant and -sensitive Staphylococcus aureus (MRSA, MSSA) in the second largest nursing home in Finland, in which the residents volunteered had their nostrils, throats, perineums, skin lesions, and catheter exit sites swabbed, and catheter urines cultured. The specimens were cultured onto non-selective and selective agar, with or without enrichment in salt-containing trypticase soy broth (TSB). S. aureus was identified by routine methods, methicillin resistance was detected by oxacillin and cefoxitin disk diffusion and MIC E-tests, and GenoType MRSA® -test was used for mecA gene confirmation. A total of 663 cultures were obtained from 213 residents. Of those, 165 specimens (25%) from 94 residents (44%) were positive for S. aureus, and 3 specimens (0.4%) from 2 (0.9%) residents were positive for MRSA. Of the 165 S. aureus isolates, 31 (19%) from 25 (27%) residents were found only from sites other than nostrils (30 MSSA and 1 MRSA). TSB enrichment detected additional 33 (5%) S. aureus isolates (32 MSSA and 1 MRSA), resulting in 8 (5%) additional residents. None of the MRSA strains would have been found if only nostrils and throat had been screened, and no enrichment broth had been used. |
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The specimens were cultured onto non-selective and selective agar, with or without enrichment in salt-containing trypticase soy broth (TSB). S. aureus was identified by routine methods, methicillin resistance was detected by oxacillin and cefoxitin disk diffusion and MIC E-tests, and GenoType MRSA® -test was used for mecA gene confirmation. A total of 663 cultures were obtained from 213 residents. Of those, 165 specimens (25%) from 94 residents (44%) were positive for S. aureus, and 3 specimens (0.4%) from 2 (0.9%) residents were positive for MRSA. Of the 165 S. aureus isolates, 31 (19%) from 25 (27%) residents were found only from sites other than nostrils (30 MSSA and 1 MRSA). TSB enrichment detected additional 33 (5%) S. aureus isolates (32 MSSA and 1 MRSA), resulting in 8 (5%) additional residents. None of the MRSA strains would have been found if only nostrils and throat had been screened, and no enrichment broth had been used.</description><identifier>ISSN: 0036-5548</identifier><identifier>EISSN: 1651-1980</identifier><identifier>DOI: 10.1080/00365540701466207</identifier><identifier>PMID: 17852935</identifier><identifier>CODEN: SJIDB7</identifier><language>eng</language><publisher>Basingstoke: Informa UK Ltd</publisher><subject>Aged, 80 and over ; Anti-Bacterial Agents - pharmacology ; Antibacterial agents ; Antibiotics. Antiinfectious agents. Antiparasitic agents ; Bacterial diseases ; Biological and medical sciences ; Carrier State ; Female ; Finland - epidemiology ; Human bacterial diseases ; Humans ; Infectious diseases ; Male ; Medical sciences ; Methicillin Resistance ; Nursing Homes ; Pharmacology. 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The specimens were cultured onto non-selective and selective agar, with or without enrichment in salt-containing trypticase soy broth (TSB). S. aureus was identified by routine methods, methicillin resistance was detected by oxacillin and cefoxitin disk diffusion and MIC E-tests, and GenoType MRSA® -test was used for mecA gene confirmation. A total of 663 cultures were obtained from 213 residents. Of those, 165 specimens (25%) from 94 residents (44%) were positive for S. aureus, and 3 specimens (0.4%) from 2 (0.9%) residents were positive for MRSA. Of the 165 S. aureus isolates, 31 (19%) from 25 (27%) residents were found only from sites other than nostrils (30 MSSA and 1 MRSA). TSB enrichment detected additional 33 (5%) S. aureus isolates (32 MSSA and 1 MRSA), resulting in 8 (5%) additional residents. None of the MRSA strains would have been found if only nostrils and throat had been screened, and no enrichment broth had been used.</description><subject>Aged, 80 and over</subject><subject>Anti-Bacterial Agents - pharmacology</subject><subject>Antibacterial agents</subject><subject>Antibiotics. Antiinfectious agents. Antiparasitic agents</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Carrier State</subject><subject>Female</subject><subject>Finland - epidemiology</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methicillin Resistance</subject><subject>Nursing Homes</subject><subject>Pharmacology. Drug treatments</subject><subject>Staphylococcal Infections - epidemiology</subject><subject>Staphylococcal Infections - microbiology</subject><subject>Staphylococcal infections, streptococcal infections, pneumococcal infections</subject><subject>Staphylococcus aureus</subject><subject>Staphylococcus aureus - drug effects</subject><subject>Staphylococcus aureus - isolation & purification</subject><issn>0036-5548</issn><issn>1651-1980</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU9v1DAQxS0EotuFD8AF5QK3wDj-k0RwQVULSJU40Ls160waV4692Imq8ulxtYuqCqmc3mF-72nmDWNvOHzg0MFHAKGVktACl1o30D5jG64Vr3nfwXO2uZ_XBehO2GnONwAgtYCX7IS3nWp6oTbM_FxwP935aKO1a65wTVTERh-D-42Li6HCOYbrKqwpu6JTnKlKlN1AYcmVK_PKY7qm6sKF4PL0iHzFXozoM70-6pZdXZxfnX2rL398_X725bK2Uqul1prLZmiVRQ1aNIiketHs9IBSSckVKhqFVbvOcq6l7XcguB00DdTQoIXYsveH2H2Kv1bKi5ldtuQ9BoprNrorMapt_ws2INvSIC8gP4A2xZwTjWaf3IzpznAw9-2bf9ovnrfH8HU30_DgONZdgHdHALNFPyYM1uUHru-BQyG37POBc2GMacbbmPxgFix_Sn9N4qk9Pj2yT4R-mSwmMjdxTaE84okr_gDYcbJ7</recordid><startdate>2007</startdate><enddate>2007</enddate><creator>Kerttula, Anne-Marie</creator><creator>Lyytikäinen, Outi</creator><creator>Virolainen, Anni</creator><creator>Finne-Soveri, Harriet</creator><creator>Agthe, Niina</creator><creator>Vuopio-Varkila, Jaana</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>2007</creationdate><title>Staphylococcus aureus colonization among nursing home residents in a large Finnish nursing home</title><author>Kerttula, Anne-Marie ; Lyytikäinen, Outi ; Virolainen, Anni ; Finne-Soveri, Harriet ; Agthe, Niina ; Vuopio-Varkila, Jaana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c465t-66142d75ca60632aae5932b6da454415a5ef3c5b8c1164c9b031cd6ede2ed633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Aged, 80 and over</topic><topic>Anti-Bacterial Agents - pharmacology</topic><topic>Antibacterial agents</topic><topic>Antibiotics. Antiinfectious agents. Antiparasitic agents</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Carrier State</topic><topic>Female</topic><topic>Finland - epidemiology</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Methicillin Resistance</topic><topic>Nursing Homes</topic><topic>Pharmacology. Drug treatments</topic><topic>Staphylococcal Infections - epidemiology</topic><topic>Staphylococcal Infections - microbiology</topic><topic>Staphylococcal infections, streptococcal infections, pneumococcal infections</topic><topic>Staphylococcus aureus</topic><topic>Staphylococcus aureus - drug effects</topic><topic>Staphylococcus aureus - isolation & purification</topic><toplevel>online_resources</toplevel><creatorcontrib>Kerttula, Anne-Marie</creatorcontrib><creatorcontrib>Lyytikäinen, Outi</creatorcontrib><creatorcontrib>Virolainen, Anni</creatorcontrib><creatorcontrib>Finne-Soveri, Harriet</creatorcontrib><creatorcontrib>Agthe, Niina</creatorcontrib><creatorcontrib>Vuopio-Varkila, Jaana</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>Scandinavian journal of infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kerttula, Anne-Marie</au><au>Lyytikäinen, Outi</au><au>Virolainen, Anni</au><au>Finne-Soveri, Harriet</au><au>Agthe, Niina</au><au>Vuopio-Varkila, Jaana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Staphylococcus aureus colonization among nursing home residents in a large Finnish nursing home</atitle><jtitle>Scandinavian journal of infectious diseases</jtitle><addtitle>Scand J Infect Dis</addtitle><date>2007</date><risdate>2007</risdate><volume>39</volume><issue>11-12</issue><spage>996</spage><epage>1001</epage><pages>996-1001</pages><issn>0036-5548</issn><eissn>1651-1980</eissn><coden>SJIDB7</coden><abstract>We studied colonization with methicillin-resistant and -sensitive Staphylococcus aureus (MRSA, MSSA) in the second largest nursing home in Finland, in which the residents volunteered had their nostrils, throats, perineums, skin lesions, and catheter exit sites swabbed, and catheter urines cultured. The specimens were cultured onto non-selective and selective agar, with or without enrichment in salt-containing trypticase soy broth (TSB). S. aureus was identified by routine methods, methicillin resistance was detected by oxacillin and cefoxitin disk diffusion and MIC E-tests, and GenoType MRSA® -test was used for mecA gene confirmation. A total of 663 cultures were obtained from 213 residents. Of those, 165 specimens (25%) from 94 residents (44%) were positive for S. aureus, and 3 specimens (0.4%) from 2 (0.9%) residents were positive for MRSA. Of the 165 S. aureus isolates, 31 (19%) from 25 (27%) residents were found only from sites other than nostrils (30 MSSA and 1 MRSA). TSB enrichment detected additional 33 (5%) S. aureus isolates (32 MSSA and 1 MRSA), resulting in 8 (5%) additional residents. None of the MRSA strains would have been found if only nostrils and throat had been screened, and no enrichment broth had been used.</abstract><cop>Basingstoke</cop><pub>Informa UK Ltd</pub><pmid>17852935</pmid><doi>10.1080/00365540701466207</doi><tpages>6</tpages></addata></record> |
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subjects | Aged, 80 and over Anti-Bacterial Agents - pharmacology Antibacterial agents Antibiotics. Antiinfectious agents. Antiparasitic agents Bacterial diseases Biological and medical sciences Carrier State Female Finland - epidemiology Human bacterial diseases Humans Infectious diseases Male Medical sciences Methicillin Resistance Nursing Homes Pharmacology. Drug treatments Staphylococcal Infections - epidemiology Staphylococcal Infections - microbiology Staphylococcal infections, streptococcal infections, pneumococcal infections Staphylococcus aureus Staphylococcus aureus - drug effects Staphylococcus aureus - isolation & purification |
title | Staphylococcus aureus colonization among nursing home residents in a large Finnish nursing home |
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