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
Hauptverfasser: Kerttula, Anne-Marie, Lyytikäinen, Outi, Virolainen, Anni, Finne-Soveri, Harriet, Agthe, Niina, Vuopio-Varkila, Jaana
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container_end_page 1001
container_issue 11-12
container_start_page 996
container_title Scandinavian journal of infectious diseases
container_volume 39
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.
doi_str_mv 10.1080/00365540701466207
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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. 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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 &amp; 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. 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source Taylor & Francis:Master (3349 titles); MEDLINE; Taylor & Francis Medical Library - CRKN
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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