Pulsed field gel electrophoresis as a new epidemiological tool for monitoring methicillin-resistant Staphylococcus aureus in an intensive care unit

Pulsed field gel electrophoresis (PFGE) of bacterial DNA was used in a 1-month epidemiological study of methicillin-resistant Staphylococcus aureus (MRSA) in a 15-bed Intensive Care Unit (ICU). Patient and hospital staff carriage as well as distribution of MRSA in the ICU environment were investigat...

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Veröffentlicht in:The Journal of hospital infection 1991, Vol.17 (4), p.255-269
Hauptverfasser: Prévost, G., Pottecher, B., Dahlet, M., Bientz, M., Mantz, J.M., Piémont, Y.
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container_end_page 269
container_issue 4
container_start_page 255
container_title The Journal of hospital infection
container_volume 17
creator Prévost, G.
Pottecher, B.
Dahlet, M.
Bientz, M.
Mantz, J.M.
Piémont, Y.
description Pulsed field gel electrophoresis (PFGE) of bacterial DNA was used in a 1-month epidemiological study of methicillin-resistant Staphylococcus aureus (MRSA) in a 15-bed Intensive Care Unit (ICU). Patient and hospital staff carriage as well as distribution of MRSA in the ICU environment were investigated, and a total of 3802 samples produced 175 isolates. The stability and the reproducibility of the PFGE method were satisfactory. Moreover, the plasmid content of the strains so far examined had no influence on the PFGE profiles of the MRSA strains. The polymorphic profiles observed also account for the use of this method as an epidemiological tool for investigating MRSA. Among 30 patients who stayed more than 4 days in the unit, PFGE analysis showed 11 episodes of colonization in nine patients, whereas lysotyping and plasmid DNA analysis demonstrated only eight and seven such episodes in the same patients, respectively. The combination of PFGE with lysotyping and plasmid analysis may provide a greater discriminatory capacity between MRSA isolates.
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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Bacteriophage Typing
Biological and medical sciences
DNA, Bacterial - analysis
Electrophoresis, Agar Gel - methods
Emergency and intensive care: infection, septic shock
epidemiological study
Humans
Intensive care medicine
intensive care unit
Intensive Care Units
lysotyping
Medical sciences
Methicillin Resistance
Methicillin-resistant Staphylococcus aureus
plasmid DNA
Plasmids - genetics
pulsed field gel electrophoresis
Reproducibility of Results
Staphylococcus aureus - drug effects
Staphylococcus aureus - genetics
title Pulsed field gel electrophoresis as a new epidemiological tool for monitoring methicillin-resistant Staphylococcus aureus in an intensive care unit
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