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Community‐Acquired Methicillin‐Resistant Staphylococcus aureus Infection in Singapore Is Usually “Healthcare Associated”
Formats Available in JSTOR: PDF
Abstract(back to top)
OBJECTIVE. To assess the frequency of community‐acquired methicillin‐resistant Staphylococcus aureus (MRSA) infections.
SETTING. A teaching hospital in Singapore.
METHODS. Prospectively collected surveillance data were reviewed during a 1‐year period to determine the extent and origin of community‐acquired MRSA infections.
RESULTS. Whereas 32% of 383 MRSA infections were detected less than 48 hours after hospital admission and would, by convention, be classified as “community acquired,” all but one of these were among patients who had been exposed to outpatient centers including dialysis or chemotherapy clinics, visiting nurses, community hospitals, or all three.
CONCLUSIONS. With health care increasingly being delivered in an outpatient setting, community‐acquired MRSA infections are often acquired in hospital‐related sites and most may be more accurately described as “healthcare acquired.” Infection control measures need to move beyond the traditional paradigm of acute care hospitals to effectively control the spread of resistant pathogens.
Bibliographic Information(back to top)
- Community‐Acquired Methicillin‐Resistant Staphylococcus aureus Infection in Singapore Is Usually “Healthcare Associated”
- Paul A. Tambyah , MBBS, Abdulrazaq G. Habib , MRCP, FWACP, Toon‐Mae Ng , BN, Helen Goh , B HlthSc (N) and Gamini Kumarasinghe , FRCPath
- Infection Control and Hospital Epidemiology
- Vol. 24, No. 6 (June 2003) (pp. 436-438)
Notes and References(back to top)
This item contains 1 note(s).
Notes
The authors are from the Departments of Medicine, Nursing, and Laboratory Medicine, National University Hospital, Singapore.Address reprint requests to Dr. Paul Ananth Tambyah, Department of Medicine, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074.The authors thank Ms. Carol Chow and Mr. Donald Chiang for help with the microbiology laboratory work and Mdm. Han Mingzhen for help with the data from Alexandra Hospital, Singapore.Presented in part at the 39th Annual Interscience Conference on Antimicrobial Agents and Chemotherapy; September 28, 1999; San Francisco, CA.
Items Citing this Item (back to top)
5 item(s) in JSTOR cite this item
- Marya D. Zilberberg , MD, MPH; Andrew F. Shorr , MD, MPH; Scott T. Micek , PharmD; Alex P. Hoban; Victor Pham , BA; Joshua A. Doherty , BA; Andrew M. Ramsey , MPH; Marin H. Kollef , MDVol. 30, No. 12 (December 2009) pp. 1203-1210Stable URL: http://www.jstor.org/stable/10.1086/648083
- François‐Xavier Lescure , MD, MPH; Gwenaelle Locher , MD; Mathieu Eveillard , PharmD, MPH; Maurice Biendo , MD, MPH; Stéphanie Van Agt , PharmD; Guillaume Le Loup , MD, MPH; Youcef Douadi , MD; Olivier Ganry , MD, PhD; François Vandenesch , MD, PhD; François Eb , MD, PhD; Jean‐Luc Schmit , MD, PhD; Jerome Etienne , MD, PhDVol. 27, No. 11 (November 2006) pp. 1213-1218Stable URL: http://www.jstor.org/stable/10.1086/507920
- Kwan Soo Ko , PhD; Sulhee Park , MS; Kyong Ran Peck , MD, PhD; Eun Jung Shin , RN, MS; Won Sup Oh , MD, PhD; Nam Yong Lee , MD, PhD; Jae‐Hoon Song , MD, PhDVol. 27, No. 6 (June 2006) pp. 593-597Stable URL: http://www.jstor.org/stable/10.1086/504936
- Tinna Urth; Gitte Juul , MD; Robert Skov , MD; Henrik C. Schønheyder , MD, DMScVol. 26, No. 2 (February 2005) pp. 144-149Stable URL: http://www.jstor.org/stable/10.1086/502518
- Allison McGeer , MDVol. 25, No. 2 (February 2004) pp. 97-98Stable URL: http://www.jstor.org/stable/10.1086/502356