Epidemiology of methicillin-resistant Staphylococcus aureus: results of a nation-wide survey in Switzerland.

Détails

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Etat: Serval
Version: Final published version
ID Serval
serval:BIB_6C10A7CF229C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Epidemiology of methicillin-resistant Staphylococcus aureus: results of a nation-wide survey in Switzerland.
Périodique
Swiss medical weekly
Auteur(s)
Blanc D.S., Pittet D., Ruef C., Widmer A.F., Mühlemann K., Petignat C., Harbarth S., Auckenthaler R., Bille J., Frei R., Zbinden R., Peduzzi R., Gaia V., Khamis H., Bernasconi E., Francioli P.
ISSN
1424-7860 (Print)
ISSN-L
0036-7672
Statut éditorial
Publié
Date de publication
04/05/2002
Peer-reviewed
Oui
Volume
132
Numéro
17-18
Pages
223-229
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
To assess the epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) in Switzerland.
One-year national survey of all MRSA cases detected in a large sample of Swiss healthcare institutions (HCI). Analysis of epidemiological and molecular typing data (PFGE) of MRSA strains.
During 1997, 385 cases of MRSA were recorded in the 5 university hospitals, in 33 acute care community hospitals, and 14 rehabilitation or long-term care institutions. Half of the cases were found at the University of Geneva Hospitals where MRSA was already known to be endemic (41.1 cases/10,000 admissions). The remaining cases (200) were distributed throughout Switzerland. The highest rates (>100 cases/10,000 admissions) were reported from non-acute care institutions. Rates ranged from 3.3 to 41.1 cases/10,000 admissions for university hospitals (mean 15.5); 0.67 to 90.4 for community hospitals (mean 4.8), and 28.2 to 315 for non-acute care institutions reporting MRSA (mean 85.7). Forty percent of MRSA patients were infected, while 60% were only colonised. The leading infection sites were skin and soft tissue (21%), surgical site (15%), and the urinary tract (26%). Whereas in Eastern Swiss HCI most MRSA cases occurred in acute care hospitals (n = 47, 98%), rehabilitation and long-term care institutions accounted for an important number of the identified cases (n = 107, 38%) in Western Switzerland.
Low rates of MRSA were still observed in Swiss HCI, despite one outlying acute care centre with endemic MRSA and some nonacute care institutions with epidemic MRSA. Rehabilitation and long-term care institutions contributed to a substantial proportion of cases in Western Switzerland and may constitute a significant reservoir. Overall, a national approach to surveillance and control of MRSA is mandatory in order to preserve a still favourable situation, and to decrease the risk of epidemic MRSA dissemination.

Mots-clé
Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Female, Health Surveys, Humans, Infant, Male, Methicillin Resistance, Middle Aged, Staphylococcal Infections/diagnosis, Staphylococcal Infections/epidemiology, Staphylococcal Infections/prevention & control, Staphylococcus aureus/isolation & purification, Switzerland/epidemiology
Pubmed
Web of science
Création de la notice
29/01/2008 16:20
Dernière modification de la notice
08/06/2018 15:48
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