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Titolo:
HIGHER OVERALL NOSOCOMIAL INFECTION-RATE BECAUSE OF INCREASED ATTACK RATE OF METHICILLIN-RESISTANT STAPHYLOCOCCUS-AUREUS
Autore:
STAMM AM; LONG MN; BELCHER B;
Indirizzi:
UNIV ALABAMA,DEPT MED,1813 6TH AVE BIRMINGHAM AL 35294
Titolo Testata:
American journal of infection control
fascicolo: 2, volume: 21, anno: 1993,
pagine: 70 - 74
SICI:
0196-6553(1993)21:2<70:HONIBO>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Tipo documento:
Note
Natura:
Periodico
Citazioni:
NO
Recensione:
Indirizzi per estratti:
Citazione:
A.M. Stamm et al., "HIGHER OVERALL NOSOCOMIAL INFECTION-RATE BECAUSE OF INCREASED ATTACK RATE OF METHICILLIN-RESISTANT STAPHYLOCOCCUS-AUREUS", American journal of infection control, 21(2), 1993, pp. 70-74

Abstract

Background: Methicillin-resistant Staphylococcu, aureus has become a frequent cause of hospital-acquired infectious disease. However, the impact of methicillin-resistant S. aureus on the overall nosocomial infection rate has not been clearly defined. Methods: The University of Alabama at Birmingham Hospital is a tertiary care facility and participant in the National Nosocomial Infections Surveillance system. Prospective, hospital-wide surveillance for nosocomial infections was conducted for 8 months per year during 1986 through 1991. Results: The total nosocomial infection rate increased from 4.5% in 1987 to 5.9% in 1990. This was temporally associated with a rise in the attack rate of methicillin-resistant S, aureus from 0% to 0.4%. The remainder of the increase was caused by other gram-positive microorganisms, including methicillin-sensitive S. aureus. We identified methicillin-resistant S. aureus most commonly in the surgical intensive care unit and as a cause of lower respiratory tract infections. In contrast, methicillin-sensitive S. aureus was most frequently found in the neurologic intensive care unit and as the etiologic agent of surgical wound infections. Conclusions: Methicillin-resistant S. aureus has become a common nosocomial pathogen. There has been no decrease in the attack rate of methicillin-sensitive S. aureus or other gram-positive cocci. The total nosocomial infection rate has increased as a result equally of the emergencc ofmethicillin-resistant S. aureus and of the renewed activity of other gram-positive pathogens. Methicillin-resistant S. aureus has added to the overall burden of nosocomial infectious disease.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 14:01:56