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Western Australia (WA) has been able to prevent methicillin-resistant Staphylococcus aureus (MRSA) strains from outside of the state from becoming established in its hospitals. Recently, a single-strain outbreak of MRSA occurred in a WA metropolitan teaching hospital following admission of an infected patient from a remote community. The strain responsible(More)
Multiple methicillin-resistant Staphylococcus aureus (MRSA) clones carrying type IV staphylococcal cassette chromosome mec were identified in the community-acquired MRSA strains of both the United States and Australia. They multiplied much faster than health-care-associated MRSA and were resistant to fewer non-beta-lactam antibiotics. They seem to have been(More)
Antibiotics can be used as an adjunct to endodontic treatment in a number of ways--locally, systemically and prophylactically. The local or intra-canal use of antibiotics in the form of medicaments is common. However, the commercially available agents for this purpose may not be the ideal mixtures. Systemic antibiotics should be restricted to patients who(More)
Methicillin-resistant Staphylococcus aureus (MRSA) obtained from patients who had not been hospitalized outside Western Australia (WA) were studied for antimicrobial resistance and plasmid content and by pulsed-field gel electrophoresis. They were found to be of several types, none of which appeared to be related to MRSA which have been previously studied.(More)
PURPOSE To examine if changes in the diagnosis and management of postoperative endophthalmitis have occurred since 1995, and to identify factors that might predict final visual outcome. DESIGN Retrospective, population-based, noncomparative, consecutive case series. PARTICIPANTS Patients with clinically diagnosed endophthalmitis after cataract surgery(More)
Methicillin-resistant Staphylococcus aureus (MRSA) continues to be a notable cause of hospital-acquired infections. A statewide screening and control policy was implemented in Western Australia (WA) after an outbreak of epidemic MRSA in a Perth hospital in 1982. We report on statutory notifications from 1998 to 2002 and review the 20-year period from 1983(More)
The first hospital outbreak of a vancomycin-resistant enterococcus (VRE) in Western Australia (WA) started in the Royal Perth Hospital in July 2001 and initially involved the Intensive Care Unit (ICU) and the Nephrology and Dialysis Units. The outbreak was caused by vancomycin-resistant Enterococcus faecium (VREF) of the vanB genotype. Pulsed-field gel(More)
OBJECTIVE To demonstrate that nosocomial transmission of vancomycin-resistant enterococci (VRE) can be terminated and endemicity prevented despite widespread dissemination of an epidemic strain in a large tertiary-care referral hospital. INTERVENTIONS Two months after the index case was detected in the intensive care unit, 68 patients became either(More)
In April 1982, a patient infected with methicillin-resistant Staphylococcus aureus (MRSA) was transferred to the Royal Perth Hospital from the Royal Darwin Hospital. Within three months, 19 patients and four staff members had become infected or colonized with MRSA. The outbreak was terminated only after all colonized inpatients were transferred to a(More)
OBJECTIVE To determine the usefulness of an indirect immunoflourescence antibody test for antibodies to Bartonella henselae in diagnosing cat scratch disease (CSD). DESIGN AND SETTING Retrospective case survey of 354 patients whose sera were tested for antibodies to B. henselae at Royal Perth Hospital, Perth, and the Institute of Clinical Pathology and(More)