Methicillin-resistant Staphylococcus aureus carriage, infection and transmission in dialysis patients, healthcare workers and their family members.

@article{Lu2008MethicillinresistantSA,
  title={Methicillin-resistant Staphylococcus aureus carriage, infection and transmission in dialysis patients, healthcare workers and their family members.},
  author={Po-Liang Lu and Jer Chia Tsai and Yi-Wen Chiu and Feng Yee Chang and Ya-Wei Chen and Chin-Fu Hsiao and L Kristopher Siu},
  journal={Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association},
  year={2008},
  volume={23 5},
  pages={
          1659-65
        }
}
  • P. Lu, J. Tsai, +4 authors L. Siu
  • Published 1 May 2008
  • Medicine, Biology
  • Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
BACKGROUND Carriage and subsequent infection with methicillin resistant S. aureus (MRSA) and its transmission between hospital and community settings have not been studied in dialysis patients and their contacts. METHODS Surveillance for nasal MRSA carriage and infection among dialysis patients, healthcare workers (HCWs) and their family members in a dialysis centre was prospectively undertaken during three time periods within 1 year. Molecular typing was used to determine epidemiological… 
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92 Citations
Highly Influential Citations
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Background Citations
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92 Citations

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Citation Type

Prevalence of Colonization With Community-Associated Methicillin-Resistant Staphylococcus aureus Among End-Stage Renal Disease Patients and Healthcare Workers
TLDR
There is a high rate of colonization with MRSA and CA- MRSA among hospitalized dialysis patients and their HCWs, and it appears that individuals are being colonized with both CA-MRSA strains and healthcare-associated MRSA strains.
MOLECULAR CHARACTERIZATION AND ANTIMICROBIAL SUSCEPTIBILITY OF MRSA ISOLATED FROM CHRONIC HEMODIALYSIS OUTPATIENTS AND THEIR CORRELATION TO MRSA COLONIZATION AMONG HEALTHCARE WORKERS
TLDR
The prevalence of MRSA carriage among hemodialysis patients was 14% and 9.7 % among HCWs with similar polymorphism patterns, and the presence of one major coa gene type confirmed the occurrence of hospital acquired-associated MRSA.
Nasal carriage of methicillin-resistant Staphylococcus aureus is associated with higher all-cause mortality in hemodialysis patients.
  • Chun-Fu Lai, C. Liao, +10 authors K. Wu
  • Medicine, Biology
    Clinical journal of the American Society of Nephrology : CJASN
  • 2011
TLDR
It is demonstrated that there may be an association between MRSA nasal carriage and poor clinical outcomes in an outpatient hemodialysis population and underscores the need for routine surveillance of MRSA nose carriage.
Methicillin-resistant Staphylococcus aureus nasal carriage among patients receiving hemodialysis : comparison between a local hospital and a medical center in Taiwan
TLDR
A substantial proportion of patients receiving hemodialysis in Taiwan had MRSA colonization, mostly community strains, but no additional risk factors for MRSA acquisition was identified.
Determination of Staphylococcus aureus carriage in hemodialysis and peritoneal dialysis patients and evaluation of the clonal relationship between carriage and clinical isolates.
Clinical and Molecular Epidemiology of Methicillin-Resistant Staphylococcus aureus among Patients in an Ambulatory Hemodialysis Center
TLDR
The prevalence of MRSA carriage and the incidence of infection among carriers were high among ambulatory hemodialysis patients, and community-associated MRSA was responsible for a large portion of the MRSA burden.
Staphylococcus aureus nasal carriage and patterns of antibiotic resistance in bacterial isolates from patients and staff in a dialysis center of southeast Iran
TLDR
The resistance rate of isolated MSSA against tested antibiotics was lower than isolated MRSA, and Inducible clindamycin resistance was shown in 25% of identified MRSA strains.
Transmission of Methicillin-Resistant Staphylococcus aureus to Household Contacts
TLDR
To date, screening household contacts and providing MRSA eradication therapy to those found positive simultaneously with the index person is not included in the “search-and-destroy” policy, but it is suggested to include both in MRSA prevention guidelines, as this may reduce further spread of MRSA.
[Prevalence and risk factors for methicillin-resistant Staphylococcus aureus colonization among outpatients undergoing hemodialysis treatment].
TLDR
A better understanding of the prevalence and risk factors for nasal MRSA colonization among hemodialysis population may hold significant implications for both the treatment strategies and prevention of MRSA infections to establish appropriate infection control measures.
Methicillin-resistant Staphylococcus aureus nasal carriage among patients receiving hemodialysis in Taiwan: prevalence rate, molecular characterization and de-colonization
TLDR
A substantial proportion of patients receiving hemodialysis in Taiwan had MRSA colonization, mostly genetically community strains, and decolonization procedures may effectively eliminate MRSA colonists and might reduce subsequent MRSA infection in these patients.
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