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Outbreak among HIV-Infected Patients of Staphylococcus aureus Resistant to Cotrimoxazole and Methicillin

Alonso, Roberto ; Padilla, Belen ; Sánchez-Carrillo, Carlos ; Muñoz, Patricia ; Rodríguez-Creixems, Marta ; Bouza, Emilio

Infection control and hospital epidemiology, 1997-09, Vol.18 (9), p.617-621 [Periódico revisado por pares]

Thorofare, NJ: SLACK Incorporated

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Outbreak among HIV-Infected Patients of Staphylococcus aureus Resistant to Cotrimoxazole and Methicillin
Autor: Alonso, Roberto ; Padilla, Belen ; Sánchez-Carrillo, Carlos ; Muñoz, Patricia ; Rodríguez-Creixems, Marta ; Bouza, Emilio
Assuntos: Adult ; Aged ; Aged, 80 and over ; Anti-Bacterial Agents ; Anti-Infective Agents - pharmacology ; Antimicrobials ; Biological and medical sciences ; Blood ; Cross Infection - epidemiology ; Disease Outbreaks - prevention & control ; Drug Resistance, Microbial ; Epidemics ; Epidemiology ; Female ; HIV ; HIV Infections - complications ; Humans ; Immunodeficiencies ; Immunodeficiencies. Immunoglobulinopathies ; Immunopathology ; Infections ; Male ; Medical sciences ; Methicillin Resistance ; Methicillin resistant staphylococcus aureus ; Microbial Sensitivity Tests ; Microbiology ; Middle Aged ; Mortality ; Prospective Studies ; Spain - epidemiology ; Staphylococcal Infections - drug therapy ; Staphylococcal Infections - epidemiology ; Staphylococcal Infections - prevention & control ; Staphylococcus aureus ; Staphylococcus aureus - isolation & purification ; Trimethoprim, Sulfamethoxazole Drug Combination - pharmacology
É parte de: Infection control and hospital epidemiology, 1997-09, Vol.18 (9), p.617-621
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
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Descrição: Objective: To describe an outbreak of trimethoprim-sulfamethoxazole (cotrimoxazole)-resistant and methicillin-resistant Staphylococcus aureus (CMRSA) in a unit housing patients infected with the human immunodeficiency virus (HIV). Design: Prospective study involving patients colonized or infected with CMRSA. Patients: 15 hospitalized patients with cultures positive for CMRSA. Methods: Isolates of CMRSA were collected and characterized. Molecular typing of the epidemic strains was carried out after total DNA extraction by restriction endonuclease analysis and random amplification of polymorphic DNA Results: The epidemic was brought under control with the reinforcement of nosocomial transmission measures and with systematic nasal decontamination with mupirocin of all patients admitted to the HIV unit. Molecular typing techniques showed the existence of two epidemic strains: strain A was present in the 12 patients admitted to the HIV unit and strain B in the remaining 3 patients hospitalized elsewhere. Conclusions: Cotrimoxazole may no longer be a reliable and effective alternative for glycopeptides in patients with infection caused by MRSA strains, and HIV units should be particularly alert for CMRSA strains.
Editor: Thorofare, NJ: SLACK Incorporated
Idioma: Inglês

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Outbreak among HIV-Infected Patients of Staphylococcus aureus Resistant to Cotrimoxazole and Methicillin

Alonso, Roberto ; Padilla, Belen ; Sánchez-Carrillo, Carlos ; Muñoz, Patricia ; Rodríguez-Creixems, Marta ; Bouza, Emilio

Thorofare, NJ: SLACK Incorporated

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