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    Air and surface contamination patterns of meticillin-resistant Staphylococcus aureus on eight acute hospital wards.

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    Authors
    Creamer, E
    Shore, A C
    Deasy, E C
    Galvin, S
    Dolan, A
    Walley, N
    McHugh, S
    Fitzgerald-Hughes, D
    Sullivan, D J
    Cunney, R
    Coleman, D C
    Humphreys, H
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    Affiliation
    Department of Clinical Microbiology, Education and Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland.
    Issue Date
    2014-03
    Keywords
    INFECTION CONTROL
    ACUTE HOSPITALS
    Local subject classification
    METICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA)
    
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    Citation
    Air and surface contamination patterns of meticillin-resistant Staphylococcus aureus on eight acute hospital wards. 2014, 86 (3):201-8 J. Hosp. Infect.
    Journal
    The Journal of hospital infection
    URI
    http://hdl.handle.net/10147/324921
    DOI
    10.1016/j.jhin.2013.12.005
    PubMed ID
    24529449
    Abstract
    Meticillin-resistant Staphylococcus aureus (MRSA) can be recovered from hospital air and from environmental surfaces. This poses a potential risk of transmission to patients.
    To investigate associations between MRSA isolates recovered from air and environmental surfaces with those from patients when undertaking extensive patient and environmental sampling.
    This was a prospective observational study of patients and their environment in eight wards of a 700-bed tertiary care hospital during 2010 and 2011. Sampling of patients, air and surfaces was carried out on all ward bays, with more extended environmental sampling in ward high-dependency bays and at particular times of the day. The genetic relatedness of isolates was determined by DNA microarray profiling and spa typing.
    MRSA was recovered from 30/706 (4.3%) patients and from 19/132 (14.4%) air samples. On 9/132 (6.8%) occasions both patient and air samples yielded MRSA. In 32 high-dependency bays, MRSA was recovered from 12/161 (7.4%) patients, 8/32 (25%) air samples, and 21/644 (3.3%) environmental surface samples. On 10/132 (7.6%) occasions, MRSA was isolated from air in the absence of MRSA-positive patients. Patient demographic data combined with spa typing and DNA microarray profiling revealed four likely transmission clusters, where patient and environmental isolates were deemed to be very closely related.
    Air sampling yielded MRSA on frequent occasions, especially in high-dependency bays. Environmental and air sampling combined with patient demographic data, spa typing and DNA microarray profiling indicated the presence of clusters that were not otherwise apparent.
    Item Type
    Article
    Language
    en
    ISSN
    1532-2939
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.jhin.2013.12.005
    Scopus Count
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    Health Protection Surveillance Centre (HPSC)

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