Skip to main content
Epidemiology and Infection logoLink to Epidemiology and Infection
. 1988 Oct;101(2):301–309. doi: 10.1017/s0950268800054224

Methicillin-resistant Staphylococcus aureus: associated morbidity and effectiveness of control measures.

M R Law 1, O N Gill 1, A Turner 1
PMCID: PMC2249399  PMID: 3181314

Abstract

The strain of methicillin-resistant Staphylococcus aureus (MRSA) prevalent in south-east England produced in one acute hospital in a year 40 infections (bacteraemia, pneumonia and surgical wound, skin and urinary tract infections) with three attributable deaths. Rigorous measures succeeded in controlling the outbreak despite its extent, but our results suggest that less stringent measures could fail to control outbreaks of this scale. Several subsequent localized outbreaks within the hospital, probably caused by separate re-introductions of MRSA from other hospitals, were controlled by re-instigation of control measures on individual wards. The overall success of the intervention was shown by the decline in the incidence of MRSA infections from 27 in the 6 months beforehand to 2 in the most recent 6 months, and by the decline in the prevalence of colonization among patients 10 or more days in hospital from 52% immediately before the intervention to 3% 7 months after it. The incidence of attributable morbidity and death without control measures warrants a concerted effort to tackle the epidemic in all affected hospitals in Britain.

Full text

PDF
301

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bacon A. E., Jorgensen K. A., Wilson K. H., Kauffman C. A. Emergence of nosocomial methicillin-resistant Staphylococcus aureus and therapy of colonized personnel during a hospital-wide outbreak. Infect Control. 1987 Apr;8(4):145–150. doi: 10.1017/s0195941700065802. [DOI] [PubMed] [Google Scholar]
  2. Bradley J. M., Noone P., Townsend D. E., Grubb W. B. Methicillin-resistant Staphylococcus aureus in a London hospital. Lancet. 1985 Jun 29;1(8444):1493–1495. doi: 10.1016/s0140-6736(85)92263-9. [DOI] [PubMed] [Google Scholar]
  3. Casewell M. W. Epidemiology and control of the 'modern' methicillin-resistant Staphylococcus aureus. J Hosp Infect. 1986 Mar;7 (Suppl A):1–11. doi: 10.1016/0195-6701(86)90002-2. [DOI] [PubMed] [Google Scholar]
  4. Crossley K., Landesman B., Zaske D. An outbreak of infections caused by strains of Staphylococcus aureus resistant to methicillin and aminoglycosides. II. Epidemiologic studies. J Infect Dis. 1979 Mar;139(3):280–287. doi: 10.1093/infdis/139.3.280. [DOI] [PubMed] [Google Scholar]
  5. Dacre J., Emmerson A. M., Jenner E. A. Gentamicin-methicillin-resistant Staphylococcus aureus: epidemiology and containment of an outbreak. J Hosp Infect. 1986 Mar;7(2):130–136. doi: 10.1016/0195-6701(86)90055-1. [DOI] [PubMed] [Google Scholar]
  6. Dunkle L. M., Naqvi S. H., McCallum R., Lofgren J. P. Eradication of epidemic methicillin-gentamicin-resistant staphylococcus aureus in an intensive care nursery. Am J Med. 1981 Feb;70(2):455–458. doi: 10.1016/0002-9343(81)90787-7. [DOI] [PubMed] [Google Scholar]
  7. Lacey R. W., Barr K. W., Barr V. E., Inglis T. J. Properties of methicillin-resistant Staphylococcus aureus colonizing patients in a burns unit. J Hosp Infect. 1986 Mar;7(2):137–148. doi: 10.1016/0195-6701(86)90056-3. [DOI] [PubMed] [Google Scholar]
  8. Linnemann C. C., Jr, Mason M., Moore P., Korfhagen T. R., Staneck J. L. Methicillin-resistant Staphylococcus aureus: experience in a general hospital over four years. Am J Epidemiol. 1982 Jun;115(6):941–950. doi: 10.1093/oxfordjournals.aje.a113381. [DOI] [PubMed] [Google Scholar]
  9. Locksley R. M., Cohen M. L., Quinn T. C., Tompkins L. S., Coyle M. B., Kirihara J. M., Counts G. W. Multiply antibiotic-resistant Staphylococcus aureus: introduction, transmission, and evolution of nosocomial infection. Ann Intern Med. 1982 Sep;97(3):317–324. doi: 10.7326/0003-4819-97-3-317. [DOI] [PubMed] [Google Scholar]
  10. Marples R. R., Cooke E. M. Workshop on methicillin-resistant Staphylococcus aureus held at the headquarters of the Public Health Laboratory Service on 8 January 1985. J Hosp Infect. 1985 Sep;6(3):342–348. [PubMed] [Google Scholar]
  11. Marples R. R., Richardson J. F., de Saxe M. J. Bacteriological characters of strains of Staphylococcus aureus submitted to a reference laboratory related to methicillin resistance. J Hyg (Lond) 1986 Apr;96(2):217–223. doi: 10.1017/s0022172400065980. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Melo Cristino J. A., Pereira A. T., Afonso F., Naidoo J. N. Methicillin-resistant Staphylococcus aureus: a 6-month survey in a Lisbon paediatric hospital. J Hyg (Lond) 1986 Oct;97(2):265–272. doi: 10.1017/s0022172400065359. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Sanderson P. J. Staying one jump ahead of resistant Staphylococcus aureus. Br Med J (Clin Res Ed) 1986 Sep 6;293(6547):573–574. doi: 10.1136/bmj.293.6547.573. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Selkon J. B., Stokes E. R., Ingham H. R. The role of an isolation unit in the control of hospital infection with methicillin-resistant staphylococci. J Hosp Infect. 1980 Mar;1(1):41–46. doi: 10.1016/0195-6701(80)90030-4. [DOI] [PubMed] [Google Scholar]
  15. Shanson D. C., Johnstone D., Midgley J. Control of a hospital outbreak of methicillin-resistant Staphylococcus aureus infections: value of an isolation unit. J Hosp Infect. 1985 Sep;6(3):285–292. [PubMed] [Google Scholar]
  16. Shanson D. C., Kensit J. C., Duke R. Outbreak of hospital infection with a strain of Staphylococcus aureus resistant to gentamicin and methicillin. Lancet. 1976 Dec 18;2(7999):1347–1348. doi: 10.1016/s0140-6736(76)91986-3. [DOI] [PubMed] [Google Scholar]
  17. Thompson R. L., Cabezudo I., Wenzel R. P. Epidemiology of nosocomial infections caused by methicillin-resistant Staphylococcus aureus. Ann Intern Med. 1982 Sep;97(3):309–317. doi: 10.7326/0003-4819-97-3-309. [DOI] [PubMed] [Google Scholar]

Articles from Epidemiology and Infection are provided here courtesy of Cambridge University Press

RESOURCES