TABLE 1.
Location from which isolate was recovered | No. of S. aureus isolates tested | % susceptiblea |
% MDR4d | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
METb | CLIc | ERY | SXT | RIF | TET | CIP | LZD | CPT | MUP | |||
Overall | 1,633 | 45 | 90 | 47 | 100 | 100 | 98 | 68 | 100 | 100 | 96 | 4 |
People | 770 | 42 | 90 | 44 | 100 | 100 | 98 | 65 | 100 | 100 | 96 | 4 |
Index patient | 263 | 26 | 91 | 34 | 100 | 100 | 99 | 58 | 100 | 100 | 95 | 5 |
Infection | 110e | 0f | 94 | 17 | 100 | 100 | 99 | 42 | 100 | 100 | 98 | 9 |
Colonization | 153 | 44 | 89 | 46 | 100 | 100 | 99 | 67 | 100 | 100 | 94 | 3 |
Anterior nares | 61 | 48 | 89 | 53 | 100 | 100 | 100 | 67 | 100 | 100 | 97 | 3 |
Axillae | 31 | 42 | 90 | 48 | 100 | 100 | 100 | 61 | 100 | 100 | 87 | 0 |
Inguinal folds | 61 | 41 | 89 | 39 | 100 | 100 | 98 | 69 | 100 | 100 | 95 | 3 |
Household contact colonizationg | 507 | 50 | 89 | 49 | 100 | 100 | 98 | 68 | 100 | 100 | 96 | 4 |
Anterior nares | 228 | 55 | 90 | 52 | 100 | 100 | 99 | 69 | 100 | 100 | 97 | 4 |
Axillae | 110 | 44 | 90 | 46 | 100 | 100 | 99 | 69 | 100 | 100 | 95 | 5 |
Inguinal folds | 169 | 47 | 88 | 47 | 100 | 100 | 96 | 67 | 100 | 100 | 95 | 4 |
Adult household contact colonization | 278 | 49 | 88 | 45 | 100 | 100 | 97 | 67 | 100 | 100 | 95 | 4 |
Anterior nares | 120 | 56 | 88 | 48 | 100 | 100 | 98 | 69 | 100 | 100 | 96 | 3 |
Axillae | 62 | 42 | 90 | 40 | 100 | 100 | 98 | 69 | 100 | 100 | 95 | 3 |
Inguinal folds | 96 | 46 | 85 | 44 | 100 | 100 | 95 | 63 | 100 | 100 | 93 | 5 |
Child household contact colonization | 229 | 51 | 91 | 55 | 100 | 100 | 99 | 69 | 100 | 100 | 97 | 4 |
Anterior nares | 108 | 55 | 91 | 57 | 100 | 100 | 99 | 69 | 100 | 100 | 99 | 5 |
Axillae | 48 | 46 | 90 | 52 | 100 | 100 | 100 | 67 | 100 | 100 | 94 | 6 |
Inguinal folds | 73 | 48 | 92 | 52 | 100 | 100 | 99 | 73 | 100 | 100 | 97 | 3 |
Pets | 48 | 38 | 85 | 48 | 100 | 100 | 100 | 69 | 100 | 100 | 96 | 8 |
Dog | 39 | 41 | 87 | 56 | 100 | 100 | 100 | 74 | 100 | 100 | 100 | 8 |
Anterior nares | 16 | 38 | 88 | 69 | 100 | 100 | 100 | 81 | 100 | 100 | 100 | 6 |
Dorsal fur | 23 | 44 | 87 | 48 | 100 | 100 | 100 | 70 | 100 | 100 | 100 | 9 |
Cat | 9 | 22 | 78 | 11 | 100 | 100 | 100 | 44 | 100 | 100 | 78 | 11 |
Anterior nares | 4 | 25 | 75 | 25 | 100 | 100 | 100 | 25 | 100 | 100 | 75 | 25 |
Dorsal fur | 5 | 20 | 80 | 0 | 100 | 100 | 100 | 60 | 100 | 100 | 80 | 0 |
Environment | 815 | 48 | 90 | 50 | 100 | 100 | 98 | 71 | 100 | 100 | 97 | 3 |
Living room | 166 | 44 | 88 | 52 | 100 | 100 | 99 | 69 | 100 | 100 | 97 | 4 |
TV remote control | 52 | 42 | 90 | 44 | 100 | 100 | 98 | 67 | 100 | 100 | 96 | 4 |
Telephone | 36 | 36 | 92 | 53 | 100 | 100 | 100 | 71 | 100 | 100 | 97 | 0 |
Computer keyboard and mouse | 37 | 51 | 87 | 62 | 100 | 100 | 100 | 73 | 100 | 100 | 97 | 5 |
Video game controller | 41 | 46 | 83 | 54 | 100 | 100 | 98 | 66 | 100 | 100 | 98 | 5 |
Bathroom | 404 | 50 | 90 | 49 | 100 | 100 | 98 | 72 | 100 | 100 | 98 | 2 |
Sink faucet handle | 43 | 49 | 86 | 49 | 100 | 100 | 98 | 67 | 100 | 100 | 98 | 5 |
Hand towel | 22 | 32 | 86 | 41 | 100 | 100 | 100 | 62 | 100 | 100 | 96 | 5 |
Index bath towel | 27 | 63 | 93 | 59 | 100 | 100 | 100 | 78 | 100 | 100 | 100 | 0 |
Toilet handle | 33 | 58 | 88 | 55 | 100 | 100 | 94 | 79 | 100 | 100 | 100 | 0 |
Door handle | 32 | 47 | 91 | 41 | 100 | 100 | 100 | 63 | 100 | 100 | 97 | 0 |
Light switch | 39 | 49 | 92 | 49 | 100 | 100 | 100 | 64 | 100 | 100 | 100 | 5 |
Sink | 52 | 48 | 94 | 54 | 100 | 100 | 100 | 75 | 100 | 100 | 98 | 0 |
Bathtub or shower | 44 | 50 | 89 | 46 | 100 | 100 | 96 | 82 | 100 | 100 | 98 | 2 |
Soap bar or dish in bathtub or shower | 17 | 29 | 82 | 29 | 100 | 100 | 88 | 65 | 100 | 100 | 100 | 6 |
Toilet seat | 47 | 60 | 89 | 55 | 100 | 100 | 98 | 81 | 100 | 100 | 100 | 0 |
Countertop | 48 | 48 | 92 | 46 | 100 | 100 | 96 | 70 | 100 | 100 | 96 | 2 |
Kitchen | 190 | 49 | 91 | 52 | 100 | 100 | 99 | 71 | 100 | 100 | 95 | 3 |
Hand towel | 22 | 55 | 91 | 50 | 100 | 100 | 100 | 68 | 100 | 100 | 96 | 0 |
Sink faucet handle | 35 | 46 | 97 | 60 | 100 | 100 | 100 | 66 | 100 | 100 | 94 | 3 |
Sponge/cloth | 32 | 47 | 94 | 59 | 100 | 100 | 100 | 75 | 100 | 100 | 94 | 3 |
Refrigerator door handle | 55 | 47 | 86 | 49 | 100 | 100 | 100 | 71 | 100 | 100 | 95 | 6 |
Kitchen table | 46 | 52 | 91 | 44 | 100 | 100 | 98 | 74 | 100 | 100 | 96 | 0 |
Bedroom | 55 | 40 | 89 | 46 | 100 | 100 | 98 | 64 | 100 | 100 | 95 | 4 |
Bed sheets and pillowcase | 55 | 40 | 89 | 46 | 100 | 100 | 98 | 64 | 100 | 100 | 95 | 4 |
MET, methicillin; CLI, clindamycin; ERY, erythromycin; SXT, trimethoprim-sulfamethoxazole; RIF, rifampin; TET, tetracycline; CIP, ciprofloxacin; LZD, linezolid; CPT, ceftaroline; MUP, mupirocin.
As predicted by cefoxitin testing.
Clindamycin-susceptible isolates exhibiting inducible clindamycin resistance (n = 144) were considered clindamycin resistant.
Multidrug resistance (MDR4) here was defined as β-lactam resistance plus resistance to three additional systemic antimicrobial drug classes (i.e., excluding mupirocin).
Some infection isolates were unable to be obtained by the study team and are thus missing various susceptibility data; therefore, % susceptibility is out of <110 for RIF (n = 84), CIP (n = 85), LZD (n = 76), CPT (n = 64), and MUP (n = 64).
Study entry criteria specified a MRSA infection.
Does not include the isolates recovered from index patients.