Methicillin-resistant Staphylococcus aureus A primer for dentists
Methicillin-resistant Staphylococcus aureus A primer for dentists
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DOI：
10.14219/jada.archive.2008.0044
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发表时间：
2008-10-01
影响因子：
3.9
通讯作者：
Collins, Amy S.
中科院分区：
文献类型：
--
作者：
Klevens, R. Monina;Gorwitz, Rachel J.;Collins, Amy S.
背景和概述。2005年，在美国，估计有94，370例新的侵入性感染和18，650例死亡与耐甲氧西林金黄色葡萄球菌（MRSA）有关;这些感染大多发生在卫生保健环境中暴露的人群中。MRSA也已成为一种以社区为基础的病原体，主要引起不危及生命的皮肤感染，但偶尔会引起更严重和侵入性感染。作者描述了MRSA的历史;确定了最有可能发生MRSA定植和感染的人群;比较了医疗保健和社区环境中AMSA感染的特征;并根据美国疾病控制和预防中心的建议和文献总结了预防AMSA在牙科诊所传播的策略。结论和临床意义。标准感染控制预防措施应在所有门诊护理环境中严格执行，包括牙科诊所，以防止MRSA和其他传染性病原体的设施传播。
Background and Overview. In 2005 in the United States, an estimated 94,370 new, invasive infections and 18,650 deaths were associated with methicillin-resistant Staphylococcus aureus (MRSA); most of these infections were in people with exposures in health care settings. MRSA also has emerged as a community-based pathogen, causing primarily skin infections that are not life-threatening, but occasionally causing more severe and invasive infections. The authors describe the history of MRSA; identify populations at greatest risk of experiencing MRSA colonization and infection; compare characteristics of AMSA infections occurring in health care and community settings; and summarize strategies, based on U.S. Centers for Disease Control and Prevention recommendations and the literature, to prevent transmission of AMSA in dental offices.Conclusions and Clinical Implications. Standard infection control precautions should be enforced strictly in all ambulatory care settings, including dental offices, to prevent facility-based transmission of MRSA and other infectious agents.