OUTBREAKS OF INFECTION WITH METHICILLIN-RESISTANT STAPHYLOCOCCUS-AUREUS ON NEONATAL AND BURNS UNITS OF A NEW HOSPITAL
OUTBREAKS OF INFECTION WITH METHICILLIN-RESISTANT STAPHYLOCOCCUS-AUREUS ON NEONATAL AND BURNS UNITS OF A NEW HOSPITAL
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DOI：
10.1017/s0950268800047828
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发表时间：
1990-10-01
影响因子：
4.2
通讯作者：
FRENCH, GL
中科院分区：
文献类型：
--
作者：
FARRINGTON, M;LING, J;FRENCH, GL
香港一家新医院多次引进耐甲氧西林金黄色葡萄球菌(MRSA)菌株。对由此产生的暴发进行了两年的临床微生物学监测，并通过噬菌体和抗菌谱分型以及质粒谱分析进行了实验室调查。对特殊护理婴儿(SCBU)和烧伤(BU)病房的暴发疫情进行了详细的调查，并对工作人员的定居和环境污染进行了调查。耐甲氧西林金黄色葡萄球菌是通过SCBU的工作人员手传播的，在SCBU，皮炎的长期定植很重要，但可能是通过空气传播、短暂的手传和环境路线相结合的方式在BU传播。控制手传传播的简单措施在SCBU上是非常有效的，但在BU上控制不成功。
Multiple introductions of methicillin-resistant Staphylococcus aureus (MRSA) strains occurred to a new hospital in Hong Kong. Two years of clinical microbiological surveillance of the resulting outbreaks was combined with laboratory investigation by phage and antibiogram typing, and plasmid profiling. The outbreaks on the special care baby (SCBU) and burns (BU) units were studied in detail, and colonization of staff and contamination of the environment were investigated. MRSA were spread by the hands of staff on the SCBU, where long-term colonization of dermatitis was important, but were probably transmitted on the BU by a combination of the airborne, transient hand-borne and environmental routes. Simple control measures to restrict hand-borne spread on the SCBU were highly effective, but control was not successful on the BU.