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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.6
- 수록면
- 109 - 116 (8page)
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Background: As community-genotype methicillin-resistant Staphylococcus aureus (MRSA) strains spread into hospitals, the genotypes of the MRSA strains causing hospital-acquired (HA) infections have become more diverse. We describe clinical characteristics of nosocomial MRSA infections by a community-genotype of sequence type (ST) 72.
Materials and Methods: A case-control study was designed among patients with HA-MRSA infections. Forty patients with infections caused by ST72-MRSA SCCmec type IV were selected as cases. Cases were matched to the controls with 106 patients infected with ST5/ST239 MRSA, which are representative hospital genotypes in Korea.
Results: Patients infected with ST72 isolates were younger than those with ST5/ST239 isolates. Female gender predominated among ST72 MRSA group compared to ST5/ST239 MRSA group. Solid tumor was a more frequent underlying disease in MRSA infections by ST72 isolates, whereas underlying renal, lung, heart, and neurologic diseases were more frequently found in those by ST5/ST239 isolates. The most common type of infection was pneumonia in both ST72 and ST5/ST239 groups (45.0% vs. 51.9%), followed by skin and soft tissue infection (SSTI). Female gender and underlying solid tumor were identified to be independent predictors for MRSA infections by ST72 isolates. All-cause mortality rates (20.0% vs. 30.2%) were not different between the groups.
Conclusion: A community-genotype MRSA, ST72 isolate has emerged as a nosocomial pathogen presenting as hospital-acquired pneumonia and SSTI. Although differences in underlying disorders were found, the distribution of infection type and mortality rate did not differ between the groups.
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참고문헌 (29)
참고문헌 신청
Saiman L / 2003 / Hospital transmission of community-acquired methicillin-resistant Staphylococcus aureus among postpartum women / Clin Infect Dis 37:1313~1319
Valsesia G / 2010 / Emergence of SCCmec type IV and SCCmec type V methicillin-resistant Staphylococcus aureus containing the Panton-Valentine leukocidin genes in a large academic teaching hospital in central Switzerland: external invaders or persisting circulators? / J Clin Microbiol 48:720~727
Seybold U / 2006 / Emergence of community- associated methicillin-resistant Staphylococcus aureus USA300 genotype as a major cause of health care-associated blood stream infections / Clin Infect Dis 42:647~656
Davis SL / 2006 / Characteristics of patients with healthcare-associated infection due to SCCmec type IV methicillin-resistant Staphylococcus aureus / Infect Control Hosp Epidemiol 27:1025~1031
Strandén AM / 2009 / Emergence of SCCmec type IV as the most common type of methicillin-resistant Staphylococcus aureus in a university hospital / Infection 37:44~48
Valsesia G / 2010 / Emergence of SCCmec type IV and SCCmec type V methicillin-resistant Staphylococcus aureus containing the Panton-Valentine leukocidin genes in a large academic teaching hospital in central Switzerland: external invaders or persisting circulators? / J Clin Microbiol 48:720~727
Seybold U / 2006 / Emergence of community- associated methicillin-resistant Staphylococcus aureus USA300 genotype as a major cause of health care-associated blood stream infections / Clin Infect Dis 42:647~656
Davis SL / 2006 / Characteristics of patients with healthcare-associated infection due to SCCmec type IV methicillin-resistant Staphylococcus aureus / Infect Control Hosp Epidemiol 27:1025~1031
Strandén AM / 2009 / Emergence of SCCmec type IV as the most common type of methicillin-resistant Staphylococcus aureus in a university hospital / Infection 37:44~48
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