Community-Acquired Infection With Healthcare-Associated Methicillin-Resistant Staphylococcus aureus: The Role of Home Nursing Care

Abstract

Home nursing care appears to be an independent risk factor for MRSA acquisition in the community. The reservoir probably consists of MRSA carriers discharged from the hospital. Community nurses seem to be a potential vector.

Molecular and Epidemiological Evaluation of Strain Replacement in Patients Previously Harboring Gentamicin-Resistant MRSA

“…The epidemiologic analysis of this replacement phenomenon suggests that domiciliary nursing assistance and a worsening of comorbid conditions were associated with replacement of GR-MRSA SCCmec I strains by GS-MRSA containing a different cassette within the same patient. The role of domiciliary nursing assistance has been previously investigated in a prospective case-control study conducted in a French teaching hospital which showed that prior receipt of home nursing care was a risk factor for MRSA infection at hospital admission (16). The authors concluded that community nurses appeared to be potential vectors of MRSA among patients without prior hospitalization.…”

Inducible clindamycin resistance and nasal carriage rates of<i> Staphylococcus aureus </i>among healthcare workers and community members

“…MRSA has also been isolated from people's hands after touching contaminated material or equipment. Lescure et al (2006) 24 explained that MRSA infections seen in the community can be acquired either directly in hospitals or long-stay institutions or indirectly by contact with an MRSA carrier, such as a family member working in a hospital, a family member with a previous stay in the hospital, a general practitioner, or a community nurse .…”

Public computer surfaces are reservoirs for methicillin-resistant staphylococci

“…The prevalence of bacterial infections in humans is increasing (Eguia and Chambers, 2003;Weber, 2005) and has been shown to result in part from transmission of pathogens from the hospital setting to the community and vice versa (Eguia and Chambers, 2003;Hidron et al, 2005;Lescure et al, 2006). Methicillin-resistant Staphylococcus aureus (MRSA) has emerged as a significant nosocomial infectious threat, prompting several studies that have identified MRSA reservoirs in the hospital setting including bed rails, countertops, floors, bed linens, tables and blood pressure cuffs (Boyce et al, 1997;Blythe et al, 1998).…”