Methicillin-Resistant Staphylococcus aureus in Two Child Care Centers

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) has not been studied in child care centers. The prevalence of MRSA colonization was determined at two centers with an index patient. Two (3%) of 61 children at center X had MRSA; strains from both children and the index illness were pulsed-field gel electrophoresis type B. Nine (24%) of 40 children at center Y had MRSA; strains from 5 children and the index illness were type B, and strains from 4 children were type A. Ten of 11 colonized children were in classes with 2- and 3-year-old children. Colonization with MRSA was not associated with health care contact by subjects or by members of their households. MRSA in child day care centers indicates accelerated spread of MRSA in the community.

Novel Non- mecA -Containing Staphylococcal Chromosomal Cassette Composite Island Containing pbp4 and tagF Genes in a Commensal Staphylococcal Species: a Possible Reservoir for Antibiotic Resistance Islands in Staphylococcus aureus

“…CA-MRSA isolates CA05 and 8/6-3P, recovered from children in Chicago (16), served as the prototypes of SCCmec types IVa and IVb, respectively. CA-MRSA isolate 2314 was isolated in 1996 from a day care center attendee in Dallas (1).…”

Epidemiologic Similarities in Pediatric Community-Associated Methicillin-Resistant and Methicillin-Sensitive Staphylococcus aureus in the San Francisco Bay Area

“…Surveillance studies and reports from outbreaks suggest that children from low socioeconomic status or racial minority groups, such as black or African-Americans, Pacific Islanders, and Native Americans are at risk [14]. There is documentation of transmission in daycare centers [15], households [16], and sports teams [17]. However, these studies are subject to bias as they are mostly retrospective, with data limited to chart reviews or specific outbreaks.…”

Community-Acquired Methicillin-Resistant Staphylococcus Aureus Epidural Abscess With Bacteremia and Multiple Lung Abscesses: Case Report

“…This risk most likely is due to the pattern of antibiotic use in children and an increase in the use of day care, which has been associated with transmission of CA-MRSA. 5 Approximately 35% to 50% of staphylococcal strains in children appear to be community acquired. 6 Although soft-tissue skin infections remain the most common infection due to CA-MRSA, 7 invasive and severe infections, sometimes resulting in death, do occur and appear to be increasing in frequency.…”