有奖翻译：Cohorting based on nasal methicillin-resistant Staphylococcus aureus s

樵夫

最新一期AJIC文摘Background

Hospital roommates are cohorted with similarly colonized patients to decrease methicillin-resistant Staphylococcus aureus(MRSA) transmission risk. However, little is known about differences in S aureus nasal and extranasal carriage between hospital roommates who are in MRSA or non-MRSA designated rooms.

Methods

Patients sharing hospital rooms were cultured for S aureus in the nose, throat, and other body sites. Differences in S aureusmethicillin and mupirocin susceptibility and USA300 type were evaluated.

Results

Eighty-two patients comprising 48 roommate pairs were studied. Among 6 roommate pairs in MRSA rooms, 3 (50%) had differences in carriage based on having methicillin-susceptible S aureus at an extranasal body site. In non-MRSA rooms, 19 (45%) roommate pairs had differences in S aureus carriage. Extranasal colonization was significantly associated with discordance between roommates, P < .001. Antibiotic exposure, ward type, and the duration of room sharing were not associated with discordance.

Conclusion

Patients have almost a 50% chance of having differences in S aureus colonization compared with their hospital roommate, even in MRSA-designated rooms. Cohorting by MRSA status at the time of admission may not be as effective a control strategy as horizontal measures that do not rely on known colonization with S aureus or other pathogens.

Key Words: Staphylococcus aureus, Colonization, Extra-nasal, Roommates

鬼才

能否给出全文？这篇文献很好，我想全文阅读，谢谢了。

wenyong

这篇文献确实很好！！！！