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    Community-associated versus healthcare-associated methicillin-resistant Staphylococcus aureus bacteraemia: A 10-year retrospective review

    Access Status
    Fulltext not available
    Authors
    Robinson, James
    Pearson, J.
    Christiansen, K.
    Coombs, Geoffrey
    Murray, R.
    Date
    2009
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Robinson, J. and Pearson, J. and Christiansen, K. and Coombs, G. and Murray, R. 2009. Community-associated versus healthcare-associated methicillin-resistant Staphylococcus aureus bacteraemia: A 10-year retrospective review. European Journal of Clinical Microbiology and Infectious Diseases. 28 (4): pp. 353-361.
    Source Title
    European Journal of Clinical Microbiology and Infectious Diseases
    DOI
    10.1007/s10096-008-0632-1
    ISSN
    0934-9723
    School
    School of Biomedical Sciences
    URI
    http://hdl.handle.net/20.500.11937/40626
    Collection
    • Curtin Research Publications
    Abstract

    The objective was to compare the epidemiology and outcome of healthcare- (HA-) and community-associated (CA-) MRSA bacteraemia. A 10-year retrospective study of MRSA bacteraemia was carried out. Episodes were classified according to established criteria. Molecular typing was performed on a subset of isolates. Of 197 MRSA bacteraemia episodes, 178 (90.4%) were classified as HA-MRSA and 19 (9.6%) as CA-MRSA. All-cause 7- and 30-day mortality rates were similar in the HA and CA-MRSA bacteraemia groups; however, 1-year mortality was higher in the HA-MRSA bacteraemia group (48.3% vs 21.1% [p?=?0.023]). Thirty-day all-cause mortality was significantly lower if empiric antimicrobial therapy included agent(s) to which the isolate tested susceptible, compared with patients receiving "inactive" therapy (19% vs 35.1% [p?=?0.011]). The majority of MRSA bacteraemia episodes were caused by clones known to circulate in the community. All-cause mortality is as high in HA- as in CA-MRSA bacteraemia. Thirty-day mortality was significantly reduced if the patient received an antibiotic with activity against the MRSA isolate. © 2008 Springer-Verlag.

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