Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/11237
Title: Clinical experience and outcomes of community-acquired and nosocomial methicillin-resistant Staphylococcus aureus in a northern Australian hospital.
Authors: Maguire, G P
Arthur, A D
Boustead, P J
Dwyer, B
Currie, B J
Affiliation: Royal Darwin Hospital, Northern Territory, Australia..
Issue Date: Apr-1998
Citation: The Journal of hospital infection 1998-04; 38(4): 273-81
Abstract: Methicillin-resistant Staphylococcus aureus (MRSA) is a well-recognized cause of hospital-acquired sepsis. We reviewed the clinical features of a new variant of community-acquired MRSA originally described from the Kimberley region of northern Western Australia (WA MRSA). This strain has become an increasing cause of community- and hospital-acquired sepsis at Royal Darwin Hospital (RDH) in the Northern Territory, especially in Aboriginal Australians from remote communities. Fifty percent of WA MRSA was community-acquired, with 76% in Aboriginals. Like the MRSA from eastern Australia (EA MRSA), WA MRSA commonly caused skin sepsis but was less likely to cause respiratory or urinary infections compared with EA MRSA. Twelve out of 125 (9.6%) WA MRSA and 7/93 (7.5%) EA MRSA infections were septicaemias. Septicaemia due to WA MRSA occurred in adult medical patients, especially those with temporary haemodialysis catheters, while EA MRSA septicaemia occurred throughout the hospital. Aboriginal people were more likely to develop both community- and hospital-acquired WA MRSA septicaemia [overall relative risk (RR) 12.3 (95% CI 3.7-40.7)]. Control of WA MRSA requires policies to reduce transmission in both hospitals and communities. Community-based control programmes need support for individual patient management, improved housing and hygiene, control of skin sepsis and appropriate use of antibiotics, especially in rural Aboriginal communities in northern Australia.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/11237
ISSN: 0195-6701
Type: Journal Article
Subjects: Adult
Aged
Aged, 80 and over
Community-Acquired Infections
Cross Infection
Female
Hospitals
Humans
Male
Middle Aged
Oceanic Ancestry Group
Staphylococcal Infections
Treatment Outcome
Western Australia
Methicillin Resistance
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