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MRSA infections among patients in the emergency department: A European multicentre study
dc.creator | Bouchiat C., Curtis S., Spiliopoulou I., Bes M., Cocuzza C., Codita I., Dupieux C., Giormezis N., Kearns A., Laurent F., Molinos S., Musumeci R., Prat C., Saadatian-Elahi M., Tacconelli E., Tristan A., Schulte B., Vandenesch F., Monneuse O., de Francisco T., Casella P., Erbizzoni S., Melzi S., Oggioni D., Sala R., Calaresu E., Efthimia P., Markos M., Petinaki E., Schroeder W., on behalf of the ESCMID Study Group on Staphylococci and Staphylococcal Infections (ESGS) | en |
dc.date.accessioned | 2023-01-31T07:39:22Z | |
dc.date.available | 2023-01-31T07:39:22Z | |
dc.date.issued | 2017 | |
dc.identifier | 10.1093/jac/dkw431 | |
dc.identifier.issn | 03057453 | |
dc.identifier.uri | http://hdl.handle.net/11615/71885 | |
dc.description.abstract | Background: MRSA is a therapeutic concern worldwide, and a major agent of community-acquired skin and soft tissue infections (CA-SSTIs). While the US epidemiology of MRSA in CA-SSTIs is well described and reports the high prevalence of the USA300 clone, data on the European situation are lacking. Objectives: To determine the prevalence and clonal characteristics of MRSA in CA-SSTIs in seven European emergency departments. Patients and methods: From April to June 2015, patients presenting to the tertiary hospital emergency department with a Staphylococcus aureus CA-SSTI were prospectively enrolled. S. aureus isolates were characterized by antimicrobial susceptibility testing, detection of Panton-Valentine leucocidin encoding genes and spa-typing, MLST and/or DNA microarray. Results: Two-hundred and five cases of S. aureus-associated CA-SSTIs were included, comprising folliculitis, furuncles, abscesses, paronychia, impetigo, carbuncles and cellulitis. Of the 205 cases, we report an MRSA prevalence rate of 15.1%, with a north (0%) to south (29%) increasing gradient. Fifty-one isolates were Panton-Valentine leucocidin-positive (24.9%), whether MSSA or MRSA, with a heterogeneous distribution between countries. Clonal distribution of MSSA and MRSA showed high diversity, with no predominant circulating clone and no archetypical USA300 CA-MRSA clone. Conclusions: This original prospective multicentre study highlights stark differences in European MRSA epidemiology compared with the USA, and that the USA300 CA-MRSA clone is not predominant among communityinfected patients in Europe. © The Author 2016. | en |
dc.language.iso | en | en |
dc.source | Journal of Antimicrobial Chemotherapy | en |
dc.source.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85014580235&doi=10.1093%2fjac%2fdkw431&partnerID=40&md5=aa2f7af06a464821485006fb49927a00 | |
dc.subject | clindamycin | en |
dc.subject | cotrimoxazole | en |
dc.subject | fusidic acid | en |
dc.subject | gentamicin | en |
dc.subject | kanamycin | en |
dc.subject | meticillin | en |
dc.subject | Panton Valentine leukocidin | en |
dc.subject | quinolone derivative | en |
dc.subject | tobramycin | en |
dc.subject | bacterial toxin | en |
dc.subject | exotoxin | en |
dc.subject | leukocidin | en |
dc.subject | Panton-Valentine leukocidin | en |
dc.subject | staphylococcus protein A | en |
dc.subject | abscess | en |
dc.subject | adolescent | en |
dc.subject | adult | en |
dc.subject | antibiotic sensitivity | en |
dc.subject | Article | en |
dc.subject | carbuncle | en |
dc.subject | cellulitis | en |
dc.subject | child | en |
dc.subject | emergency ward | en |
dc.subject | European | en |
dc.subject | folliculitis | en |
dc.subject | furunculosis | en |
dc.subject | human | en |
dc.subject | impetigo | en |
dc.subject | major clinical study | en |
dc.subject | methicillin resistant Staphylococcus aureus | en |
dc.subject | methicillin resistant Staphylococcus aureus infection | en |
dc.subject | methicillin susceptible Staphylococcus aureus | en |
dc.subject | molecular typing | en |
dc.subject | multicenter study | en |
dc.subject | paronychia | en |
dc.subject | prospective study | en |
dc.subject | suppuration | en |
dc.subject | wound infection | en |
dc.subject | aged | en |
dc.subject | classification | en |
dc.subject | clinical trial | en |
dc.subject | Community-Acquired Infections | en |
dc.subject | DNA microarray | en |
dc.subject | drug effects | en |
dc.subject | Europe | en |
dc.subject | female | en |
dc.subject | genetics | en |
dc.subject | genotype | en |
dc.subject | hospital emergency service | en |
dc.subject | infant | en |
dc.subject | isolation and purification | en |
dc.subject | male | en |
dc.subject | microarray analysis | en |
dc.subject | microbial sensitivity test | en |
dc.subject | microbiology | en |
dc.subject | middle aged | en |
dc.subject | molecular epidemiology | en |
dc.subject | multilocus sequence typing | en |
dc.subject | preschool child | en |
dc.subject | prevalence | en |
dc.subject | Soft Tissue Infections | en |
dc.subject | Staphylococcal Infections | en |
dc.subject | tertiary care center | en |
dc.subject | very elderly | en |
dc.subject | young adult | en |
dc.subject | Adolescent | en |
dc.subject | Adult | en |
dc.subject | Aged | en |
dc.subject | Aged, 80 and over | en |
dc.subject | Bacterial Toxins | en |
dc.subject | Child | en |
dc.subject | Child, Preschool | en |
dc.subject | Community-Acquired Infections | en |
dc.subject | Emergency Service, Hospital | en |
dc.subject | Europe | en |
dc.subject | Exotoxins | en |
dc.subject | Female | en |
dc.subject | Genotype | en |
dc.subject | Humans | en |
dc.subject | Infant | en |
dc.subject | Leukocidins | en |
dc.subject | Male | en |
dc.subject | Methicillin-Resistant Staphylococcus aureus | en |
dc.subject | Microarray Analysis | en |
dc.subject | Microbial Sensitivity Tests | en |
dc.subject | Middle Aged | en |
dc.subject | Molecular Epidemiology | en |
dc.subject | Multilocus Sequence Typing | en |
dc.subject | Oligonucleotide Array Sequence Analysis | en |
dc.subject | Prevalence | en |
dc.subject | Prospective Studies | en |
dc.subject | Soft Tissue Infections | en |
dc.subject | Staphylococcal Infections | en |
dc.subject | Staphylococcal Protein A | en |
dc.subject | Tertiary Care Centers | en |
dc.subject | Young Adult | en |
dc.subject | Oxford University Press | en |
dc.title | MRSA infections among patients in the emergency department: A European multicentre study | en |
dc.type | journalArticle | en |
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