Methicillin-resistant Staphylococcus aureus, Western Australia
Dailey, L., Coombs, G.W., O'Brien, F.G., Pearman, J.W., Christiansen, K., Grubb, W.B. and Riley, T.V. (2005) Methicillin-resistant Staphylococcus aureus, Western Australia. Emerging Infectious Diseases, 11 (10). pp. 1584-1590.
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Methicillin-resistant Staphylococcus aureus (MRSA) continues to be a notable cause of hospital-acquired infections. A statewide screening and control policy was implemented in Western Australia (WA) after an outbreak of epidemic MRSA in a Perth hospital in 1982. We report on statutory notifications from1998 to 2002 and review the 20-year period from 1983 to 2002. The rate of reporting of community-associated Western Australia MRSA (WAMRSA) escalated from 1998 to 2002 but may have peaked in 2001. Several outbreaks were halted, but they resulted in an increase in reports as a result of screening. A notable increase in ciprofloxacin resistance during the study period was observed as a result of more United Kingdom epidemic MRSA (EMRSA) -15 and -16. WA has seen a persistently low incidence of multidrug-resistant MRSA because of the screening and decolonization program. Non–multidrug-resistant, community-associated WAMRSA strains have not established in WA hospitals.
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|Publisher:||National Center for Infectious Diseases|
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