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Methicillin-Resistant Staphylococcus aureus: Epidemiologic Observations During a Community-Acquired Outbreak

LOUIS D. SARAVOLATZ, M.D.; NORMAN MARKOWITZ, M.D.; LUCILLE ARKING, B.S.N.; DONALD POHLOD, M.S.; and EVELYN FISHER, M.D.
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▸Requests for reprints should be addressed to Louis D. Saravolatz, M.D.; 2799 West Grand Boulevard; Detroit, MI 48202.


Detroit and Ann Arbor, Michigan


© 1982 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1982;96(1):11-16. doi:10.7326/0003-4819-96-1-11
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Infection with strains of methicillin-resistant Staphylococcus aureus occurred in 40 patients at time of admission to a large urban hospital from March to December 1980. Community-acquired methicillin-resistant S. aureus infections occurred in 24 drug abusers and 16 nonabusers. Patients with infections had a longer mean hospitalization and previously had received antimicrobial therapy more frequently than control subjects. Drug abusers with infections had been treated with cephalosporins more often than control subjects (p < 0.05). Phage typing of 32 isolates showed that 21 were linked by a common phage type (29/52/80/95). Transmission of methicillin-resistant S. aureus from community-acquired cases occurred in the hospital. By January 1981, methicillin-resistant S. aureus accounted for 30.6% of nosocomial S. aureus infections at Henry Ford Hospital. Methicillin-resistant S. aureus infection may arise in the community as well as in the hospital and has the potential to disseminate in both settings.

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