Regional dissemination and control of epidemic methicillin-resistant Staphylococcus aureus. Manitoba Chapter of CHICA-Canada.
A methicillin-resistant Staphylococcus aureus (MRSA) strain introduced into the largest tertiary-care teaching hospital in Manitoba in 1993 led to a sustained outbreak with secondary outbreaks at one community hospital, two large long-term-care facilities, and nosocomial transmission at a second teaching hospital. Control measures were consistent at each institution and were coordinated on a province-wide basis. MRSA is not currently endemic in any facility in the province.
Nicolle
L E
LE
Department of Internal Medicine, University of Manitoba, and St Boniface Hospital, Winnipeg, Canada.
Dyck
B
B
Thompson
G
G
Roman
S
S
Kabani
A
A
Plourde
P
P
Fast
M
M
Embil
J
J
D003428:Cross Infection / Q000453:epidemiology / Q000517:prevention & control*; D004196:Disease Outbreaks; D006784:Hospitals, Teaching; D006801:Humans; D017053:Infection Control / Q000379:methods / Q000592:standards; D008350:Manitoba / Q000453:epidemiology; D016106:Methicillin Resistance; D013203:Staphylococcal Infections / Q000453:epidemiology / Q000517:prevention & control*; D013211:Staphylococcus aureus / Q000187:drug effects* / Q000302:isolation & purification