Methicillin-resistant Staphylococcus aureus and multidrug resistant tuberculosis: Part 1.
The first of these articles reviews the epidemiology of MRSA and its clinical importance in a healthcare setting. The methods of controlling the spread of hospital acquired MRSA are discussed with an emphasis on the role of screening staff for MRSA. Relevant papers for the review were identified by a systematic literature search on Medline. The prevalence of MRSA is increasing in the United Kingdom, as is the prevalence of 'epidemic' MRSA strains. Several countries have recently reported cases of Staphylococcus aureus with intermediate-level resistance to vancomycin. The key measures to minimizing hospital-acquired MRSA are stringent infection control programmes and strict antibiotic policies. Staff screening should only be undertaken after a detailed risk assessment of the local situation has been made by the occupational health and infection control teams. Priority should be given to high-risk areas of a hospital where MRSA is endemic.
Patel
D
D
Guy's, King's and St Thomas' School of Medicine, Occupational Health Department, St Thomas' Hospital, London, UK.
Madan
I
I
D018432:Drug Resistance, Multiple; D006282:Health Personnel; D006801:Humans; D016106:Methicillin Resistance; D016273:Occupational Exposure / Q000009:adverse effects*; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000453:epidemiology*; D018088:Tuberculosis, Multidrug-Resistant / Q000188:drug therapy; D006113:United Kingdom / Q000453:epidemiology