title: Vancomycin-intermediate Staphylococcus aureus in a home health-care patient.
abstract: In June 2000, vancomycin-intermediate Staphylococcus aureus (VISA) was isolated from a 27-year-old home health-care patient following a complicated cholecystectomy. Two VISA strains were identified with identical MICs to all antimicrobials tested except oxacillin and with closely related pulsed-field gel electrophoresis types. The patient was treated successfully with antimicrobial therapy, biliary drainage, and reconstruction. Standard precautions in the home health setting appear successful in preventing transmission.
authors.affiliation: Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. jhageman@cdc.gov
authors.forename: J C
authors.initials: JC
authors.lastname: Hageman
authors.forename: D A
authors.initials: DA
authors.lastname: Pegues
authors.forename: C
authors.initials: C
authors.lastname: Jepson
authors.forename: R L
authors.initials: RL
authors.lastname: Bell
authors.forename: M
authors.initials: M
authors.lastname: Guinan
authors.forename: K W
authors.initials: KW
authors.lastname: Ward
authors.forename: M D
authors.initials: MD
authors.lastname: Cohen
authors.forename: J A
authors.initials: JA
authors.lastname: Hindler
authors.forename: F C
authors.initials: FC
authors.lastname: Tenover
authors.forename: S K
authors.initials: SK
authors.lastname: McAllister
authors.forename: M E
authors.initials: ME
authors.lastname: Kellum
authors.forename: S K
authors.initials: SK
authors.lastname: Fridkin
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D004269:DNA, Bacterial / Q000032:analysis; D005260:Female; D006699:Home Care Services; D006801:Humans; D017758:Infectious Disease Transmission, Patient-to-Professional; D008826:Microbial Sensitivity Tests; D009726:Nurses; D012307:Risk Factors; D013203:Staphylococcal Infections / Q000382:microbiology* / Q000635:transmission; D013211:Staphylococcus aureus / Q000187:drug effects / Q000235:genetics / Q000254:growth & development; D014640:Vancomycin / Q000494:pharmacology*; D020713:Vancomycin Resistance / Q000235:genetics
chemical_list: D000900:Anti-Bacterial Agents; D004269:DNA, Bacterial; D014640:Vancomycin