title: Initial stage of hospital contamination with methicillin-resistant Staphylococcus aureus in Lao People's Democratic Republic.
abstract: Monitoring drug-resistant Staphylococcus aureus has been carried out in Lao People's Democratic Republic (Lao PDR) since 1993. No methicillin-resistant S. aureus (MRSA) strains were detected until 2001 when two isolates were found: 01LP40, which was coagulase type IV, enterotoxin non-productive, and SCCmec (staphylococcal chromosome cassette mec) type III; and 01LP63 from a different hospital, which was coagulase type II, enterotoxin productive, and the SCCmec belonged to a new type. In 2002 four MRSA isolates similar to the latter were detected, 02LP211, 02LP214, 02LP217 from the same hospital as 01LP63, and 02LP100 from a third hospital. This appears to be the initial stage of a MRSA epidemic in Lao PDR. Careful monitoring and intensive monitoring and precautions are recommended.
authors.affiliation: Department of Bacteriology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan. higabac@med.u-ryukyu.ac.jp
authors.forename: N
authors.initials: N
authors.lastname: Higa
authors.forename: N
authors.initials: N
authors.lastname: Sithivong
authors.forename: B
authors.initials: B
authors.lastname: Phantouamath
authors.forename: S
authors.initials: S
authors.lastname: Insisiengmay
authors.forename: T
authors.initials: T
authors.lastname: Miyazato
authors.forename: M
authors.initials: M
authors.lastname: Iwanaga
mesh_terms: D001483:Base Sequence; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology; D017931:DNA Primers; D006801:Humans; D007812:Laos / Q000453:epidemiology; D016106:Methicillin Resistance; D008826:Microbial Sensitivity Tests; D016133:Polymerase Chain Reaction; D013203:Staphylococcal Infections / Q000453:epidemiology* / Q000382:microbiology; D013211:Staphylococcus aureus / Q000187:drug effects / Q000235:genetics / Q000302:isolation & purification*
chemical_list: D017931:DNA Primers