title: Staphylococcus aureus with reduced susceptibility to vancomycin.
abstract: Infections with Staphylococcus aureus with reduced susceptibility to vancomycin continue to be reported, including 2 cases caused by S. aureus isolates with full resistance to vancomycin. This review first outlines the definitions of vancomycin-intermediate S. aureus (VISA) and vancomycin-resistant S. aureus (VRSA) and risk factors for infection. Next, we describe the mechanisms of resistance and methods of laboratory detection of the organisms. Finally, we address infection control and management issues associated with isolation of VISA and VRSA.
authors.affiliation: Division of Infectious Disease, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA. scosgro1@jhmi.edu
authors.forename: S E
authors.initials: SE
authors.lastname: Cosgrove
authors.forename: K C
authors.initials: KC
authors.lastname: Carroll
authors.forename: T M
authors.initials: TM
authors.lastname: Perl
mesh_terms: D000818:Animals; D006801:Humans; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000378:metabolism*; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification / Q000502:physiology*; D014640:Vancomycin / Q000378:metabolism* / Q000627:therapeutic use; D020713:Vancomycin Resistance / Q000502:physiology*
chemical_list: D014640:Vancomycin