[Prevention strategies for methicillin-resistant Staphylococcus aureus (MRSA) infections in Latin America].
After the first reports of the emergence of MRSA in the 1970s, numerous measures intended to prevent its transmission were initiated in hospitals. However, in most cases, large-scale measures failed to be implemented and the transmission of MRSA has since led to a global pandemic. Presently, doubts still remain about the best approach to prevent and control MRSA and more often than not, control measures are not implemented. Therefore, we review here the current situation in Latin America with respect to existing policies for control of MRSA, and evaluate the evidence for control measures in hospitals and the community. We look at the risk factors for infection and transmission of MRSA between hospital patients and within specific populations in the community, and at the effect of antibiotic usage on the spread of MRSA in these settings. Finally, we summarize recommendations for the prevention and control of MRSA, which can be applied to the Latin American hospital environment and community setting.
División de Enfermedades Infecciosas, Departamento de Medicina Interna, Hospital Universitario San Ignacio y Pontificia Universidad Javeriana, Bogotá, Colombia. alvarezc@javeriana.edu.co
Carlos
C
Alvarez
Jaime
J
Labarca
Mauro
M
Salles
D003151:Community Health Centers; D006282:Health Personnel; D006801:Humans; D007843:Latin America; D055624:Methicillin-Resistant Staphylococcus aureus; D008826:Microbial Sensitivity Tests; D016273:Occupational Exposure; D013203:Staphylococcal Infections / Q000382:microbiology / Q000517:prevention & control*