title: Investigation of nasal meticillin-resistant Staphylococcus aureus carriage in a haemodialysis clinic in Japan.
abstract: Patients and healthcare workers in a Japanese haemodialysis clinic were investigated for nasal carriage of meticillin-resistant Staphylococcus aureus (MRSA). MRSA carriage was found in 10 (8.9%) of 112 patients in the first year and four (3.9%) of 103 patients in the second year. All isolated MRSA samples carried staphylococcal cassette chromosome mec type II or III and classified as clonal complex 5, which were common as healthcare-associated strains. Pulsed-field gel electrophoresis indicated horizontal transmission limited to two pairs of patients in one session. One of 54 healthcare workers carried MRSA genetically unrelated to patients' strains. Infection control measures based on the US Centers for Disease Control and Prevention's recommendation showed limited spread of MRSA in a haemodialysis room.
authors: Department of Infection Control Science, Juntendo University, Faculty of Medicine, Bunkyo-ku, Tokyo, Japan. yuuehara@juntendo.ac.jp
authors: Y
authors: Y
authors: Uehara
authors: K
authors: K
authors: Kuwahara-Arai
authors: S
authors: S
authors: Hori
authors: K
authors: K
authors: Kikuchi
authors: M
authors: M
authors: Yanai
authors: K
authors: K
authors: Hiramatsu
mesh_terms: D044466:Asian People; D002353:Carrier State / Q000382:microbiology*; D018562:Disease Transmission, Infectious; D016521:Electrophoresis, Gel, Pulsed-Field; D006801:Humans; D017053:Infection Control / Q000379:methods; D007564:Japan / Q000453:epidemiology; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D009666:Nose / Q000382:microbiology*; D006435:Renal Dialysis / Q000379:methods*; D013203:Staphylococcal Infections / Q000453:epidemiology* / Q000635:transmission