title: Outbreak in newborns of methicillin-resistant Staphylococcus aureus related to the sequence type 5 Geraldine clone.
abstract: We describe the first nosocomial outbreak of a toxic shock syndrome-positive methicillin-resistant Staphylococcus aureus (MRSA) sequence type 5 Geraldine clone. Infection control interventions that are usually successful were implemented to control the outbreak. Spread of this virulent MRSA strain highlights the need to be vigilant to MRSA antibiotic susceptibilities.
authors.affiliation: Department of Infection Control, Groupe Hospitalier Pellegrin, University Hospital, Bordeaux, France.
authors.forename: Camille
authors.initials: C
authors.lastname: Leroyer
authors.affiliation: Bacteriology Laboratory, University of Bordeaux, Bordeaux, France; INSERM, U853, Bordeaux, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Lehours
authors.affiliation: Centre National de Référence des Staphylocoques, INSERM U1111, Université Lyon1, Hospices Civils de Lyon, Lyon, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Tristan
authors.affiliation: Department of Infection Control, Groupe Hospitalier Pellegrin, University Hospital, Bordeaux, France.
authors.forename: Frederique
authors.initials: F
authors.lastname: Boyer
authors.affiliation: Department of Infection Control, Groupe Hospitalier Pellegrin, University Hospital, Bordeaux, France.
authors.forename: Veronique
authors.initials: V
authors.lastname: Marie
authors.affiliation: Department of Neonatalogy, Groupe Hospitalier Pellegrin, University Hospital, Bordeaux, France.
authors.forename: Christophe
authors.initials: C
authors.lastname: Elleau
authors.affiliation: Department of Neonatalogy, Groupe Hospitalier Pellegrin, University Hospital, Bordeaux, France.
authors.forename: Paul
authors.initials: P
authors.lastname: Nolent
authors.affiliation: CCLIN Sud-Ouest (HAI control South West France Centre), Bordeaux, France.
authors.forename: Anne-Gaelle
authors.initials: AG
authors.lastname: Venier
authors.affiliation: Department of Neonatalogy, Groupe Hospitalier Pellegrin, University Hospital, Bordeaux, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Brissaud
authors.affiliation: Bacteriology Laboratory, University of Bordeaux, Bordeaux, France; INSERM, U853, Bordeaux, France.
authors.forename: Bertille
authors.initials: B
authors.lastname: de Barbeyrac
authors.affiliation: Bacteriology Laboratory, University of Bordeaux, Bordeaux, France; INSERM, U853, Bordeaux, France.
authors.forename: Francis
authors.initials: F
authors.lastname: Megraud
authors.affiliation: Department of Infection Control, Groupe Hospitalier Pellegrin, University Hospital, Bordeaux, France; INSERM U657, University of Bordeaux, Bordeaux Cedex, France. Electronic address: anne-marie.rogues@chu-bordeaux.fr.
authors.forename: Anne-Marie
authors.initials: AM
authors.lastname: Rogues
mesh_terms: D015373:Bacterial Typing Techniques; D002648:Child; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology; D004196:Disease Outbreaks; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D017053:Infection Control; D007363:Intensive Care Units, Neonatal; D008297:Male; D008712:Methicillin / Q000494:pharmacology; D016106:Methicillin Resistance; D055624:Methicillin-Resistant Staphylococcus aureus / Q000145:classification / Q000187:drug effects / Q000235:genetics / Q000302:isolation & purification*; D058889:Molecular Typing; D012772:Shock, Septic / Q000453:epidemiology* / Q000382:microbiology; D013203:Staphylococcal Infections / Q000453:epidemiology* / Q000382:microbiology
chemical_list: D008712:Methicillin
keywords: Control; Methicillin-resistant Staphylococcus aureus; Neonatal intensive care unit; Outbreak; Toxic shock syndrome toxin-1; Typing