2 612

Cited 10 times in

Recovery of both vancomycin-resistant enterococci and methicillin-resistant Staphylococcus aureus from culture of a single clinical specimen from colonized or infected patients.

DC Field Value Language
dc.contributor.author김준명-
dc.contributor.author김창기-
dc.contributor.author김창오-
dc.contributor.author송영구-
dc.contributor.author용동은-
dc.contributor.author이경원-
dc.contributor.author이한성-
dc.contributor.author정수진-
dc.contributor.author진범식-
dc.contributor.author최준용-
dc.contributor.author최희경-
dc.contributor.author한상훈-
dc.date.accessioned2015-04-24T16:21:03Z-
dc.date.available2015-04-24T16:21:03Z-
dc.date.issued2009-
dc.identifier.issn0899-823X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/103366-
dc.description.abstractOBJECTIVE: To describe the incidence of recovery of both vancomycin-resistant enterococci (VRE) and methicillin-resistant Staphylococcus aureus (MRSA) from culture of a single clinical specimen, to describe the clinical characteristics of patients from whom these specimens were recovered, and to identify the risk factors of these patients. DESIGN: A retrospective cohort and case-control study. SETTING: A tertiary care university hospital and referral center in Seoul, Korea. METHODS: We identified 61 case patients for whom a single clinical specimen yielded both VRE and MRSA on culture, and 122 control patients for whom any clinical specimen yielded only VRE on culture. The control patients were selected by matching 2:1 with the case patients for age, sex, and first date of sampling that led to isolation of VRE or both VRE and MRSA among 1,536 VRE-colonized patients from January 1, 2003, through December 31, 2006. To identify patient risk factors for the recovery of both VRE and MRSA in a single clinical specimen, we performed univariate comparisons between the 2 groups and then multivariate logistic regression analysis. RESULTS: The incidence of recovery of both VRE and MRSA from culture of a single clinical specimen was 3.97% (for 61 of 1,536 VRE-colonized patients) over 4 years. Among these 82 single clinical specimens, the most common type was wound specimens (26.8%), followed by lower respiratory tract specimens (18.3%), urine specimens (17.1%), and catheter tips (15.9%). Of the 61 case patients, 14 (23.0%) had 2 or more single clinical specimens that yielded both VRE and MRSA on culture, and the longest interval from the first sampling that yielded both organisms to the last sampling that yielded both was 174 days. Independent patient risk factors for the presence of both VRE and MRSA in a single clinical specimen were chronic renal disease (odds ratio [OR], 7.00; P=.012 ), urinary catheterization (OR, 3.36; P=.026), and longer total cumulative duration of hospital stay within the previous year (OR, 1.03; P < .001). CONCLUSION: We confirmed that the recovery of VRE and MRSA from a single clinical specimen occurs continually. Because prolonged cell-to-cell contact can facilitate transfer of vanA, close observation and surveillance for vancomycin-resistant S. aureus, especially among patients with risk factors for the recovery of both VRE and MRSA from a single clinical specimen, should be continued.-
dc.description.statementOfResponsibilityopen-
dc.format.extent130~138-
dc.relation.isPartOfINFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHCarrier State*/epidemiology-
dc.subject.MESHCarrier State*/microbiology-
dc.subject.MESHCase-Control Studies-
dc.subject.MESHCohort Studies-
dc.subject.MESHCulture Media-
dc.subject.MESHEnterococcus/classification-
dc.subject.MESHEnterococcus/drug effects-
dc.subject.MESHEnterococcus/isolation & purification*-
dc.subject.MESHFemale-
dc.subject.MESHGram-Positive Bacterial Infections*/complications-
dc.subject.MESHGram-Positive Bacterial Infections*/epidemiology-
dc.subject.MESHGram-Positive Bacterial Infections*/microbiology-
dc.subject.MESHHospitals, University-
dc.subject.MESHHumans-
dc.subject.MESHIncidence-
dc.subject.MESHKorea/epidemiology-
dc.subject.MESHMale-
dc.subject.MESHMethicillin-Resistant Staphylococcus aureus/drug effects-
dc.subject.MESHMethicillin-Resistant Staphylococcus aureus/isolation & purification*-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRisk Factors-
dc.subject.MESHStaphylococcal Infections*/complications-
dc.subject.MESHStaphylococcal Infections*/epidemiology-
dc.subject.MESHStaphylococcal Infections*/microbiology-
dc.subject.MESHVancomycin Resistance*-
dc.titleRecovery of both vancomycin-resistant enterococci and methicillin-resistant Staphylococcus aureus from culture of a single clinical specimen from colonized or infected patients.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorSang Hoon Han-
dc.contributor.googleauthorBum Sik Chin-
dc.contributor.googleauthorHan Sung Lee-
dc.contributor.googleauthorSu Jin Jeong-
dc.contributor.googleauthorHee Kyung Choi-
dc.contributor.googleauthorChang Ki Kim-
dc.contributor.googleauthorChang Oh Kim-
dc.contributor.googleauthorDongeun Yong-
dc.contributor.googleauthorJun Yong Choi-
dc.contributor.googleauthorYoung Goo Song-
dc.contributor.googleauthorKyungwon Lee-
dc.contributor.googleauthorJune Myung Kim-
dc.identifier.doi10.1086/593957-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00953-
dc.contributor.localIdA01038-
dc.contributor.localIdA01044-
dc.contributor.localIdA02037-
dc.contributor.localIdA02423-
dc.contributor.localIdA02649-
dc.contributor.localIdA03277-
dc.contributor.localIdA03638-
dc.contributor.localIdA03981-
dc.contributor.localIdA04191-
dc.contributor.localIdA04228-
dc.contributor.localIdA04286-
dc.relation.journalcodeJ01056-
dc.identifier.eissn1559-6834-
dc.identifier.pmid19128183-
dc.identifier.urlhttp://www.jstor.org/stable/10.1086/593957-
dc.contributor.alternativeNameKim, June Myung-
dc.contributor.alternativeNameKim, Chang Ki-
dc.contributor.alternativeNameKim, Chang Oh-
dc.contributor.alternativeNameSong, Young Goo-
dc.contributor.alternativeNameYong, Dong Eun-
dc.contributor.alternativeNameLee, Kyung Won-
dc.contributor.alternativeNameLee, Han Sung-
dc.contributor.alternativeNameJeong, Su Jin-
dc.contributor.alternativeNameChin, Bum Sik-
dc.contributor.alternativeNameChoi, Jun Yong-
dc.contributor.alternativeNameChoi, Hee Kyoung-
dc.contributor.alternativeNameHan, Sang Hoon-
dc.contributor.affiliatedAuthorKim, June Myung-
dc.contributor.affiliatedAuthorKim, Chang Ki-
dc.contributor.affiliatedAuthorKim, Chang Oh-
dc.contributor.affiliatedAuthorSong, Young Goo-
dc.contributor.affiliatedAuthorYong, Dong Eun-
dc.contributor.affiliatedAuthorLee, Kyung Won-
dc.contributor.affiliatedAuthorLee, Han Sung-
dc.contributor.affiliatedAuthorJeong, Su Jin-
dc.contributor.affiliatedAuthorChin, Bum Sik-
dc.contributor.affiliatedAuthorChoi, Jun Yong-
dc.contributor.affiliatedAuthorChoi, Hee Kyoung-
dc.contributor.affiliatedAuthorHan, Sang Hoon-
dc.citation.volume30-
dc.citation.number2-
dc.citation.startPage130-
dc.citation.endPage138-
dc.identifier.bibliographicCitationINFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, Vol.30(2) : 130-138, 2009-
dc.identifier.rimsid37297-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.