Methicillin-Resistant <i>Staphylococcus aureus:</i> Do We Just Have To Live with It?

As the resident walked out of the fevered patient's room past the yellow "MRSA Precautions" sign, an infectious disease physician asked him why he had not washed his hands.

Abstract

Editorials15 January 1991Methicillin-Resistant Staphylococcus aureus: Do We Just Have To Live with It?Robert W. Haley, MDRobert W. Haley, MDAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-114-2-162 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAs the resident walked out of the fevered patient's room past the yellow "MRSA Precautions" sign, an infectious disease physician asked him why he had not washed his hands. The resident replied, "Oh, it's only 'mersah' and it's ail over the hospital. Why fight it? And anyway, it's only a saprophyte; it doesn't really hurt anyone. It's like pen-resistance; we just have to live with it." The reply was understandable because the resident had watched his mentors increasingly disregard, even remove, the isolation signs for months and had noticed noincreasein the number of cases of sepsis with methicillin-resistant...References1. Jevons M. "Celbenin"-resistant staphylococci [Letter]. Br Med J. 1961;1:124-5. CrossrefGoogle Scholar2. Parker M and Hewitt J. Methicillin resistance in Staphylococcus aureus. Lancet. 1970;1:800-4. CrossrefMedlineGoogle Scholar3. Haley R, Hightower A, and Khabbaz R. The emergence of methicillin-resistant Staphylococcus aureus infections in the United States hospitals: possible role of the house staff-patient transfer circuit. Ann Intern Med. 1982;97:297-308. LinkGoogle Scholar4. Linneman C, Moore P, and Staneck J. Reemergence of epidemic methicillin-resistant Staphylococcus aureus (MRSA) in a general hospital associated with changing staphylococcal strains [Abstract]. Proceedings of the Third Decennial International Conference on Nosocomial Infections. Atlanta, Georgia, August, 1990. Google Scholar5. Murakami K and Tomasz A. Involvement of multiple genetic determinants in high-level methicillin resistance in Staphylococcus aureus. J Bacteriol. 1989;171:874-9. CrossrefMedlineGoogle Scholar6. Thompson R, Cabezudo I, and Wenzel R. Epidemiology of nosocomial infections caused by methicillin-resistant Staphylococcus aureus. Ann Intern Med. 1982;97:309-17. LinkGoogle Scholar7. Johnson K and Johnston D. Orthopedic experience with methicillin-resistant Staphylococcus aureus during a hospital epidemic. Clin Orthopaed Rel Res. 1986;212:281-8. CrossrefGoogle Scholar8. Davies E, Emmerson A, Hogg G, Patterson M, and Dhlelds M. An outbreak of infection with a methicillin-resistant Staphylococcus aureus in a special care baby unit: Value of topical mupirocin and of traditional methods of infection control. J Hosp Infect. 1987;10:120-8. CrossrefMedlineGoogle Scholar9. Dunkle L, Naqvi S, McCallum R, and Lofgren J. Eradication of epidemic methicillin-gentamicin-resistant Staphylococcus aureus in an intensive care nursery. Am J Med. 1981;70:455-8. CrossrefMedlineGoogle Scholar10. Hunt J, Purdue G, and Tuggle D. Morbidity and mortality of an endemic pathogen: Methicillin-resistant Staphylococcus aureus. Am J Surg. 1988;156:524-8. CrossrefMedlineGoogle Scholar11. Burns L and Lorian V. A methicillin resistant S. aureus outbreak controlled by antibiotic treatment of carriers [Abstract]. Proceedings of the Thirtieth Interscience Conference on Antimicrobial Agents and Chemotherapy. Atlanta, Georgia, October, 1990. Google Scholar12. Reboli A, John J, Platt C, and Cantey J. Methicillin-resistant Staphylococcus aureus outbreak at a Veterans' Affairs Medical Center: importance of carriage of the organism by hospital personnel. Infect Control Hosp Epidemiol. 1990;11:291-6. CrossrefMedlineGoogle Scholar13. Hill R, Duckworth G, and Casewell M. Elimination of nasal carriage of methicillin-resistant Staphylococcus aureus with mupirocin during a hospital outbreak. J Antimicrob Chemother. 1988;22:377-84. CrossrefMedlineGoogle Scholar14. Bacon A, Jorgensen K, Wilson K, and Kauffman C. Emergence of nosocomial methicillin-resistant Staphylococcus aureus and therapy of colonized personnel during a hospital-wide outbreak. Infect Control. 1987;8:145-50. CrossrefMedlineGoogle Scholar15. Preheim L, Rimland D, and Bittner M. Methicillin-resistant Staphylococcus aureus in Veterans Administration Medical Centers. Infect Control. 1987;8:191-4. CrossrefMedlineGoogle Scholar16. Coovadia Y, Bhana R, Johnson A, Haffejee I, and Marples R. A laboratory-confirmed outbreak of rifampicin-methicillin resistant Staphylococcus aureus in a newborn nursery. J Hosp Infect. 1989;14:303-12. CrossrefMedlineGoogle Scholar17. Muder R, Brennen C, and Wagener M. Methicillin-resistant staphylococcal colonization and infection in a long-term care facility. Ann Intern Med. 1991;114:107-12. LinkGoogle Scholar18. Khayr W, Hershow R, and Smith N. A comparison of the virulence of nosocomial methicillin-resistant and methicillin-sensitive Staphylococcus aureus infections [Abstract]. Proceedings of the Thirtieth Interscience Conference on Antimicrobial Agents and Chemotherapy. Atlanta, Georgia, October, 1990. Google Scholar19. Reagan D, Doebbeling B, and Pfaller M. Elimination of coincident Staphylococcus aureus nasal and hand carriage with intranasal application of mupirocin calcium ointment. Ann Intern Med. 1991;114:101-6. LinkGoogle Scholar20. Cederna J, Terpenning M, Ensberg M, Bradley S, and Kauffman C. Staphylococcus aureus nasal colonization in a nursing home: Eradication with mupirocin. Infect Control Hosp Epidemiol. 1990;11:13-6. CrossrefMedlineGoogle Scholar21. Rahman M, Noble W, and Cookson B. Transmissible mupirocin resistance in Staphylococcus aureus. Epidemiol Infect. 1989;102:261-70. CrossrefMedlineGoogle Scholar22. Neu H. The use of mupirocin in controlling methicillin-resistant Staphylococcus aureus [Editorial]. Infect Control Hosp Epidemiol. 1990;11:11-2. CrossrefMedlineGoogle Scholar23. Murray-Leisure K, Geib S, and Graceley D. Control of epidemic methicillin-resistant Staphylococcus aureus. Infect Control Hosp Epidemiol. 1990;11:343-50. CrossrefMedlineGoogle Scholar24. Cookson B, Peters B, Webster M, Phillips I, Rahman M, and Noble W. Staff carriage of epidemic methicillin-resistant Staphylococcus aureus. J Clin Microbiol. 1989;27:1471-6. CrossrefMedlineGoogle Scholar25. Sautter R and Wells L. Selective staphylococcal broth [Letter]. J Clin Microbiol. 1990;28:2380-1. CrossrefMedlineGoogle Scholar26. Maki D, McCormick R, Zilz M, Stolz S, and Alvarado C. An MRSA outbreak in a SICU during universal precautions: New epidemiology for nosocomial MRSA; downside for universal precautions [Abstract]. Proceedings of the Third Decennial International Conference on Nosocomial Infections. Atlanta, Georgia, August, 1990. Google Scholar27. Rhinehart E, Shlaes D, and Keys T. Nosocomial clonal dissemination of methicillin-resistant Staphylococcus aureus. Elucidation by plasmid analysis. Arch Intern Med. 1987;147:521-4. 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Rahal, MDMRSA in PerspectiveClifford G. Wlodaver, MD, Scott J. N. McNabb, PhDMRSA in the 21st Century: Emerging Challenges 15 January 1991Volume 114, Issue 2Page: 162-164KeywordsInfectious diseasesMethicillin-resistant staphylococcus aureusSepsis ePublished: 1 December 2008 Issue Published: 15 January 1991 PDF downloadLoading ...