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Rapd typing of methicillin-resistant Staphylococcus aureus: A 7-year experience in a Polish hospital

机译:耐甲氧西林金黄色葡萄球菌的Rapd分型:在波兰一家医院有7年的经验

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Background:Methicillin-resistant strains of Staphylococcus aureus (MRSA) are important etiological factors responsible for healthcare-associated infections. The aim of this study was to evaluate the epidemic and to discriminate all of the involved strains isolated at the Provincial Hospital in Gdańsk and, on this basis, perform an epidemiological investigation using the random amplification of polymorphic DNA PCR (RAPD) with the primer AP-7.Material/Methods:Two hundred and thirty-four isolates of Staphylococcus aureus were typed to evaluate a seven-year epidemic of MRSA at the hospital. All isolates were recovered from infection and carriage sites of patients. Numerous strains were isolated from patients suffering from generalized infections, bacteremia, and endoprosthesis-related infections.Results:Using the RAPD PCR method, the collection of 234 MRSA strains was divided into 10 groups, one of which was the most common (81%). No correlation between the S. aureus clones determined in this way and hospital department or the type of infection was found.Conclusions:It was confirmed that MRSA infections may be easily spread throughout a hospital and that the introduction of a surveillance program implemented with control procedures is sufficient to restrict serious problems such as an MRSA epidemic.
机译:背景:耐甲氧西林的金黄色葡萄球菌(MRSA)菌株是与医疗保健相关的感染的重要病因。这项研究的目的是评估流行病并区分在格但斯克省医院分离出的所有相关菌株,并在此基础上使用引物AP随机扩增多态性DNA PCR(RAPD)进行流行病学调查-7。材料/方法:对234株金黄色葡萄球菌进行分型,以评估医院中MRSA的7年流行情况。从患者的感染和携带部位中回收所有分离株。结果:从RAPD PCR方法中,将234例MRSA菌株分为10组,其中最常见的一组(81%),来自于一般感染,菌血症和假体相关感染的患者。 。没有发现以此方式确定的金黄色葡萄球菌克隆与医院部门或感染类型相关。足以限制严重问题,例如MRSA流行病。

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