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Comparison of molecular epidemiology of bloodstream methicillin-resistant Staphylococcus aureus isolates between a new and an old hospitals in central Taiwan.
International Journal of Infectious Diseases : IJID 2018 December 8
OBJECTIVE: To compare the molecular epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) isolates between an old, urban hospital and a new, rural hospital over the same time period.
METHODS: We retrospectively analyzed molecular characteristics of 398 MRSA bloodstream isolates collected between 2007 and 2013 from two hospitals in Taiwan, 202 isolates from the old one and 196 isolates from the new one (opened in 2007).
RESULTS: The rate of multiple antibiotics resistance was significantly higher in the old hospital (93%) than in the new hospital (81%) (p <0.001). Genetic community-associated MRSA, carrying Staphylococcal cassette chromosome (SCC) type IV or V, accounted for 58% of all MRSA isolates in the new hospital, significantly higher than that in the old hospital (p=0.018). The rate of spa t037-SCCmec III MRSA was significantly lower in new hospital than in old hospital (p=0.02). A significant decreasing trend for spa t002-SCCmec II MRSA isolates was observed in the old hospital (p=0.006), while the proportion of spa t037-SCCmec III MRSA decreased significantly in the new hospital (41.7% to 26.1%, p=0.022).
CONCLUSIONS: Between the old and new hospitals, the rate of multiple antibiotics resistance and molecular characteristics of MRSA were significantly different and changed with time.
METHODS: We retrospectively analyzed molecular characteristics of 398 MRSA bloodstream isolates collected between 2007 and 2013 from two hospitals in Taiwan, 202 isolates from the old one and 196 isolates from the new one (opened in 2007).
RESULTS: The rate of multiple antibiotics resistance was significantly higher in the old hospital (93%) than in the new hospital (81%) (p <0.001). Genetic community-associated MRSA, carrying Staphylococcal cassette chromosome (SCC) type IV or V, accounted for 58% of all MRSA isolates in the new hospital, significantly higher than that in the old hospital (p=0.018). The rate of spa t037-SCCmec III MRSA was significantly lower in new hospital than in old hospital (p=0.02). A significant decreasing trend for spa t002-SCCmec II MRSA isolates was observed in the old hospital (p=0.006), while the proportion of spa t037-SCCmec III MRSA decreased significantly in the new hospital (41.7% to 26.1%, p=0.022).
CONCLUSIONS: Between the old and new hospitals, the rate of multiple antibiotics resistance and molecular characteristics of MRSA were significantly different and changed with time.
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