Journal article
Sources of Staphylococcus aureus for patients on continuous ambulatory peritoneal dialysis
Peritoneal dialysis international, Vol.23(3), pp.237-241
05/2003
DOI: 10.1177/089686080302300304
PMID: 12938823
Abstract
This study was designed to determine whether family members and health care workers are a source of Staphylococcus aureus for patients on peritoneal dialysis.
Over 36 months, cultures were obtained from the nares of patients, family members that cared for the patients' catheters, and health care workers in a dialysis unit. Pulsed-field gel electrophoresis was performed on all S. aureus isolates.
A university-based peritoneal dialysis program.
74 patients, 32 family members, and 17 health care workers.
None.
The number of patients that acquired S. aureus strains during the study period.
Of the 48 patients whose initial nares cultures were negative, 7 (15%) acquired S. aureus strains. Overall, 24 of 53 (45%) patients that had 2 or more cultures obtained during the study gained strains. Potential sources were not identified for strains gained by 11 (46%) patients. Five patients appeared to acquire their strains from family members; however, other patients also shared related strains; 8 patients acquired strains shared by other patients.
Family members and other patients appeared to be important sources of S. aureus for patients on peritoneal dialysis. Health care workers that carry S. aureus transiently may be important intermediaries. Good hand hygiene is essential to prevent transmission of S. aureus to these susceptible patients.
Details
- Title: Subtitle
- Sources of Staphylococcus aureus for patients on continuous ambulatory peritoneal dialysis
- Creators
- Loreen A Herwaldt - Department of Internal Medicine, University of Iowa College of Medicine, and University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242-1081, USA. loreen-herwaldt@uiowa.eduLinda D BoykenStacy CoffmanLinda HochstetlerMichael J Flanigan
- Resource Type
- Journal article
- Publication Details
- Peritoneal dialysis international, Vol.23(3), pp.237-241
- DOI
- 10.1177/089686080302300304
- PMID
- 12938823
- ISSN
- 0896-8608
- eISSN
- 1718-4304
- Language
- English
- Date published
- 05/2003
- Academic Unit
- Infectious Diseases; Epidemiology; Pathology; Internal Medicine
- Record Identifier
- 9984094590602771
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