Community-associated methicillin-resistant Staphylococcus aureus transmission in households of infected cases: A pooled analysis of primary data from three studies across international settings

Diverse strain types of methicillin-resistant Staphylococcus aureus (MRSA) cause infections in community settings worldwide. To examine heterogeneity of spread within households and to identify common risk factors for household transmission across settings, primary data from studies conducted in New...

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Main Authors: Knox, J., Van Rijen, M., Uhlemann, A., Miller, M., Hafer, C., Vavagiakis, P., Shi, Q., Johnson, P., Coombs, Geoffrey, Kluytmans-Van Den Bergh, M., Kluytmans, J., Bennett, C., Lowy, F.
Format: Journal Article
Published: Cambridge University Press 2015
Online Access:http://hdl.handle.net/20.500.11937/38180
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author Knox, J.
Van Rijen, M.
Uhlemann, A.
Miller, M.
Hafer, C.
Vavagiakis, P.
Shi, Q.
Johnson, P.
Coombs, Geoffrey
Kluytmans-Van Den Bergh, M.
Kluytmans, J.
Bennett, C.
Lowy, F.
author_facet Knox, J.
Van Rijen, M.
Uhlemann, A.
Miller, M.
Hafer, C.
Vavagiakis, P.
Shi, Q.
Johnson, P.
Coombs, Geoffrey
Kluytmans-Van Den Bergh, M.
Kluytmans, J.
Bennett, C.
Lowy, F.
author_sort Knox, J.
building Curtin Institutional Repository
collection Online Access
description Diverse strain types of methicillin-resistant Staphylococcus aureus (MRSA) cause infections in community settings worldwide. To examine heterogeneity of spread within households and to identify common risk factors for household transmission across settings, primary data from studies conducted in New York (USA), Breda (The Netherlands), and Melbourne (Australia) were pooled. Following MRSA infection of the index patient, household members completed questionnaires and provided nasal swabs. Swabs positive for S. aureus were genotyped by spa sequencing. Poisson regression with robust error variance was used to estimate prevalence odds ratios for transmission of the clinical isolate to non-index household members. Great diversity of strain types existed across studies. Despite differences between studies, the index patient being colonized with the clinical isolate at the home visit (P < 0·01) and the percent of household members aged <18 years (P < 0·01) were independently associated with transmission. Targeted decolonization strategies could be used across geographical settings to limit household MRSA transmission.
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institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T08:53:19Z
publishDate 2015
publisher Cambridge University Press
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spelling curtin-20.500.11937-381802018-03-29T09:07:09Z Community-associated methicillin-resistant Staphylococcus aureus transmission in households of infected cases: A pooled analysis of primary data from three studies across international settings Knox, J. Van Rijen, M. Uhlemann, A. Miller, M. Hafer, C. Vavagiakis, P. Shi, Q. Johnson, P. Coombs, Geoffrey Kluytmans-Van Den Bergh, M. Kluytmans, J. Bennett, C. Lowy, F. Diverse strain types of methicillin-resistant Staphylococcus aureus (MRSA) cause infections in community settings worldwide. To examine heterogeneity of spread within households and to identify common risk factors for household transmission across settings, primary data from studies conducted in New York (USA), Breda (The Netherlands), and Melbourne (Australia) were pooled. Following MRSA infection of the index patient, household members completed questionnaires and provided nasal swabs. Swabs positive for S. aureus were genotyped by spa sequencing. Poisson regression with robust error variance was used to estimate prevalence odds ratios for transmission of the clinical isolate to non-index household members. Great diversity of strain types existed across studies. Despite differences between studies, the index patient being colonized with the clinical isolate at the home visit (P < 0·01) and the percent of household members aged <18 years (P < 0·01) were independently associated with transmission. Targeted decolonization strategies could be used across geographical settings to limit household MRSA transmission. 2015 Journal Article http://hdl.handle.net/20.500.11937/38180 10.1017/S0950268814000983 Cambridge University Press restricted
spellingShingle Knox, J.
Van Rijen, M.
Uhlemann, A.
Miller, M.
Hafer, C.
Vavagiakis, P.
Shi, Q.
Johnson, P.
Coombs, Geoffrey
Kluytmans-Van Den Bergh, M.
Kluytmans, J.
Bennett, C.
Lowy, F.
Community-associated methicillin-resistant Staphylococcus aureus transmission in households of infected cases: A pooled analysis of primary data from three studies across international settings
title Community-associated methicillin-resistant Staphylococcus aureus transmission in households of infected cases: A pooled analysis of primary data from three studies across international settings
title_full Community-associated methicillin-resistant Staphylococcus aureus transmission in households of infected cases: A pooled analysis of primary data from three studies across international settings
title_fullStr Community-associated methicillin-resistant Staphylococcus aureus transmission in households of infected cases: A pooled analysis of primary data from three studies across international settings
title_full_unstemmed Community-associated methicillin-resistant Staphylococcus aureus transmission in households of infected cases: A pooled analysis of primary data from three studies across international settings
title_short Community-associated methicillin-resistant Staphylococcus aureus transmission in households of infected cases: A pooled analysis of primary data from three studies across international settings
title_sort community-associated methicillin-resistant staphylococcus aureus transmission in households of infected cases: a pooled analysis of primary data from three studies across international settings
url http://hdl.handle.net/20.500.11937/38180