Department of Pathology and Molecular Medicine, McMaster University.
Can J Infect Dis Med Microbiol. 2005 Nov;16(6):343-8. doi: 10.1155/2005/698181.
Methicillin-resistant Staphylococcus aureus (MRSA) has been identified in prison settings in the United States. The present study investigated two clusters of skin and soft tissue infection caused by community-acquired (CA) MRSA in a correctional facility in southern Ontario.
Outbreak investigations were conducted by the responsible public health authority. Strain relatedness was assessed through comparison of pulsed-field gel electrophoresis and antibiograms.
Two distinct outbreaks of CAMRSA-associated disease occurred in 2002 and 2004. Most patients presented with abscesses in the lower extremities. All isolates had identical DNA banding patterns on pulsed-field gel electrophoresis. One-half of the affected inmates resided in a cellblock with one other affected inmate. No other risk factors were identified.
One of the first outbreaks of CAMRSA infections in a correctional facility in Canada is documented. Taken in conjunction with outbreaks elsewhere, this suggests that residence in correctional facilities may be a risk factor for CAMRSA infection.
耐甲氧西林金黄色葡萄球菌（MRSA）已在美国的监狱环境中被发现。本研究调查了安大略省南部一所惩教设施中由社区获得性（CA）MRSA 引起的两起皮肤和软组织感染集群。
负责的公共卫生当局进行了暴发调查。通过比较脉冲场凝胶电泳和药敏图评估菌株相关性。
2002 年和 2004 年发生了两起不同的 CAMRSA 相关疾病暴发。大多数患者下肢出现脓肿。所有分离株在脉冲场凝胶电泳上均具有相同的 DNA 带型。一半受感染的囚犯与另一名受感染的囚犯居住在同一牢房区。未确定其他危险因素。
记录了加拿大惩教设施中首例 CAMRSA 感染暴发之一。结合其他地区的暴发情况，这表明居住在惩教设施中可能是 CAMRSA 感染的危险因素。
