Adcock P M, Pastor P, Medley F, Patterson J E, Murphy T V
Department of Pediatrics, University of Louisville School of Medicine, Kentucky, USA.
J Infect Dis. 1998 Aug;178(2):577-80. doi: 10.1086/517478.
Methicillin-resistant Staphylococcus aureus (MRSA) has not been studied in child care centers. The prevalence of MRSA colonization was determined at two centers with an index patient. Two (3%) of 61 children at center X had MRSA; strains from both children and the index illness were pulsed-field gel electrophoresis type B. Nine (24%) of 40 children at center Y had MRSA; strains from 5 children and the index illness were type B, and strains from 4 children were type A. Ten of 11 colonized children were in classes with 2- and 3-year-old children. Colonization with MRSA was not associated with health care contact by subjects or by members of their households. MRSA in child day care centers indicates accelerated spread of MRSA in the community.
耐甲氧西林金黄色葡萄球菌(MRSA)尚未在儿童保育中心进行过研究。在两个有索引病例的中心测定了MRSA定植的患病率。中心X的61名儿童中有2名(3%)携带MRSA;这两名儿童以及索引病例的菌株通过脉冲场凝胶电泳鉴定为B型。中心Y的40名儿童中有9名(24%)携带MRSA;5名儿童以及索引病例的菌株为B型,4名儿童的菌株为A型。11名定植儿童中有10名在有2岁和3岁儿童的班级。MRSA定植与受试者或其家庭成员的医疗接触无关。儿童日托中心出现MRSA表明MRSA在社区中的传播加速。