Methicillin-Resistant Staphylococcus aureus, Geneva, Switzerland, 1993–2005
2008

Study of Methicillin-Resistant Staphylococcus aureus in Geneva

Sample size: 151 publication Evidence: moderate

Author Information

Author(s): Francois Patrice, Harbarth Stephan, Huyghe Antoine, Renzi Gesuele, Bento Manuela, Gervaix Alain, Pittet Didier, Schrenzel Jacques

Primary Institution: University of Geneva Hospitals

Hypothesis

What is the genetic diversity and spread of non-multidrug-resistant MRSA strains in Geneva over a 13-year period?

Conclusion

The study found significant genetic diversity among MRSA strains in Geneva, with many cases linked to migration and travel.

Supporting Evidence

  • The study identified 151 non-duplicated MRSA isolates over 13 years.
  • Most CA-MRSA strains were associated with skin and soft tissue infections.
  • The largest cluster of CA-MRSA corresponded to ST 80, which is PVL positive.
  • The study found that many cases were linked to migration and travel.
  • Resistance to fusidic acid or susceptibility to gentamicin should not be used as phenotypic criteria for CA-MRSA in Europe.

Takeaway

This study looked at different types of a germ called MRSA over 13 years in Geneva, finding many different kinds and how they spread.

Methodology

The study involved collecting and analyzing MRSA strains from patients and carriers over a 13-year period, using standard identification methods and molecular characterization techniques.

Potential Biases

Detection bias may have occurred due to the active MRSA screening policy.

Limitations

The study used two strain collections, which may have omitted certain strains, and retrospective case ascertainment does not distinguish between invasive and colonizing strains.

Participant Demographics

The study included 151 MRSA isolates from patients, with a mean age of 37 years and a male-to-female ratio of approximately 2.7.

Digital Object Identifier (DOI)

10.3201/eid1402.070229

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