[Regional surveillance of the evolution of methicillin resistant Staphylococcus aureus (MRSA): what results for what teaching?]

Med Mal Infect. 2004 Jun;34(6):264-9. doi: 10.1016/j.medmal.2004.04.005.
[Article in French]


Objective: The aim of this study was to describe the evolution of MRSA within hospitals located in Franche-Comté from 1999 to 2003 and to establish the MRSA risk according to the type of hospitalization.

Methods: Surveillance of multidrug resistant bacteria was carried out according to the French national guidelines for the prevention of nosocomial infections.

Results: The global incidence of MRSA colonized/infected patients (screened by clinical samples) per 1000 patient-days had decreased from 0.73 in 1999 to 0.58 in 2003 (P < 0.004). However, analyzing the results according to each type of hospitalization revealed great heterogeneity. In 2003, the increase of MRSA incidence in short-term public hospitalization was indeed alarming whereas MRSA risk had regularly decreased in the other hospitalization types (rehabilitation and long-term care-facilities) since 1999. The number of potentially serious colonizations/infections caused by MRSA (bacteremia, deep infections, and pulmonary infections) accounted for 12.8% of all colonizations/infections.

Conclusion: MRSA, in spite of improved prevention in our region, remains responsible for numerous infections.

Publication types

  • English Abstract

MeSH terms

  • Cross Infection / epidemiology*
  • France
  • Humans
  • Methicillin Resistance*
  • Population Surveillance*
  • Risk Assessment
  • Staphylococcal Infections / drug therapy*