Abstract
In June 2000, vancomycin-intermediate Staphylococcus aureus (VISA) was isolated from a 27-year-old home health-care patient following a complicated cholecystectomy. Two VISA strains were identified with identical MICs to all antimicrobials tested except oxacillin and with closely related pulsed-field gel electrophoresis types. The patient was treated successfully with antimicrobial therapy, biliary drainage, and reconstruction. Standard precautions in the home health setting appear successful in preventing transmission.
MeSH terms
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Adult
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Anti-Bacterial Agents / pharmacology*
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DNA, Bacterial / analysis
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Female
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Home Care Services*
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Humans
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Infectious Disease Transmission, Patient-to-Professional
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Microbial Sensitivity Tests
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Nurses
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Risk Factors
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Staphylococcal Infections / microbiology*
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Staphylococcal Infections / transmission
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Staphylococcus aureus / drug effects
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Staphylococcus aureus / genetics
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Staphylococcus aureus / growth & development
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Vancomycin / pharmacology*
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Vancomycin Resistance* / genetics
Substances
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Anti-Bacterial Agents
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DNA, Bacterial
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Vancomycin