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An Outbreak of Borderline Oxacillin-Resistant Staphylococcus aureus (BORSA) in a Dermatological Unit
Abstract
From February through July, 2000, there was an accumulation of mec A-negative borderline resistant Staphylococcus aureus (BORSA) in the Department of Dermatology. BORSA was isolated in 37 samples from 11 patients. The isolates were typed by antibiogram, phage type, pulsed-field gel electrophoresis (PFGE), and spa genotyping that confirmed that they were indistinguishable from one another. In May, 2000, an intervention was initiated focusing on infection control. In-patients with BORSA were discharged and antibiotic treatment was stopped, if possible. Emphasis was put on disinfection of shared utensils and individualization of previously shared creams and lotions. After the intervention, BORSA was isolated from another 3 patients before the outbreak was terminated. A case–control study was undertaken to identify possible risk factors for being a BORSA patient. Compared to the controls, the patients with BORSA had more severe skin disease, were more often hospitalized, and had more bed days.
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“Single strains of the so-called BORSA (borderline oxacillin-resistant S. aureus) have been described, in which the synthesized beta-lactamase had an extended spectrum and conditioned an oxacillin MIC of 4–8 mg/L [15].”
From Molecular Mechanisms of Drug Resistance in Staphylococcus aureus (2022) · cites this paper as [15]
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Cited by
Mechanisms of Methicillin Resistance in Staphylococcus aureus
Peacock, S. J., & Paterson, G. K. (2015) · Annual Review of Biochemistry · doi:10.1146/annurev-biochem-060614-034516 · Cited by 656
Molecular Mechanisms of Drug Resistance in Staphylococcus aureus
Mlynarczyk-Bonikowska, B., Kowalewski, C., Krolak-Ulinska, A., & Marusza, W. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23158088 · Cited by 412
Metadata
- Authors
- Balslev, U., Bremmelgaard, A., Svejgaard, E., Havstreym, J., & Westh, H.
- Affiliations
- Department of Clinical Microbiology, Hvidovre Hospital, Copenhagen.
- Department of Dermatology, Bispebjerg Hospital, Copenhagen, Denmark.
- Department of Infection Control, Bispebjerg Hospital, Copenhagen, Denmark.
- Venue
- Microbial Drug Resistance
- Publisher
- SAGE Publications
- Published
- 2005-03
- Volume
- 11
- Issue
- 1
- Pages
- 78-81
- ISSN
- 1076-6294
- 1931-8448
- Cited by
- 29
- References
- 0
- Language
- en
- Licence
- journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
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- Balslev, U., Bremmelgaard, A., Svejgaard, E., Havstreym, J., & Westh, H. (2005). An Outbreak of Borderline Oxacillin-Resistant Staphylococcus aureus (BORSA) in a Dermatological Unit. Microbial Drug Resistance. https://doi.org/10.1089/mdr.2005.11.78
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
