engleski

First report of community-acquired meticillin-resistant Staphylococcus aureus from a Slovenian hospital

Community-acquired meticillin-resistant Staphylococcus aureus (CA-MRSA) is responsible for a broad range of infections. Skin and soft tissue infections are common, while severe and lifethreatening infections such as necrotizing pneumonia, necrotizing fasciitis and severe sepsis are less common.1, 2 Little is known about the occurrence of CA-MRSA strains in Slovenia. In 2005, Müller- Premru et al. reported Panton-Valentine leukocidin (PVL)-positive CA-MRSA strains among football players.3 The same year, Grmek Kosnik et al. reported the occurrence of CA-MRSA strains in the home environment.4 However, until recently, there had been no confirmed cases of CA-MRSA in a hospital environment in Slovenia. Between May 2003 and June 2004, there was an outbreak of four cases of skin and soft tissue infections due to CA-MRSA strains in a hospital in Slovenia. Clinical data from all four cases were reviewed. In May 2003, two women (P1, P2) presented with necrotizing soft tissue infection, abscesses and fever. Epidemiological investigations showed that they underwent surgery on the same day. In March and June 2004, MRSA strains were recovered from epidural catheters in a further two patients (P3, P4). The average age of these four patients was 49.5 years. In three female patients, the symptoms of infection occurred two to eight days following surgery. One patient developed a serious infection (meningitis).

community; MRSA; infection; skin; soft tissue

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