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• W1989600298 abstract "<h3>Importance</h3> Household environmental surfaces may serve as vectors for the acquisition and spread of methicillin-resistant<i>Staphylococcus aureus</i>(MRSA) among household members, although few studies have evaluated which objects are important reservoirs of MRSA. <h3>Objectives</h3> To determine the prevalence of environmental MRSA contamination in households of children with MRSA infection; define the molecular epidemiology of environmental, pet, and human MRSA strains within households; and identify factors associated with household MRSA contamination. <h3>Design, Setting, and Participants</h3> Fifty children with active or recent culture-positive community-associated MRSA infection were enrolled from 2012 to 2013 at St Louis Children’s Hospital and at community pediatric practices affiliated with the Washington University Pediatric and Adolescent Ambulatory Research Consortium in St Louis, Missouri. <h3>Main Outcomes and Measures</h3> Samples of participants’ nares, axillae, and inguinal folds were cultured to detect<i>S aureus</i>colonization. Samples of 21 household environmental surfaces, as well as samples obtained from pet dogs and cats, were cultured. Molecular typing of<i>S aureus</i>strains was performed by repetitive-sequence polymerase chain reaction to determine strain relatedness within households. <h3>Results</h3> Methicillin-resistant<i>S aureus</i>was recovered from samples of environmental surfaces in 23 of the 50 households (46%), most frequently from the participant’s bed linens (18%), television remote control (16%), and bathroom hand towel (15%). It colonized 12% of dogs and 7% of cats. At least 1 surface was contaminated with a strain type matching the participant’s isolate in 20 households (40%). Participants colonized with<i>S aureus</i>had a higher mean (SD) proportion of MRSA-contaminated surfaces (0.15 [0.17]) than noncolonized participants (0.03 [0.06]; mean difference, 0.12 [95% CI, 0.05-0.20]). A greater number of individuals per 1000 ft²(93 m²) were also associated with a higher proportion of MRSA-contaminated surfaces (β = 0.34,<i>P</i> = .03). The frequency of cleaning household surfaces was not associated with<i>S aureus</i>environmental contamination. <h3>Conclusions and Relevance</h3> Methicillin-resistant<i>S aureus</i>strains concordant with infecting and colonizing strains are present on commonly handled household surfaces, a factor that likely perpetuates MRSA transmission and recurrent disease. Future studies are needed to determine methods to eradicate environmental contamination and prevent MRSA transmission in households." @default.
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• W1989600298 date "2014-11-01" @default.
• W1989600298 modified "2023-09-30" @default.
• W1989600298 title "Contamination of Environmental Surfaces With<i>Staphylococcus aureus</i>in Households With Children Infected With Methicillin-Resistant<i>S aureus</i>" @default.
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• W1989600298 doi "https://doi.org/10.1001/jamapediatrics.2014.1218" @default.
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