DMW - Deutsche Medizinische Wochenschrift, Table of Contents Dtsch Med Wochenschr 2008; 133(8): 370-371DOI: 10.1055/s-2008-1046722 Kommentar | Commentary Infektiologie, Hygiene © Georg Thieme Verlag KG Stuttgart · New York MRSA und andere multiresistente Erreger: ein Problem zunehmend auch in der ambulanten Medizin MRSA and other multi-resistant pathogens, an ever increasing problem even in ambulant medicineM. Dettenkofer1 , A. F. Widmer2 , W. V. Kern3 1Institut für Umweltmedizin und Krankenhaushygiene, Universitätsklinikum Freiburg 2Klinik für Infektiologie und Spitalhygiene, Universitässpital Basel, Schweiz 3Medizinische Universitätsklinik, Zentrum Infektiologie und Reisemedizin, Freiburg Recommend Article Abstract Buy Article Schlüsselwörter Staphylococcus aureus - Methicillin-Resistenz - MRSA - Prävention Key words Staphylococcus aureus - methicillin resistance - MRSA - prevention Full Text References Literatur 1 Aramburu C, Harbarth S, Liassine N, Girard M, Gervaix A, Scherenzel J, Renzi G, Sudre P. Community-acquired methicillin-resistant Staphylococcus aureus in Switzerland: first surveillance report. Euro Surveill. 2006; 11 (1) , - Epub 2 Dettenkofer M, Merkel H, Mutter J, Daschner, F. Ein Health Technology Assessment - Was ist wissenschaftlich gesichert zur Prävention von MRSA. Klinikarzt. 2004; 33 15-20 3 Evans H L, Shaffer M M, Hughes M G, Smith R L, Chong T W, Raymond D P, Pelletier S J, Pruett T L, Sawyer R G. Contact isolation in surgical patients: a barrier to care?. Surgery. 2003; 134 180-8 4 Eveillard M, Lancien E, deLassence A, Branger C, Barnaud G, Benlolo J A, Joly-Guillou M L. Impact of the reinforcement of a methicillin-resistant Staphylococcus aureus control programme: a 3-year evaluation by several indicators in a French university hospital. Eur J Epidemiol. 2006; 21 551-8 5 Friedrich A W, Daniels-Haardt I, van Gemert-Pijnen J EWC, Hendrix M GR, von Eiff C, Kipp F, Becker K, Köck R, Verhoeven F, Mellmann A. Ein regionales Netzwerk zur Prävention und Kontrolle von Infektionen durch MRSA: EUREGIO MRSA-net Twente/Münsterland. Epi Bull. 2007; 33 307-311 6 Geffers C, Ruden H. Let MRSA-positive patients live a normal life. Nephrol Dial Transplant. 2006; 21 835-6 7 Grundmann H, Aires-de-Sousa M, Boyce J, Tiemersma E. Emergence and resurgence of meticillin-resistant Staphylococcus aureus as a public-health threat. Lancet. 2006; 368 874-85 8 Hugonnet S, Chevrolet J C, Pittet D. The effect of workload on infection risk in critically ill patients. Crit Care Med. 2007; 35 76-81 9 Hugonnet S, Uckay I, Pittet D. Staffing level: a determinant of late-onset ventilator-associated pneumonia. Crit Care. 2007; 11 R80 10 Kappstein I. Prävention von MRSA-Übertragungen. Krankenhaushygiene up2date. 2006; 1 9-36 11 Kirkland K B, Weinstein J M. Adverse effects of contact isolation [letter]. Lancet. 1999; 354 1177-1178 12 Lucet J C, Paoletti X, Lolom I, Paugam-Burtz C, Trouillet J L, Timsit J F, Deblangy C, Andremont A, Regnier B. Successful long-term program for controlling methicillin-resistant Staphylococcus aureus in intensive care units. Intensive Care Med. 2005; 31 1051-7 13 Mertz D, Frei R, Jaussi B, Tietz A, Stebler C, Fluckiger U, Widmer A F. Throat swabs are necessary to reliably detect carriers of Staphylococcus aureus. Clin Infect Dis. 2007; 45 475-7 14 Moran G J, Krishnadasan A, Gorwitz R J et al.. EMERGEncy ID Net Study Group . Methicillin-resistant S. aureus infections among patients in the emergency department. N Engl J Med. 2006; 355 666-74 15 Pittet D. et al. WHO Global Patient Safety Challenge, World Alliance for Patient Safety . Evidence-based model for hand transmission during patient care and the role of improved practices. Lancet Infect Dis. 2006; 6 641-52 16 Stelfox H T, Bates D W, Redelmeier D A. Safety of patients isolated for infection control. JAMA. 2003; 290 1899-905 17 Wagenlehner F M, Naber K G. et al . Management of a large healthcare-associated outbreak of Panton-Valentine leucocidin-positive methicillin-resistant Staphylococcus aureus in Germany. J Hosp Infect. 2007; 67 114-20 Prof. Dr. med. Markus Dettenkofer Institut für Umweltmedizin und Krankenhaushygiene, Universitätsklinikum Freiburg Breisacherstr. 115b 79106 Freiburg Phone: 0761/270-8275 Fax: 0761/270-8253 Email: markus.dettenkofer@uniklinik-freiburg.de