Title |
Transmission of Methicillin-Resistant Staphylococcus aureus Infection Through Solid Organ Transplantation: Confirmation Via Whole Genome Sequencing
|
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Published in |
American Journal of Transplantation, September 2014
|
DOI | 10.1111/ajt.12898 |
Pubmed ID | |
Authors |
J.M. Wendt, D. Kaul, B.M. Limbago, M. Ramesh, S. Cohle, A.M. Denison, E.M. Driebe, J.K. Rasheed, S.R. Zaki, D.M. Blau, C.D. Paddock, L.K. McDougal, D.M. Engelthaler, P.S. Keim, C.C. Roe, H. Akselrod, M.J. Kuehnert, S.V. Basavaraju |
Abstract |
We describe two cases of donor-derived methicillin-resistant Staphylococcus aureus (MRSA) bacteremia that developed after transplantation of organs from a common donor who died from acute MRSA endocarditis. Both recipients developed recurrent MRSA infection despite appropriate antibiotic therapy, and required prolonged hospitalization and hospital readmission. Comparison of S. aureus whole genome sequence of DNA extracted from fixed donor tissue and recipients' isolates confirmed donor-derived transmission. Current guidelines emphasize the risk posed by donors with bacteremia from multidrug-resistant organisms. This investigation suggests that, particularly in the setting of donor endocarditis, even a standard course of prophylactic antibiotics may not be sufficient to prevent donor-derived infection. |
X Demographics
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Country | Count | As % |
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Mexico | 1 | 20% |
United States | 1 | 20% |
Unknown | 3 | 60% |
Demographic breakdown
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Members of the public | 3 | 60% |
Scientists | 2 | 40% |
Mendeley readers
Geographical breakdown
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Spain | 1 | 3% |
United States | 1 | 3% |
Unknown | 32 | 94% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 6 | 18% |
Other | 4 | 12% |
Researcher | 4 | 12% |
Student > Bachelor | 3 | 9% |
Student > Master | 3 | 9% |
Other | 7 | 21% |
Unknown | 7 | 21% |
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Immunology and Microbiology | 2 | 6% |
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Environmental Science | 1 | 3% |
Other | 2 | 6% |
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