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  • Title: The diabetic foot clinic: not a significant source for acquisition of methicillin-resistant Staphylococcus aureus.
    Author: Lagacé-Wiens PR, Ormiston D, Nicolle LE, Hilderman T, Embil J.
    Journal: Am J Infect Control; 2009 Sep; 37(7):587-9. PubMed ID: 19243857.
    Abstract:
    BACKGROUND: Diabetic foot clinics have been reported as a source of acquisition of methicillin-resistant Staphylococcus aureus (MRSA). We undertook a 10-year review of patients infected or colonized with MRSA from a tertiary care hospital diabetic foot clinic and describe the epidemiology and genotypes of newly acquired MRSA in comparison with the community at large. METHODS: All new MRSA cases from the diabetic foot clinic, the hospital, and the province were reviewed to identify and compare the 10-year trend in MRSA incidence. Pulsed-field gel electrophoresis using SmaI of all clinic isolates was performed, and standard genotypes were assigned to assess the genetic heterogeneity of MRSA in the clinic. RESULTS: Analysis of trends revealed a low-potential, clinic-attributable incidence and a total clinic incidence that was comparable with regional and hospital MRSA rates. Strains recovered from clinic patients were genetically heterogeneous. CONCLUSION: Our 10-year analysis of trends in MRSA acquisition and MRSA genotypes data does not support significant transmission of MRSA in this clinic setting.
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