Methicillin-resistant Staphylococcus aureus infection after lung transplantation: 5-year review of clinical and molecular epidemiology

J Heart Lung Transplant. 2009 Nov;28(11):1231-6. doi: 10.1016/j.healun.2009.06.010. Epub 2009 Sep 26.

Abstract

Background: Data on the epidemiology of MRSA infection in lung transplantation is limited.

Methods: We performed a 5-year retrospective study to assess the incidence and microbiologic and clinical characteristics of methicillin-resistant Staphylococcus aureus (MRSA) infection in a cohort of 163 lung transplant recipients.

Results: Seventeen patients with MRSA colonization and/or infection were identified, for a calculated incidence rate of 76.1 cases per 1,000 transplanted-years. Pulsed-field gel electrophoresis identified 3 different distinct MRSA profiles, all of them consistent with hospital-associated MRSA infection.

Conclusion: Despite negative polymerase chain reaction (PCR) for the virulence factor Panton-Valentine leukocidin, MRSA infections resulted in significant disease and morbidity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Electrophoresis, Gel, Pulsed-Field
  • Follow-Up Studies
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Incidence
  • Lung Transplantation / adverse effects*
  • Lung Transplantation / immunology
  • Methicillin-Resistant Staphylococcus aureus* / isolation & purification
  • Retrospective Studies
  • Staphylococcal Infections / epidemiology*
  • Time Factors
  • Young Adult

Substances

  • Immunosuppressive Agents