Research article
The evolution of methicillin-resistant Staphylococcus aureus in Canadian hospitals: 5 years of national surveillance
Andrew E. Simor, Marianna Ofner-Agostini, Elizabeth Bryce, Karen Green, Allison McGeer, Michael Mulvey, Shirley Paton and The Canadian Nosocomial Infection Surveillance Program, Health Canada
CMAJ July 10, 2001 165 (1) 21-26;
Andrew E. Simor
From the *Department of Microbiology, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; the †Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ont.; the ‡Division of Nosocomial and Occupational Infections, Centre for Infectious Disease Prevention and Control, Health Canada, Ottawa, Ont.; the §Department of Public Health Sciences, University of Toronto, Toronto, Ont., the ¶Department of Pathology, Vancouver General Hospital, Vancouver, BC; the **Department of Microbiology, Mount Sinai Hospital, Toronto, Ont. Dr. Elizabeth Bryce, Vancouver General Hospital, Vancouver, BC; Dr. John Conly, University Health Network, Toronto, Ont.; Dr. John Embil, Health Sciences Centre, Winnipeg, Man.; Dr. Marie Gourdeau, Hôpital de l'Enfant-Jésus, Quebec City, Que.; Ms. Karen Green, Community and Hospital Infection Control Association-Canada; Dr. Dan Gregson, St. Joseph's Health Centre, London, Ont.; Dr. Betty-Ann Henderson, Peter Lougheed Centre, Calgary, Alta.; Dr. James Hutchinson, Health Sciences Centre, St. John's, Nfld.; Dr. Magued Ishak, Centre hospitalier Angrignon, Verdun, Que.; Dr. Peter Jessamine, The Ottawa Hospital, Ottawa, Ont.; Dr. Lynne Johnston, Queen Elizabeth II Health Sciences Centre, Halifax, NS; Dr. Joanne Langley, I.W.K. Grace Health Science Centre, Halifax, NS; Dr. Mark Loeb, Hamilton Health Sciences Corp., Hamilton, Ont.; Dr. Anne Matlow, Hospital for Sick Children, Toronto, Ont.; Dr. Allison McGeer, Mount Sinai Hospital, Toronto, Ont.; Dr. Mark Miller, Jewish General Hospital, Montreal, Que.; Dr. Dorothy Moore, Montreal Children's Hospital, Montreal, Que.; Dr. Michael Mulvey, Canadian Science Centre for Human and Animal Health, Health Canada; Ms. Marianna Ofner-Agostini, Centre for Infectious Disease Prevention and Control, Health Canada; Ms. Shirley Paton, Centre for Infectious Disease Prevention and Control, Health Canada; Dr. Andrew Simor, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; Dr. Geoffrey Taylor, University of Alberta, Edmonton, Alta.; Dr. William Thompson, The Moncton Hospital, Moncton, NB; Dr. Mary Vearncombe, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; Dr. Alice Wong, Royal University Hospital, Saskatoon, Sask.; Dr. Dick Zoutman, Kingston General Hospital, Kingston, Ont.
Marianna Ofner-Agostini
From the *Department of Microbiology, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; the †Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ont.; the ‡Division of Nosocomial and Occupational Infections, Centre for Infectious Disease Prevention and Control, Health Canada, Ottawa, Ont.; the §Department of Public Health Sciences, University of Toronto, Toronto, Ont., the ¶Department of Pathology, Vancouver General Hospital, Vancouver, BC; the **Department of Microbiology, Mount Sinai Hospital, Toronto, Ont. Dr. Elizabeth Bryce, Vancouver General Hospital, Vancouver, BC; Dr. John Conly, University Health Network, Toronto, Ont.; Dr. John Embil, Health Sciences Centre, Winnipeg, Man.; Dr. Marie Gourdeau, Hôpital de l'Enfant-Jésus, Quebec City, Que.; Ms. Karen Green, Community and Hospital Infection Control Association-Canada; Dr. Dan Gregson, St. Joseph's Health Centre, London, Ont.; Dr. Betty-Ann Henderson, Peter Lougheed Centre, Calgary, Alta.; Dr. James Hutchinson, Health Sciences Centre, St. John's, Nfld.; Dr. Magued Ishak, Centre hospitalier Angrignon, Verdun, Que.; Dr. Peter Jessamine, The Ottawa Hospital, Ottawa, Ont.; Dr. Lynne Johnston, Queen Elizabeth II Health Sciences Centre, Halifax, NS; Dr. Joanne Langley, I.W.K. Grace Health Science Centre, Halifax, NS; Dr. Mark Loeb, Hamilton Health Sciences Corp., Hamilton, Ont.; Dr. Anne Matlow, Hospital for Sick Children, Toronto, Ont.; Dr. Allison McGeer, Mount Sinai Hospital, Toronto, Ont.; Dr. Mark Miller, Jewish General Hospital, Montreal, Que.; Dr. Dorothy Moore, Montreal Children's Hospital, Montreal, Que.; Dr. Michael Mulvey, Canadian Science Centre for Human and Animal Health, Health Canada; Ms. Marianna Ofner-Agostini, Centre for Infectious Disease Prevention and Control, Health Canada; Ms. Shirley Paton, Centre for Infectious Disease Prevention and Control, Health Canada; Dr. Andrew Simor, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; Dr. Geoffrey Taylor, University of Alberta, Edmonton, Alta.; Dr. William Thompson, The Moncton Hospital, Moncton, NB; Dr. Mary Vearncombe, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; Dr. Alice Wong, Royal University Hospital, Saskatoon, Sask.; Dr. Dick Zoutman, Kingston General Hospital, Kingston, Ont.
Elizabeth Bryce
From the *Department of Microbiology, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; the †Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ont.; the ‡Division of Nosocomial and Occupational Infections, Centre for Infectious Disease Prevention and Control, Health Canada, Ottawa, Ont.; the §Department of Public Health Sciences, University of Toronto, Toronto, Ont., the ¶Department of Pathology, Vancouver General Hospital, Vancouver, BC; the **Department of Microbiology, Mount Sinai Hospital, Toronto, Ont. Dr. Elizabeth Bryce, Vancouver General Hospital, Vancouver, BC; Dr. John Conly, University Health Network, Toronto, Ont.; Dr. John Embil, Health Sciences Centre, Winnipeg, Man.; Dr. Marie Gourdeau, Hôpital de l'Enfant-Jésus, Quebec City, Que.; Ms. Karen Green, Community and Hospital Infection Control Association-Canada; Dr. Dan Gregson, St. Joseph's Health Centre, London, Ont.; Dr. Betty-Ann Henderson, Peter Lougheed Centre, Calgary, Alta.; Dr. James Hutchinson, Health Sciences Centre, St. John's, Nfld.; Dr. Magued Ishak, Centre hospitalier Angrignon, Verdun, Que.; Dr. Peter Jessamine, The Ottawa Hospital, Ottawa, Ont.; Dr. Lynne Johnston, Queen Elizabeth II Health Sciences Centre, Halifax, NS; Dr. Joanne Langley, I.W.K. Grace Health Science Centre, Halifax, NS; Dr. Mark Loeb, Hamilton Health Sciences Corp., Hamilton, Ont.; Dr. Anne Matlow, Hospital for Sick Children, Toronto, Ont.; Dr. Allison McGeer, Mount Sinai Hospital, Toronto, Ont.; Dr. Mark Miller, Jewish General Hospital, Montreal, Que.; Dr. Dorothy Moore, Montreal Children's Hospital, Montreal, Que.; Dr. Michael Mulvey, Canadian Science Centre for Human and Animal Health, Health Canada; Ms. Marianna Ofner-Agostini, Centre for Infectious Disease Prevention and Control, Health Canada; Ms. Shirley Paton, Centre for Infectious Disease Prevention and Control, Health Canada; Dr. Andrew Simor, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; Dr. Geoffrey Taylor, University of Alberta, Edmonton, Alta.; Dr. William Thompson, The Moncton Hospital, Moncton, NB; Dr. Mary Vearncombe, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; Dr. Alice Wong, Royal University Hospital, Saskatoon, Sask.; Dr. Dick Zoutman, Kingston General Hospital, Kingston, Ont.
Karen Green
From the *Department of Microbiology, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; the †Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ont.; the ‡Division of Nosocomial and Occupational Infections, Centre for Infectious Disease Prevention and Control, Health Canada, Ottawa, Ont.; the §Department of Public Health Sciences, University of Toronto, Toronto, Ont., the ¶Department of Pathology, Vancouver General Hospital, Vancouver, BC; the **Department of Microbiology, Mount Sinai Hospital, Toronto, Ont. Dr. Elizabeth Bryce, Vancouver General Hospital, Vancouver, BC; Dr. John Conly, University Health Network, Toronto, Ont.; Dr. John Embil, Health Sciences Centre, Winnipeg, Man.; Dr. Marie Gourdeau, Hôpital de l'Enfant-Jésus, Quebec City, Que.; Ms. Karen Green, Community and Hospital Infection Control Association-Canada; Dr. Dan Gregson, St. Joseph's Health Centre, London, Ont.; Dr. Betty-Ann Henderson, Peter Lougheed Centre, Calgary, Alta.; Dr. James Hutchinson, Health Sciences Centre, St. John's, Nfld.; Dr. Magued Ishak, Centre hospitalier Angrignon, Verdun, Que.; Dr. Peter Jessamine, The Ottawa Hospital, Ottawa, Ont.; Dr. Lynne Johnston, Queen Elizabeth II Health Sciences Centre, Halifax, NS; Dr. Joanne Langley, I.W.K. Grace Health Science Centre, Halifax, NS; Dr. Mark Loeb, Hamilton Health Sciences Corp., Hamilton, Ont.; Dr. Anne Matlow, Hospital for Sick Children, Toronto, Ont.; Dr. Allison McGeer, Mount Sinai Hospital, Toronto, Ont.; Dr. Mark Miller, Jewish General Hospital, Montreal, Que.; Dr. Dorothy Moore, Montreal Children's Hospital, Montreal, Que.; Dr. Michael Mulvey, Canadian Science Centre for Human and Animal Health, Health Canada; Ms. Marianna Ofner-Agostini, Centre for Infectious Disease Prevention and Control, Health Canada; Ms. Shirley Paton, Centre for Infectious Disease Prevention and Control, Health Canada; Dr. Andrew Simor, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; Dr. Geoffrey Taylor, University of Alberta, Edmonton, Alta.; Dr. William Thompson, The Moncton Hospital, Moncton, NB; Dr. Mary Vearncombe, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; Dr. Alice Wong, Royal University Hospital, Saskatoon, Sask.; Dr. Dick Zoutman, Kingston General Hospital, Kingston, Ont.
Allison McGeer
From the *Department of Microbiology, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; the †Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ont.; the ‡Division of Nosocomial and Occupational Infections, Centre for Infectious Disease Prevention and Control, Health Canada, Ottawa, Ont.; the §Department of Public Health Sciences, University of Toronto, Toronto, Ont., the ¶Department of Pathology, Vancouver General Hospital, Vancouver, BC; the **Department of Microbiology, Mount Sinai Hospital, Toronto, Ont. Dr. Elizabeth Bryce, Vancouver General Hospital, Vancouver, BC; Dr. John Conly, University Health Network, Toronto, Ont.; Dr. John Embil, Health Sciences Centre, Winnipeg, Man.; Dr. Marie Gourdeau, Hôpital de l'Enfant-Jésus, Quebec City, Que.; Ms. Karen Green, Community and Hospital Infection Control Association-Canada; Dr. Dan Gregson, St. Joseph's Health Centre, London, Ont.; Dr. Betty-Ann Henderson, Peter Lougheed Centre, Calgary, Alta.; Dr. James Hutchinson, Health Sciences Centre, St. John's, Nfld.; Dr. Magued Ishak, Centre hospitalier Angrignon, Verdun, Que.; Dr. Peter Jessamine, The Ottawa Hospital, Ottawa, Ont.; Dr. Lynne Johnston, Queen Elizabeth II Health Sciences Centre, Halifax, NS; Dr. Joanne Langley, I.W.K. Grace Health Science Centre, Halifax, NS; Dr. Mark Loeb, Hamilton Health Sciences Corp., Hamilton, Ont.; Dr. Anne Matlow, Hospital for Sick Children, Toronto, Ont.; Dr. Allison McGeer, Mount Sinai Hospital, Toronto, Ont.; Dr. Mark Miller, Jewish General Hospital, Montreal, Que.; Dr. Dorothy Moore, Montreal Children's Hospital, Montreal, Que.; Dr. Michael Mulvey, Canadian Science Centre for Human and Animal Health, Health Canada; Ms. Marianna Ofner-Agostini, Centre for Infectious Disease Prevention and Control, Health Canada; Ms. Shirley Paton, Centre for Infectious Disease Prevention and Control, Health Canada; Dr. Andrew Simor, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; Dr. Geoffrey Taylor, University of Alberta, Edmonton, Alta.; Dr. William Thompson, The Moncton Hospital, Moncton, NB; Dr. Mary Vearncombe, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; Dr. Alice Wong, Royal University Hospital, Saskatoon, Sask.; Dr. Dick Zoutman, Kingston General Hospital, Kingston, Ont.
Michael Mulvey
From the *Department of Microbiology, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; the †Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ont.; the ‡Division of Nosocomial and Occupational Infections, Centre for Infectious Disease Prevention and Control, Health Canada, Ottawa, Ont.; the §Department of Public Health Sciences, University of Toronto, Toronto, Ont., the ¶Department of Pathology, Vancouver General Hospital, Vancouver, BC; the **Department of Microbiology, Mount Sinai Hospital, Toronto, Ont. Dr. Elizabeth Bryce, Vancouver General Hospital, Vancouver, BC; Dr. John Conly, University Health Network, Toronto, Ont.; Dr. John Embil, Health Sciences Centre, Winnipeg, Man.; Dr. Marie Gourdeau, Hôpital de l'Enfant-Jésus, Quebec City, Que.; Ms. Karen Green, Community and Hospital Infection Control Association-Canada; Dr. Dan Gregson, St. Joseph's Health Centre, London, Ont.; Dr. Betty-Ann Henderson, Peter Lougheed Centre, Calgary, Alta.; Dr. James Hutchinson, Health Sciences Centre, St. John's, Nfld.; Dr. Magued Ishak, Centre hospitalier Angrignon, Verdun, Que.; Dr. Peter Jessamine, The Ottawa Hospital, Ottawa, Ont.; Dr. Lynne Johnston, Queen Elizabeth II Health Sciences Centre, Halifax, NS; Dr. Joanne Langley, I.W.K. Grace Health Science Centre, Halifax, NS; Dr. Mark Loeb, Hamilton Health Sciences Corp., Hamilton, Ont.; Dr. Anne Matlow, Hospital for Sick Children, Toronto, Ont.; Dr. Allison McGeer, Mount Sinai Hospital, Toronto, Ont.; Dr. Mark Miller, Jewish General Hospital, Montreal, Que.; Dr. Dorothy Moore, Montreal Children's Hospital, Montreal, Que.; Dr. Michael Mulvey, Canadian Science Centre for Human and Animal Health, Health Canada; Ms. Marianna Ofner-Agostini, Centre for Infectious Disease Prevention and Control, Health Canada; Ms. Shirley Paton, Centre for Infectious Disease Prevention and Control, Health Canada; Dr. Andrew Simor, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; Dr. Geoffrey Taylor, University of Alberta, Edmonton, Alta.; Dr. William Thompson, The Moncton Hospital, Moncton, NB; Dr. Mary Vearncombe, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; Dr. Alice Wong, Royal University Hospital, Saskatoon, Sask.; Dr. Dick Zoutman, Kingston General Hospital, Kingston, Ont.
Shirley Paton
From the *Department of Microbiology, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; the †Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ont.; the ‡Division of Nosocomial and Occupational Infections, Centre for Infectious Disease Prevention and Control, Health Canada, Ottawa, Ont.; the §Department of Public Health Sciences, University of Toronto, Toronto, Ont., the ¶Department of Pathology, Vancouver General Hospital, Vancouver, BC; the **Department of Microbiology, Mount Sinai Hospital, Toronto, Ont. Dr. Elizabeth Bryce, Vancouver General Hospital, Vancouver, BC; Dr. John Conly, University Health Network, Toronto, Ont.; Dr. John Embil, Health Sciences Centre, Winnipeg, Man.; Dr. Marie Gourdeau, Hôpital de l'Enfant-Jésus, Quebec City, Que.; Ms. Karen Green, Community and Hospital Infection Control Association-Canada; Dr. Dan Gregson, St. Joseph's Health Centre, London, Ont.; Dr. Betty-Ann Henderson, Peter Lougheed Centre, Calgary, Alta.; Dr. James Hutchinson, Health Sciences Centre, St. John's, Nfld.; Dr. Magued Ishak, Centre hospitalier Angrignon, Verdun, Que.; Dr. Peter Jessamine, The Ottawa Hospital, Ottawa, Ont.; Dr. Lynne Johnston, Queen Elizabeth II Health Sciences Centre, Halifax, NS; Dr. Joanne Langley, I.W.K. Grace Health Science Centre, Halifax, NS; Dr. Mark Loeb, Hamilton Health Sciences Corp., Hamilton, Ont.; Dr. Anne Matlow, Hospital for Sick Children, Toronto, Ont.; Dr. Allison McGeer, Mount Sinai Hospital, Toronto, Ont.; Dr. Mark Miller, Jewish General Hospital, Montreal, Que.; Dr. Dorothy Moore, Montreal Children's Hospital, Montreal, Que.; Dr. Michael Mulvey, Canadian Science Centre for Human and Animal Health, Health Canada; Ms. Marianna Ofner-Agostini, Centre for Infectious Disease Prevention and Control, Health Canada; Ms. Shirley Paton, Centre for Infectious Disease Prevention and Control, Health Canada; Dr. Andrew Simor, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; Dr. Geoffrey Taylor, University of Alberta, Edmonton, Alta.; Dr. William Thompson, The Moncton Hospital, Moncton, NB; Dr. Mary Vearncombe, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; Dr. Alice Wong, Royal University Hospital, Saskatoon, Sask.; Dr. Dick Zoutman, Kingston General Hospital, Kingston, Ont.
From the *Department of Microbiology, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; the †Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ont.; the ‡Division of Nosocomial and Occupational Infections, Centre for Infectious Disease Prevention and Control, Health Canada, Ottawa, Ont.; the §Department of Public Health Sciences, University of Toronto, Toronto, Ont., the ¶Department of Pathology, Vancouver General Hospital, Vancouver, BC; the **Department of Microbiology, Mount Sinai Hospital, Toronto, Ont. Dr. Elizabeth Bryce, Vancouver General Hospital, Vancouver, BC; Dr. John Conly, University Health Network, Toronto, Ont.; Dr. John Embil, Health Sciences Centre, Winnipeg, Man.; Dr. Marie Gourdeau, Hôpital de l'Enfant-Jésus, Quebec City, Que.; Ms. Karen Green, Community and Hospital Infection Control Association-Canada; Dr. Dan Gregson, St. Joseph's Health Centre, London, Ont.; Dr. Betty-Ann Henderson, Peter Lougheed Centre, Calgary, Alta.; Dr. James Hutchinson, Health Sciences Centre, St. John's, Nfld.; Dr. Magued Ishak, Centre hospitalier Angrignon, Verdun, Que.; Dr. Peter Jessamine, The Ottawa Hospital, Ottawa, Ont.; Dr. Lynne Johnston, Queen Elizabeth II Health Sciences Centre, Halifax, NS; Dr. Joanne Langley, I.W.K. Grace Health Science Centre, Halifax, NS; Dr. Mark Loeb, Hamilton Health Sciences Corp., Hamilton, Ont.; Dr. Anne Matlow, Hospital for Sick Children, Toronto, Ont.; Dr. Allison McGeer, Mount Sinai Hospital, Toronto, Ont.; Dr. Mark Miller, Jewish General Hospital, Montreal, Que.; Dr. Dorothy Moore, Montreal Children's Hospital, Montreal, Que.; Dr. Michael Mulvey, Canadian Science Centre for Human and Animal Health, Health Canada; Ms. Marianna Ofner-Agostini, Centre for Infectious Disease Prevention and Control, Health Canada; Ms. Shirley Paton, Centre for Infectious Disease Prevention and Control, Health Canada; Dr. Andrew Simor, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; Dr. Geoffrey Taylor, University of Alberta, Edmonton, Alta.; Dr. William Thompson, The Moncton Hospital, Moncton, NB; Dr. Mary Vearncombe, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ont.; Dr. Alice Wong, Royal University Hospital, Saskatoon, Sask.; Dr. Dick Zoutman, Kingston General Hospital, Kingston, Ont.
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In this issue
CMAJ
Vol. 165, Issue 1
10 Jul 2001
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The evolution of methicillin-resistant Staphylococcus aureus in Canadian hospitals: 5 years of national surveillance
Andrew E. Simor, Marianna Ofner-Agostini, Elizabeth Bryce, Karen Green, Allison McGeer, Michael Mulvey, Shirley Paton, The Canadian Nosocomial Infection Surveillance Program, Health Canada
CMAJ Jul 2001, 165 (1) 21-26;
The evolution of methicillin-resistant Staphylococcus aureus in Canadian hospitals: 5 years of national surveillance
Andrew E. Simor, Marianna Ofner-Agostini, Elizabeth Bryce, Karen Green, Allison McGeer, Michael Mulvey, Shirley Paton, The Canadian Nosocomial Infection Surveillance Program, Health Canada
CMAJ Jul 2001, 165 (1) 21-26;
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