An outbreak of EMRSA 2 associated with long-term colonization of medical staff

Hancox, Robert J.; Cummins, Amelia; Kelsey, M.C.

doi:10.1016/0195-6701(92)90104-t

Cited by 16 publications

(7 citation statements)

References 7 publications

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“…It has been recognized that some healthcare workers may yield positive screens only after a shift in an endemic work setting, and thus it has been proposed that health personnel screening should take place at the start of a shift [116,119,128]. The continuing staff reservoir for MRSA is mainly the long-term carrier, and such dissemination can be intermittent or continuous [34,36,41,45,77,79,83,84,131,132].…”

Section: Seek and Ye Shall Findmentioning

confidence: 98%

“…Healthcare worker Nasal and hand carrier N Household contact Nasal mupirocin Decontamination of environment [151] Nurse ND Y Partner ND ND [167] Trainees inevitably circuit several educational medical settings. The literature documents several such opportunities for spread [29,31,39,57,66,80,128,130,132,199].…”

Section: Epidemiological Curiosmentioning

confidence: 99%

“…Chronic dermatitis [11,27,30,43,44,66,102,114,120,127,131,[133][134][135][136][137][138][139] Paronychial infection [11,136,138,140], post-operative wound [140], vaginal [140,142] Sinus [32,45,143,144], sputum [38,141,145], ulcers [141], otitis externa [11,27,138] Skin ulcers/wounds/abscesses [11,136,141,144], rectal [27,31], perianal/perineal [27,102,146] Throat/tonsils [66,132,147], hair [148], conjunctival [138]…”

Section: Seek and Ye Shall Findmentioning

confidence: 99%

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The role of healthcare personnel in the maintenance and spread of methicillin-resistant Staphylococcus aureus

Cimolai

2008

Journal of Infection and Public Health

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Healthcare workers may acquire methicillin-resistant Staphylococcus aureus (MRSA) from patients, both hospital and home environments, other healthcare workers, family and public acquaintances, and pets. There is a consensus of case reports and series which now strongly support the role for MRSA-carrying healthcare personnel to serve as a reservoir and as a vehicle of spread within healthcare settings. Carriage may occur at a number of body sites and for short, intermediate, and long terms. A number of approaches have been taken to interrupt the linkage of staff-patient spread, but most emphasis has been placed on handwashing and the treatment of staff MRSA carriers. The importance of healthcare workers in transmission has been viewed with varying degrees of interest, and several logistical problems have arisen when healthcare worker screening is brought to the forefront. There is now considerable support for the screening and treatment of healthcare workers, but it is suggested that the intensity of any such approach must consider available resources, the nature of the outbreak, and the strength of epidemiological associations. The task of assessing healthcare personnel carriage in any context should be shaped with due regard to national and international guidelines, should be honed and practiced according to local needs and experience, and must be patient-oriented.

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Section: Seek and Ye Shall Findmentioning

confidence: 98%

Section: Epidemiological Curiosmentioning

confidence: 99%

Section: Seek and Ye Shall Findmentioning

confidence: 99%

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The role of healthcare personnel in the maintenance and spread of methicillin-resistant Staphylococcus aureus

Cimolai

2008

Journal of Infection and Public Health

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“…Hancox et al [41] reported a small outbreak of MRSA central venous line infections involving two patients, which was associated with a staff member. The HCW was not involved in inserting the lines, however, he used them to administer drugs.…”

Section: Methicillin-resistant Staphylococcus Aureus Carriage Among Hmentioning

confidence: 98%

“…Since nosocomial transmission of MRSA between patients is mainly via transient hand carriage of HCWs, a greater emphasis should be given to improving hand hygiene practices among health care personnel [41]. However, studies repeatedly show that compliance by HCWs, in particular doctors, rarely exceeds 40% [42][43][44].…”

Section: Intervention For Health Care Workersmentioning

confidence: 99%

Staphylococcus aureus carriage and health care-acquired infection

Chiang

Climo

2002

Curr Infect Dis Rep

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Staphylococcus aureus is one of the most common nosocomial pathogens. Its propensity to establish prolonged carriage among hospitalized patients and increasing resistance to antibiotics makes control of this organism within the hospital difficult. High-level vancomycin resistance has now been reported in a single clinical isolate of S. aureus, emphasizing the need to increase efforts to control nosocomial spread. Knowledge of the epidemiology of S. aureus colonization among patients has shed new light on the potential difficulties in interrupting nosocomial transmission. Effective control of S. aureus within the hospital and community will require more aggressive measures that include earlier diagnosis of colonized patients, better handwashing and barrier precaution measures, and renewed efforts to eradicate the carriage state.

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Methicillin-resistant Staphylococcus aureus in orthopaedic surgery

Tai

Nirvani

Holmes

et al. 2004

International Orthopaedics

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We prospectively studied the incidence of methicillin-resistant Staphylococcus aureus (MRSA) colonisation and infection, the patterns and types of operation associated with MRSA acquisition in an orthopaedic and trauma unit in London, UK. Over the 12-month study period from January to December 2000, we found that 1.6% of the total admission was diagnosed to be either MRSA infected or colonised, with an average of three new MRSA cases detected per month. A significant proportion of patients (23%) were diagnosed within the first 48h of admission. Both hip joint surgery, especially emergency procedures for femoral neck fractures, and the presence of a wound presented higher risk of infection. The Intensive Care Unit (ICU) did not appear to be a significant source for intra-hospital dissemination among the orthopaedic patients. MRSA infection or colonisation contributed to an increased length of hospital stay; 88 days compared to 11 days on average for non-MRSA patients; 41% of the positive patients still carried MRSA on discharge. Our data show the importance of diagnosing MRSA in orthopaedic surgery and emphasises that understanding its epidemiology will be crucial to secure a decrease in the incidence of MRSA. Hand hygiene, patient screening, careful surveillance of infections and the prompt implementation of isolation policies, are essential components of control.

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An outbreak of EMRSA 2 associated with long-term colonization of medical staff

Cited by 16 publications

References 7 publications

The role of healthcare personnel in the maintenance and spread of methicillin-resistant Staphylococcus aureus

The role of healthcare personnel in the maintenance and spread of methicillin-resistant Staphylococcus aureus

Staphylococcus aureus carriage and health care-acquired infection

Methicillin-resistant Staphylococcus aureus in orthopaedic surgery

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