Bed, bath and beyond: pitfalls in prompt eradication of methicillin-resistant Staphylococcus aureus carrier status in healthcare workers

Kniehl, E.; Becker, Andrea; Forster, D.H.

doi:10.1016/j.jhin.2004.06.016

Cited by 55 publications

(47 citation statements)

References 25 publications

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“…aureus besitzt eine hohe Tenazität und kann im unbelebten Umfeld Monate überleben [169,409]. Reservoire im häus-lichen Umfeld (kolonisierte Haushaltsangehörige oder Haus-und Nutztiere) kön-nen den Dekolonisierungserfolg beeinträchtigen [163,410,411].…”

Section: Dekolonisierung Der Hautunclassified

Empfehlungen zur Prävention und Kontrolle von Methicillin-resistenten Staphylococcus aureus-Stämmen (MRSA) in medizinischen und pflegerischen Einrichtungen

Ruscher

2014

Bundesgesundheitsbl.

123

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Section: Dekolonisierung Der Hautunclassified

Empfehlungen zur Prävention und Kontrolle von Methicillin-resistenten Staphylococcus aureus-Stämmen (MRSA) in medizinischen und pflegerischen Einrichtungen

Ruscher

2014

Bundesgesundheitsbl.

123

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“…MRSA was recovered from sinks, countertops, faucet handles, dish sponges, pet food dishes, infant high-chair trays, and others (812). Efforts to eradicate the colonization of health care workers in Germany in 1995 to 2001 succeeded only when household contacts and heavily contaminated fomites in the homes of the health care workers were disinfected (483), suggesting that fomites may constitute important environmental reservoirs. Specific fomite materials have not been tested extensively for the survival of MRSA.…”

Section: Mrsa Recovery From Fomitesmentioning

confidence: 99%

Community-Associated Methicillin-ResistantStaphylococcus aureus: Epidemiology and Clinical Consequences of an Emerging Epidemic

2010

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SUMMARY Staphylococcus aureus is an important cause of skin and soft-tissue infections (SSTIs), endovascular infections, pneumonia, septic arthritis, endocarditis, osteomyelitis, foreign-body infections, and sepsis. Methicillin-resistant S. aureus (MRSA) isolates were once confined largely to hospitals, other health care environments, and patients frequenting these facilities. Since the mid-1990s, however, there has been an explosion in the number of MRSA infections reported in populations lacking risk factors for exposure to the health care system. This increase in the incidence of MRSA infection has been associated with the recognition of new MRSA clones known as community-associated MRSA (CA-MRSA). CA-MRSA strains differ from the older, health care-associated MRSA strains; they infect a different group of patients, they cause different clinical syndromes, they differ in antimicrobial susceptibility patterns, they spread rapidly among healthy people in the community, and they frequently cause infections in health care environments as well. This review details what is known about the epidemiology of CA-MRSA strains and the clinical spectrum of infectious syndromes associated with them that ranges from a commensal state to severe, overwhelming infection. It also addresses the therapy of these infections and strategies for their prevention.

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“…Variability in carriage has led to the use of descriptions such as transient carriage, short-term carriage, and long-term carriage [81,84,105,113,[128][129][130]. Apart from transient carriage, which refers to positive screening sites on one or few occasions and soon to be followed by negative culture, the use of the terms short-term and long-term carriage is somewhat arbitrary.…”

Section: Seek and Ye Shall Findmentioning

confidence: 99%

“…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: 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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Bed, bath and beyond: pitfalls in prompt eradication of methicillin-resistant Staphylococcus aureus carrier status in healthcare workers

Cited by 55 publications

References 25 publications

Empfehlungen zur Prävention und Kontrolle von Methicillin-resistenten Staphylococcus aureus-Stämmen (MRSA) in medizinischen und pflegerischen Einrichtungen

Empfehlungen zur Prävention und Kontrolle von Methicillin-resistenten Staphylococcus aureus-Stämmen (MRSA) in medizinischen und pflegerischen Einrichtungen

Community-Associated Methicillin-ResistantStaphylococcus aureus: Epidemiology and Clinical Consequences of an Emerging Epidemic

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

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