Colonisation with methicillin-resistantStaphylococcus aureusand associated factors among nurses with occupational skin diseases

Abstract

Nurses with OSD have a twofold to threefold higher prevalence of MRSA colonisation than what has been reported for point-prevalence screenings among healthcare workers in Germany. Atopic skin diathesis, atopic dermatitis and severe hand eczema are the main risk factors. Thus, prevention and treatment of OSD could be important elements in reduction of colonisation with MRSA among nurses and transmission to others.

Colonization with Staphylococcus aureus in patients with hand eczema: Prevalence and association with severity, atopic dermatitis, subtype and nasal colonization

“…From an infection prevention perspective, the frequent S. aureus skin and nasal colonization in patients with HE may hamper the work of certain occupations with the risk of transferring S. aureus . Previously, a higher skin prevalence of S. aureus has been reported among HCWs with damaged skin on the hands, 20,21,31 though this was not confirmed in the present study. Even HCWs without eczema are reported to carry S. aureus on hands, 32‐34 probably due to occupational exposure.…”

“…12,19,40 Therefore, we used swabs, suitable for both skin and nasal collection of S. aureus, for comparison, and repeated sampling. 12,31,32 Our "real-life" study design is both a strength and a limitation. We aimed to determine the S. aureus colonization in everyday life for patients with HE, regardless of treatment and hand hygiene.…”

Sinus Bacteriology in Patients with Cystic Fibrosis or Primary Ciliary Dyskinesia: A Systematic Review

“…59 Methicillin resistant S. aureus is especially isolated in individuals with health care-associated exposure. [60][61][62] Controversy remains as to whether there is a nonpathologic bacterial flora in the healthy sinus. Nevertheless, ␣-hemolytic streptococci and ␤-hemolytic streptococci, S. aureus, H. parainfluenzae, and anaerobes , have been isolated from nondiseased sinuses.…”

Wet work exposure and hand eczema among healthcare workers: a cross-sectional study

“…Furthermore, HE can lead to increased carriage of potentially hazardous microorganisms on eczematous skin of the hand, which indicates a possible risk for transmission of bacterial infections. HE can increase the risk for colonization with methicillin‐resistant Staphylococcus aureus among nurses …”