When should healthcare workers be screened for methicillin-resistant Staphylococcus aureus?

Lessing, M.P.A.; Jordens, J. Zoe; Bowler, I.C.J.W.

doi:10.1016/s0195-6701(96)90067-5

Cited by 69 publications

(44 citation statements)

References 16 publications

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“…Mupirocin is rarely effective alone in clearing oropharyngeal colonisation. Successful eradication of throat carriage of MRSA in a health-care worker has been achieved by the use of rifampicin and fusidic acid, in addition to topical mupirocin [68]. However, eradication of throat carriage of MRSA has been achieved with use of topical chlorhexidine (0.2%) in addition to normal control measures of patient isolation, nasal mupirocin and chlorhexidine body washes [69].…”

Section: Mrsa In the Oral Cavitymentioning

confidence: 99%

The ecology of Staphylococcus species in the oral cavity

Smith¹,

Jackson²,

Bagg³

2001

Journal of Medical Microbiology

202

168

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Section: Mrsa In the Oral Cavitymentioning

confidence: 99%

The ecology of Staphylococcus species in the oral cavity

Smith¹,

Jackson²,

Bagg³

2001

Journal of Medical Microbiology

202

168

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“…Carriage of MRSA in healthcare provider has been associated with some hospital outbreaks and considered as a potential risk for MRSA infection among hospitalized patients. 21 Reliable detection and elimination of MRSA carriage in hospital staffs is, therefore, necessary for effective infection control intervention in a hospital.…”

Section: Resultsmentioning

confidence: 99%

Coagulase Typing and spa Typing of Methicillin Resistant Staphylococcus aureus: Relatedness Among Patients' and Carrier Strains

Afroz

Hossain

Lutfor

et al. 2016

Bangladesh J Med Microbiol

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This study was carried out to determine the types of Methicillin-Resistant Staphylococcus aureus (MRSA) by two typing systems, Coagulase typing and spa typing and to identify relationship between types of MRSA strains isolated from patients and hospital staff carriers. A total of 40 MRSA strains, 33 from cases of wound infection and 7 from anterior nares of hospital staffs were investigated. Coagulase typing showed that all the MRSA strains isolated from patients were coagulase type VI and all the strains isolated from carriers were coagulase type VII. In spa typing, seven spa types were detected such as S4, S6, S7, S8, S9, S10 and S11. Predominant spa type in patients was S7 detected in 15 (45.45%) MRSA isolates, followed by S4 in 8 (24.24%) strains and S6 in 5 (15.15%) strains. Other spa types detected in patients in small numbers were S8 (3.03%), S9 (3.03%), S10 (6.06%) and S11 (3.03%). While in strains of MRSA isolated from carriers, only two types S4 and S9 were detected. Both the spa types identified from carriers were also detected in a total of 9 (27.2%) of MRSA strains isolated from patients.

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“…Also, given the poor yield of the endemic strain from repeated nose\hand staff sampling exercises, it is unlikely that extended screening would have yielded many further positive individuals. Elsewhere, the yield of clinically significant MRSA isolates from staff specimens is often extremely low [34,35].…”

Section: Discussionmentioning

confidence: 99%

A five year outbreak of methicillin-susceptible Staphylococcus aureus phage type 53,85 in a regional neonatal unit

et al. 2000

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Article ReuseUnless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section 29 of the Copyright, Designs and Patents Act 1988 allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version -refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher's website. TakedownIf you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing eprints@whiterose.ac.uk including the URL of the record and the reason for the withdrawal request. SUMMARYWe identified a 5-year outbreak of a methicillin-susceptible Staphylococcus aureus (MSSA) strain, affecting 202 babies on a neonatal unit, by routine weekly phage typing all S. aureus isolates. Multiple staged control measures including strict emphasis on hand hygiene, environmental and staff surveillance sampling, and application of topical hexachlorophane powder failed to end the outbreak. S. aureus PT 53,85 (SA5385) was found on opened packs of Stomahesive2, used as a neonatal skin protectant. Only following the implementation of aseptic handling of Stomahesive, and the use of topical mupirocin for staff nasal carriers of SA5385, and for babies colonized or infected with S. aureus, did the isolation rate of SA5385 decline. DNA fingerprinting indicated that 95 % of SA5385 isolates were clonal. In itro death rates of SA5385 on Stomahesive with human serum were significantly lower than on Stomahesive alone (P l 0n04), and on cotton sheet with serum (P l 0n04), highlighting the potential of this material as a survival niche. Phage typing remains a valuable, inexpensive and simple method for monitoring nosocomial MSSA infection.

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When should healthcare workers be screened for methicillin-resistant Staphylococcus aureus?

Cited by 69 publications

References 16 publications

The ecology of Staphylococcus species in the oral cavity

The ecology of Staphylococcus species in the oral cavity

Coagulase Typing and spa Typing of Methicillin Resistant Staphylococcus aureus: Relatedness Among Patients' and Carrier Strains

A five year outbreak of methicillin-susceptible Staphylococcus aureus phage type 53,85 in a regional neonatal unit

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