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A Neonatal Specialist With Recurrent Methicillin-Resistant Staphylococcus aureus (MRSA) Carriage Implicated in the Transmission of MRSA to Newborns

Published online by Cambridge University Press:  02 January 2015

M. Méan
Affiliation:
Unité d'hygiène hospitalière, Département de veille sanitaire, Centre Hospitalier Universitaire de Grenoble, BP217, 38043 Grenoble (38) Cedex 9
M. R. Mallaret*
Affiliation:
Unité d'hygiène hospitalière, Département de veille sanitaire, Centre Hospitalier Universitaire de Grenoble, BP217, 38043 Grenoble (38) Cedex 9
P Andrini
Affiliation:
Département de pédiatrie, Centre Hospitalier Universitaire de Grenoble, BP217, 38043 Grenoble (38) Cedex 9
C. Recule
Affiliation:
Laboratoire de bactériologie, Centre Hospitalier Universitaire de Grenoble, BP217, 38043 Grenoble (38) Cedex 9
T. Debillon
Affiliation:
Département de pédiatrie, Centre Hospitalier Universitaire de Grenoble, BP217, 38043 Grenoble (38) Cedex 9
P. Pavese
Affiliation:
Service de maladies infectieuses, Département de médecine aiguë et spécialisée, Centre Hospitalier Universitaire de Grenoble, BP217, 38043 Grenoble (38) Cedex 9
J. Croizé
Affiliation:
Laboratoire de bactériologie, Centre Hospitalier Universitaire de Grenoble, BP217, 38043 Grenoble (38) Cedex 9
*
Unité d'Hygiène Hospitalière, Centre Hospitalier Universitaire de Grenoble, BP217, 38043 Grenoble Cedex 9 ([email protected])

Abstract

This study reports an investigation of outbreaks of methicillin-resistant Staphylococcus aureus (MRSA) infection and colonization involving 17 newborns in the neonatal unit of a teaching hospital. A neonatal specialist colonized with MRSA that eventually became mupirocin-resistant was implicated as a recurrent source of transmission of MRSA to newborns.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2007

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References

1. Saiman, L, Cronquist, RN, Wu, F, et al. An outbreak of methicillin-resistant Staphylococcus aureus in a neonatal intensive care unit. Infect Control Hosp Epidemiol 2003;24:317321.Google Scholar
2. Regev-Yochay, G, Rubinstein, E, Barzilai, A, et al. Methicillin-resistant Staphylococcus aureus in neonatal intensive care unit. Emerg Infect Dis 2005;11:453456.Google Scholar
3. Nambiar, S, Herwaldt, L, Singh, N. Outbreak of invasive disease caused by methicillin-resistant Staphylococcus aureus in neonates and prevalence in the neonatal intensive care unit. Pediatr Crit Care Med 2003;4:220226.Google Scholar
4. Lally, RT, Lanz, E, Schröck, CG. Rapid control of an outbreak of Staphylococcus aureus on a neonatal intensive care department using standard infection control practices and nasal mupirocin. Am J Infect Control 2004;32:4447.Google Scholar
5. Fisher, A, Gavin, PJ. Control of methicillin-resistant Staphylococcus aureus in a neonatal intensive care unit. Am J Infect Control 2004;32:E65.Google Scholar
6. Honeycutt, M, Gilliam, C, Juretschko, S, et al. Control of methicillin-resistant Staphylococcus aureus in a neonatal intensive care unit by modification of 2003 Society for Healthcare Epidemiology of America Guideline for Preventing Transmission of Resistant Pathogens. Am J Inject Control 2004;32:E71E72.Google Scholar
7. Blok, HE, Troelstra, A, Kamp-Hopmans, TE, et al. Role of healthcare workers in outbreaks of methicillin-resistant Staphylococcus aureus: a 10-year evaluation from a Dutch university hospital. Infect Control Hosp Epidemiol 2003;24:679685.Google Scholar
8. Faibis, F, Laporte, C, Fiacre, A, et al. An outbreak of methicillin-resistant Staphylococcus aureus surgical-site infections initiated by a healthcare worker with chronic sinusitis. Infect Control Hosp Epidemiol 2005;26:213218.Google Scholar
9. Zawacki, A, O'Rourke, E, Potter-Bynoe, G, Macone, A, Harbarth, S, Goldman, D. An outbreak of Pseudomonas aeruginosa pneumonia and bloodstream infection associated with intermittent otitis externa in a healthcare worker. Infect Control Hosp Epidemiol 2004;25:10831089.Google Scholar
10. Eveillard, M, Martin, Y, Hidri, N, Boussougnant, Y, Joly-Guillou, ML. Carriage of methicillin-resistant Staphylococcus aureus among hospital employees: prevalence, duration, and transmission to households. Infect Control Hosp Epidemiol 2004;25:114120.Google Scholar
11. Berthelot, P, Grattard, F, Fascia. Implication of a healthcare worker with chronic skin disease in the transmission of an epidemic strain of methicillin-resistant Staphylococcus aureus in a pediatric intensive care unit. Infect Control Hosp Epidemiol 2003;24:299301.Google Scholar
12. Andersen, BM, Lindeemann, R, Bergh, K. Spread of methicillin-resistant Staphylococcus aureus in a neonatal intensive unit associated with understaffing, overcrowding and mixing of patients. J Hosp Infect 2002;50:1824.Google Scholar
13. Cox, RA, Conquest, C. Strategies for the management of healthcare staff colonized with epidemic methicillin-resistant Staphylococcus aureus . J Hosp Infect 1997;35:117127.Google Scholar
14. Kniehl, E, Becker, A, Forster, DH. Bed, bath and beyond: pitfalls in prompt eradication of methicillin-resistant Staphylococcus aureus carrier status in healthcare workers. J Hosp Infect 2005;59:180187.Google Scholar
15. Maîtrise de la diffusion des bactéries multirésistantes aux antibiotiques. Available at: http://www.sante.gouv.fr/htm/pointsur/nosoco/bacteries/maitbact.html. Accessed on March 7, 2007.Google Scholar
16. Lessing, MP, Jordens, JZ, Bowler, IC. When should healthcare workers be screened for methicillin-resistant Staphylococcus aureus? J Hosp Infect 1996;34:205210.CrossRefGoogle ScholarPubMed
17. Vivoni, A, Santos, K, De-Oliveira, M, et al. Mupirocin for controlling methicillin-resistant Staphylococcus aureus: lessons from a decade of use at a university hospital. Infect Control Hosp Epidemiol 2005;26:662667.Google Scholar
18. Tenover, FC, Arbeit, RD, Goering, RV, et al. Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: criteria for bacterial strain typing. J Clin Microbiol 1995;33:22332239.Google Scholar
19. Cox, RA, Conquest, C, Mallaghan, C, Marples. A major outbreak of methicillin-resistant Staphylococcus aureus caused by a new phage-type (EMRSA-16). J Hosp Infect 1995;29:87106.CrossRefGoogle Scholar
20. Lines, LD, Weightman, NC. Incidence and effect of incorrect prescription and administration of nasal mupirocin for methicillin-resistant Staphylococcus aureus . J Hosp Infect 2005;61:179180.Google Scholar