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Updated: Oct 23, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
Familial carriage of methicillin-resistant Staphylococcus aureus and subsequent infection in a premature neonate
R J Hollis1, J L Barr, B N Doebbeling
1Department of Pathology, University of Iowa College of Medicine, Iowa City 52242-1009, USA.
Abstract:
During routine surveillance of patients in a Neonatal Intensive Care Unit (NICU), an alert infection-control practitioner confirmed the relationship of the index patient (sibling 3) who had a methicillin-resistant Staphylococcus aureus (MRSA) infection to an infant sibling (sibling 2) who had been admitted to the hospital 7 months previously with an MRSA infection. Cultures of nasal specimens obtained from the index patient's parents and two other siblings also yielded MRSA for two of the family members, the mother and sibling 1. The strains were typed by antibiogram, plasmid analysis, and genomic DNA typing. The isolates from sibling 1, sibling 2, the mother, and one isolate from sibling 3 were found to be identical by all techniques. The other isolates from sibling 3 shared the same genomic type but had no detectable plasmids. These findings suggest that transmission of this strain occurred at least three times within this family and that at least one family member was colonized with the same strain for 7 months or more. Recognition that family members may serve as reservoirs for nosocomial infections with MRSA raises important issues for infection control.
Insights
Methicillin-resistant Staphylococcus aureus (MRSA) can spread within families, with one strain persisting in a mother for over seven months. This highlights the risk of household members becoming reservoirs for hospital-acquired infections.
Area of Science:
- Clinical Microbiology
- Infectious Diseases
- Public Health
Background:
- Neonatal Intensive Care Units (NICUs) are susceptible to healthcare-associated infections.
- Methicillin-resistant Staphylococcus aureus (MRSA) is a significant pathogen in hospital settings.
- The role of family members as reservoirs for nosocomial pathogens requires further investigation.
Purpose of the Study:
- To investigate the transmission of a specific MRSA strain within a family.
- To determine the duration of MRSA colonization in household contacts.
- To assess the implications for infection control in NICUs.
Main Methods:
- Case identification through routine NICU surveillance.
- Collection and culturing of nasal specimens from family members.
- Molecular typing of MRSA isolates, including antibiogram, plasmid analysis, and genomic DNA typing.
Main Results:
- MRSA was detected in multiple family members, including the mother and siblings.
- Molecular typing confirmed the transmission of an identical MRSA strain among siblings and the mother.
- Evidence suggests prolonged colonization (≥7 months) of at least one family member with the same MRSA strain.
Conclusions:
- Family members can act as reservoirs for MRSA, facilitating transmission within the household.
- Prolonged MRSA colonization in the community poses a risk for recurrent nosocomial infections.
- Enhanced infection control strategies are needed to address the role of family contacts in MRSA transmission.
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