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Staff carriage of methicillin-resistant Staphylococcus aureus (EMRSA 15) and the home environment: a case report
K D Allen1, J J Anson, L A Parsons
1Department of Microbiology and Infection Control, Whiston Hospital, Prescot, Merseyside, UK.
Abstract:
A case of refractory carriage of methicillin-resistant Staphylococcus aureus (MRSA) by a nurse is described. The nurse's home environment was widely contaminated with MRSA and two family members acquired the organism. Relapse of carriage after routine anti-staphylococcal measures and three negative sets of screening specimens resulted in a hospital outbreak involving three patients. The problem was finally terminated after a co-ordinated commercial cleaning of the house, thermal disinfection of all linen and replacement of some soft furnishings.
Insights
A nurse experienced persistent methicillin-resistant Staphylococcus aureus (MRSA) carriage, leading to family infections and a hospital outbreak. Environmental decontamination, including house cleaning and linen disinfection, was crucial for resolution.
Area of Science:
- Infectious Diseases
- Clinical Microbiology
- Hospital Epidemiology
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) poses a significant healthcare challenge.
- Persistent carriage of MRSA can lead to transmission and outbreaks.
- Environmental contamination is a key factor in MRSA spread.