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Updated: Sep 25, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 10, 2011
[Methicillin resistant Staphylococcus aureus. A problem also in Sweden]
1Infektionshygieniska Laboratoriet, Sahlgrenska Universitetssjukhuset, Göteborg.
Abstract:
Outbreaks of endemic MRSA are extremely rare in Swedish hospitals. During 1983-1996 209 patients with MRSA were identified at Sahlgrenska University Hospital, Göteborg. Retrospective DNA typing showed that 51 different strains were involved. Between 1990-1996 there was an increase in the number of imported MRSA-infected patients, probably a reflection of the situation in surrounding high prevalence countries. In addition four endemic outbreaks occurred during the 1990s involving a total of 121 patients, mainly in units for intensive care and urology. For effective control of MRSA, standard precautions should include the use of plastic aprons and hand disinfectants (70 per cent alcohol) when nursing patients with wounds, urinary catheter etc regardless of MRSA-status.
Insights
Swedish hospitals rarely experience MRSA outbreaks. From 1983-1996, 209 MRSA cases were identified, with four outbreaks occurring in the 1990s. Standard precautions are vital for MRSA control.
Area of Science:
- Medical Microbiology
- Infectious Disease Epidemiology
Context:
- Methicillin-resistant Staphylococcus aureus (MRSA) outbreaks are infrequent in Swedish healthcare settings.
- Sahlgrenska University Hospital identified 209 MRSA cases between 1983 and 1996, involving 51 distinct strains.
- An increase in imported MRSA infections was observed from 1990-1996, mirroring trends in high-prevalence neighboring countries.
Purpose:
- To analyze the epidemiology of MRSA in a Swedish university hospital.
- To investigate the occurrence and characteristics of MRSA outbreaks and imported cases.
- To provide recommendations for effective MRSA control strategies.
Summary:
- Retrospective analysis of 209 MRSA cases (1983-1996) at Sahlgrenska University Hospital revealed 51 different strains.
- Four endemic MRSA outbreaks occurred during the 1990s, affecting 121 patients, primarily in intensive care and urology units.
- The study highlights an increase in imported MRSA cases, correlating with higher prevalence in surrounding regions.
Impact:
- Reinforces the importance of standard precautions, including hand hygiene and personal protective equipment, for all patient care regardless of MRSA status.
- Provides insights into MRSA strain diversity and outbreak patterns in a low-prevalence setting.
- Informs public health strategies for managing MRSA transmission in hospitals.
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