MRSA outbreak in a Neonatal Intensive Care Unit in a developed country: importance of rapid detection of reservoirs and implementation of intervention measures

ABSTRACT We described a MRSA bloodstream infection outbreak that was rapidly identified and controlled in a Neonatal Intensive Care Unit after implementation of a bundle of measures, including PCR-screening and HCW decolonization. We found 35% of healthcare workers(HCW) colonized with S. aureus by PCR, one of them that presented skin lesion positive for MSSA (same clone and spa type than two patients). Our findings raise the hypothesis that the outbreak could be related to HCW colonization.

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Bibliographic Details
Main Authors: Moura,Maria Luísa, Rizek,Camila Fonseca, Aguiar,Elisa, Barros,Ana Natiele da Silva, Costa,Sibeli, Santos,Sania Alves dos, Marchi,Ana Paula, Gibelli,Maria Augusta Bento Cicaroni, Tragante,Carla Regina, Araújo,Maria Rita Elmor de, Rossi,Flavia, Guimaraes,Thais, Costa,Silvia Figueiredo
Format: Digital revista
Language:English
Published: Instituto de Medicina Tropical de São Paulo 2022
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652022000100608
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Summary:ABSTRACT We described a MRSA bloodstream infection outbreak that was rapidly identified and controlled in a Neonatal Intensive Care Unit after implementation of a bundle of measures, including PCR-screening and HCW decolonization. We found 35% of healthcare workers(HCW) colonized with S. aureus by PCR, one of them that presented skin lesion positive for MSSA (same clone and spa type than two patients). Our findings raise the hypothesis that the outbreak could be related to HCW colonization.