Healthcare worker-related MRSA cluster in a German neonatology level III ICU: A true European story

被引：11

作者：

Scheithauer, S. ^{[1
]}

Trepels-Kottek, S. ^{[2
]}

Haefner, H. ^{[1
]}

Keller, D. ^{[3
]}

Ittel, T. ^{[3
]}

Wagner, N. ^{[4
]}

Heimann, K. ^{[2
]}

Schoberer, M. ^{[2
]}

Schwarz, R. ^{[5
]}

Haase, G. ^{[6
]}

Waitschies, B. ^{[1
]}

Orlikowsky, T. ^{[2
]}

Lemmen, S. ^{[1
]}

机构：

[1] Rhein Westfal TH Aachen, Univ Hosp, Dept Infect Control & Infect Dis, D-52062 Aachen, Germany

[2] Rhein Westfal TH Aachen, Univ Hosp, Dept Pediat, Div Neonatol, D-52062 Aachen, Germany

[3] Rhein Westfal TH Aachen, Univ Hosp, D-52062 Aachen, Germany

[4] Rhein Westfal TH Aachen, Univ Hosp, Dept Pediat, D-52062 Aachen, Germany

[5] MVZ Labor Dr Stein Kollegen, Monchengladbach, Germany

[6] Univ Hosp, LDZ, Aachen, Germany

来源：

INTERNATIONAL JOURNAL OF HYGIENE AND ENVIRONMENTAL HEALTH | 2014年 / 217卷 / 2-3期

关键词：

Cross transmission; Infection control; Multi resistant bacteria; Neonatology; RESISTANT STAPHYLOCOCCUS-AUREUS; HAND HYGIENE; SPREAD; DECOLONIZATION; CARRIAGE;

D O I：

10.1016/j.ijheh.2013.07.006

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Here we investigated a cluster of eight newly Methicillin-resistant Staphylococcus aureus (MRSA)-colonized neonates at an ICU, and present data on molecular strain characterization as well as the source identification process in which we analyze the impact of MRSA-colonized HCWs. Molecular strain characterization revealed a unique pattern which was identified as spa-type t 127 - an extremely rare strain type in Germany. Environmental sampling and screening of parents of colonized neonates proved negative. However, staff screening identified one healthcare worker (HCW; 1/134) belonging to a group of recently employed Romanian HCWs who was colonized with the spa 127 strain. Subsequent screening also detected MRSA in 9/51 Romanian HCWs (18%) and 7/9 (14% of all) isolates showed the same molecular pattern as the index case (spa/PFGE type). All carriers were successfully decolonized, after which no new patient cases occurred. As a result, we have now implemented a universal screening programme of all new employees as part of our infection control management strategy. MRSA-colonized HCWs can act as a source for in hospital transmission. Since HCWs from high endemic countries are particular prone to being colonized, they may pose a risk to patients. (C) 2013 Elsevier GmbH. All rights reserved.

引用

页码：307 / 311

页数：5