Outbreak of epidemic methicillin-resistant Staphylococcus aureus in a regional burns unit: management and implications

Burns : Journal of the International Society for Burn Injuries
Abid RashidKhalid Khan

Abstract

Colonization of burn patients with methicillin-resistant Staphylococcus aureus (MRSA) is not uncommon, however an outbreak that necessitates closure of a burns unit is relatively rare. The objective of this study was to present the experience of a regional adult burns unit where an outbreak of epidemic MRSA-15 (EMRSA-15) took place. During the studied period, 176 patients were admitted to the unit, 52 with burns, 48 for elective plastic surgery procedures while the remainder belonged to other specialties. Patients admitted under burns and plastic surgery were investigated together with 46 staff members to control the outbreak. MRSA was isolated in 18 patients out of which 12 had EMRSA-15. Among the staff members, MRSA was isolated in nine of which five had EMRSA-15. The burns unit was closed to all admissions to terminate this outbreak. The MRSA positive staff members were sent on "special leave" and underwent treatment with nasal mupirocin and triclosan body wash. All staff members were able to return to work after one week's treatment. The burns unit underwent re-furbishment and decontamination while it was closed. In conclusion, the study shows that an outbreak of EMRSA was controlled successfully, however, it highlights the...Continue Reading

References

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Citations

Mar 21, 2012·Antimicrobial Agents and Chemotherapy·Joe LatimerAndrew J McBain
Nov 12, 2013·Burns : Journal of the International Society for Burn Injuries·Amirmorteza Ebrahimzadeh NamvarAbdolaziz Rastegar Lari
May 7, 2013·Burns : Journal of the International Society for Burn Injuries·Silva Vujanovic, Josko Vujanovic
Mar 19, 2013·Burns : Journal of the International Society for Burn Injuries·Effat Abbasi-MontazeriDavood Darban-Sarokhalil
Aug 14, 2012·Burns : Journal of the International Society for Burn Injuries·Frédéric BarbutJonathan A Otter
Nov 2, 2011·Burns : Journal of the International Society for Burn Injuries·Shadi ShahsavanMorovat Taherikalani
Jun 2, 2009·Burns : Journal of the International Society for Burn Injuries·Taylor Endrigo Toscano OlivoCarlos Magno C B Fortaleza
May 13, 2008·The Lancet Infectious Diseases·Werner C Albrich, Stephan Harbarth
Jan 10, 2012·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Sylvie ParerEstelle Jumas-Bilak
Jul 8, 2015·Burns : Journal of the International Society for Burn Injuries·Andrea C Issler-FisherPeter K M Maitz
Jun 10, 2015·Journal of Burn Care & Research : Official Publication of the American Burn Association·Isabelle Girerd-GenessayPhilippe Vanhems
Apr 10, 2021·Annals of Plastic Surgery·Chunyang WangWilliam C Lineaweaver

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