A prospective study of the case-notes of MRSA-positive patients: a vehicle of MRSA spread.

Abstract:

INTRODUCTION:Methicillin-resistant Staphylococcus aureus (MRSA) has received much publicity and remains a major problem for the health service. The aim of this study was to determine whether case-notes of MRSA-positive patients can act as a vehicle for MRSA transmission. PATIENTS AND METHODS:A prospective study was performed of patients with active MRSA infection identified from a microbiology department database. Two swabs were taken from the cover of the case-notes and the page with the most recent entry for identification of MRSA using MRSA ID (Chromogenic agar medium), Pastorex and DNase tests. Positive case-notes were re-swabbed 96 h later. RESULTS:A total of 50 MRSA-positive patients were identified from medical, surgical, high dependency and intensive care wards. Three sets of notes were MRSA positive (3/50; 6%). None of the positive case-notes was positive on re-swabbing at 96 h. CONCLUSIONS:Case-notes of MRSA-positive patients can act as carriers of MRSA with the potential to spread MRSA to both healthcare and non-healthcare workers without direct contact with infected patients. We recommend extending the universal precautions to the handling of case-notes belonging to MRSA-infected patients.

journal_name

Ann R Coll Surg Engl

authors

Hamza N,Bazoua G,Al-Shajerie Y,Kubiak E,James P,Wong C

doi

10.1308/003588407X205341

subject

Has Abstract

pub_date

2007-10-01 00:00:00

pages

665-7

issue

7

eissn

0035-8843

issn

1478-7083

journal_volume

89

pub_type

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