Bed, bath and beyond: pitfalls in prompt eradication of methicillin-resistant Staphylococcus aureus carrier status in healthcare workers.
MRSA was found in nasal swabs of 87 healthcare workers (HCWs), after contact with MRSA-positive patients. These HCWs were withdrawn from work, treated with topical antimicrobials and advised to disinfect bathrooms and personal hygiene articles, and to wash bed linen and pillows. Seventy-three (84%) HCWs lost their carrier status when tested after 3 days and up to 3 months. Environmental sampling detected contamination in 7/8 home environments of HCWs where eradication failed. When eradication was applied to household contacts and when household surfaces were cleaned and disinfected, the carriage cleared in most cases within a few weeks. When home environments are heavily contaminated, eradication took up to 2 years. The authors conclude that MRSA control measures for HCWs must include cleaning and disinfection of the home. Journal of Hospital Infection 2005;59:180-7.
Publication Type: Journal article
Publisher: Journal of Hospital Infection