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An Outbreak of Methicillin-Resistant Staphylococcus aureus Surgical-Site Infections Initiated by a Healthcare Worker With Chronic Sinusitis

Published online by Cambridge University Press:  21 June 2016

Frederic Faibis*
Affiliation:
Laboratoire de Microbiologie, Hôpital de Meaux, Meaux, France
Cedric Laporte
Affiliation:
Service de Chirurgie Orthopédique, Hôpital de Meaux, Meaux, France
Alain Fiacre
Affiliation:
Laboratoire de Microbiologie, Hôpital de Meaux, Meaux, France
Chantal Delisse
Affiliation:
Unité d'Hygiène et de Lutte Contre les Infections Nosocomiales, Hôpital de Meaux, Meaux, France
Gerard Lina
Affiliation:
Centre National de Référence des Toxémes à Staphylocoques, Faculté de Médecine, Lyon, France
Marie-Claude Demachy
Affiliation:
Laboratoire de Microbiologie, Hôpital de Meaux, Meaux, France
Françoise Botterel
Affiliation:
Laboratoire de Parasitologie-Mycologie, Hôpital Henri Mondor, Créteil, France
*
Centre Hospitalier de Meaux, Laboratoire de Microbiologie, 6-8, rue Saint Fiacre, 77104 Meaux, France.[email protected]

Abstract

An investigation was performed following two methicillin-resistant Staphylococcus aureus surgical-site infections in a 946-bed French general hospital. The investigation revealed that the outbreak involved 7 patients in 2 surgical wards and that infections were probably contracted in the operating theater from a healthcare worker suffering from chronic sinusitis.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2005

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References

1.Astagneau, P, Rioux, C, Golliot, F, Brucker, G. Morbidity and mortality associated with surgical site infections: results from the 1997-1999 INCISO surveillance. J Hosp Infect 2001;48:267274.Google Scholar
2.Whitehouse, JD, Friedman, ND, Kirkland, KB, Richardson, WJ, Sexton, DJ. The impact of surgical-site infections following orthopedic surgery at a community hospital and a university hospital: adverse quality of life, excess length of stay, and extra cost. Infect Control Hosp Epidemiol 2002;23:183189.CrossRefGoogle Scholar
3.Jarvis, WR, Martone, WJ. Predominant pathogens in hospital infections. J Clin Microbiol 1992;29:1924.Google Scholar
4.The Hopital Propre 2 Study Group. Methicillin-resistant Staphylococcus aureus in French hospitals: a 2-month survey in 43 hospitals, 1995. Infect Control Hosp Epidemiol 1999;20:478486.Google Scholar
5.Soussy, CJ, Carret, G, Cavallo, JD, et al.Antibiogram Committee of the French Microbiology Society: report 2000-2001. Pathol Biol 2000;48: 832-871.Google Scholar
6.Lelievre, H, Lina, G, Jones, ME, et al.Emergence and spread in French hospitals of methicillin-resistant Staphylococcus aureus with increasing susceptibility to gentamicin and other antibiotics. J Clin Microbiol 1999;37:34523457.Google Scholar
7.Tenover, FC, Arbeit, RD, Goering, RV, et al.Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: criteria for bacterial strain typing. J Clin Microbiol 1995;33:22332239.Google Scholar
8.Boyce, JM, Opal, SM, Potter-Bynoe, G, Medeiros, AA. Spread of methicillin-resistant Staphylococcus aureus in a hospital after exposure to a health care worker with chronic sinusitis. Clin Infect Dis 1993; 17:496504.Google Scholar
9.Allen, KD, Anson, JJ, Parsons, LA, Frost, NG. Staff carriage of methicillin-resistant Staphylococcus aureus (EMRSA15) and the home environment: a case report. J Hosp Infect 1997;35:307311.Google Scholar
10.Hureau, J. Nosocomial infection: medical responsibility regarding the law. Bull Acad Natl Med 2001;189:16471655.Google Scholar