Bill Johnson, Port Townsend, WA
This is an abstract of a Review Article on the subject from PubMed - If you search "MRSA health care workers" there are many articles. You can access the complete article on MD Consult if you do not have access to Lancet.
Albrich WC <http://exchange.pacificvascular.com/sites/entrez?Db=pubmed&Cmd=Search&Term=%22Albrich%20WC%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DiscoveryPanel.Pubmed_RVAbstractPlus> , Harbarth S <http://exchange.pacificvascular.com/sites/entrez?Db=pubmed&Cmd=Search&Term=%22Harbarth%20S%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DiscoveryPanel.Pubmed_RVAbstractPlus> . Health-care workers: source, vector, or victim of MRSA?
Respiratory and Meningeal Pathogens Research Unit, Chris Hani Baragwanath Hospital, University of the Witwatersrand, Johannesburg, South Africa.
There is ongoing controversy about the role of health-care workers in transmission of meticillin-resistant Staphylococcus aureus (MRSA). We did a search of the literature from January, 1980, to March, 2006, to determine the likelihood of MRSA colonisation and infection in health-care workers and to assess their role in MRSA transmission. In 127 investigations, the average MRSA carriage rate among 33 318 screened health-care workers was 4.6%; 5.1% had clinical infections. Risk factors included chronic skin diseases, poor hygiene practices, and having worked in countries with endemic MRSA. Both transiently and persistently colonised health-care workers were responsible for several MRSA clusters. Transmission from personnel to patients was likely in 63 (93%) of 68 studies that undertook genotyping. MRSA eradication was achieved in 449 (88%) of 510 health-care workers. Subclinical infections and colonisation of extranasal sites were associated with persistent carriage. We discuss advantages and disadvantages of screening and eradication policies for MRSA control and give recommendations for the management of colonised health-care workers in different settings.
From: UVM Flownet on behalf of Jeff Field
Sent: Thu 1/15/2009 1:14 PM
To: [log in to unmask]
This is going to become a big issue for all of us. How many health care workers may be a asymptomatic carriers of MRSA who may pass it along to someone else and make them really sick? We all deserve to be tested and, if necessary, treated for this. Given the prevalence of MRSA in hospitals and health care workers exposure, I would bet the the incidence of MRSA in health care workers would be very high. Have not done a search. Wonder if there is any literature out there on the subject.
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