An MRSA outbreak in a urology ward and its association with Nd:YAG coagulation laser treatment of the prostate

An outbreak of methicillin resistant Staphylococcus aureus (MRSA) involving 88 patients in a general urology ward is described. Symptomatic bacteraemia and epididymo-orchitis occurred in 10 and 8% of patients respectively. Patients had a particularly high risk of acquiring serious MRSA infection aft...

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Veröffentlicht in:	The Journal of hospital infection 1999, Vol.41 (1), p.39-44
Hauptverfasser:	Jones, J.W., Carter, A., Ewings, P., O'Boyle, P.J.
Format:	Artikel
Sprache:	eng
Schlagworte:	Bacterial diseases Bacterial diseases of the urinary system Biological and medical sciences Cross Infection - epidemiology Cross Infection - microbiology Cross Infection - transmission Disease Outbreaks Human bacterial diseases Humans Incidence Infection Control - methods Infectious diseases Laser Coagulation - instrumentation Male Medical sciences Methicillin Resistance Methicillin resistant Staphylococcus aureus Prostatectomy - instrumentation Prostatic Hyperplasia - microbiology Prostatic Hyperplasia - surgery Seasons Staphylococcal Infections - epidemiology Staphylococcal Infections - microbiology Staphylococcal Infections - transmission Staphylococcus aureus Staphylococcus aureus - isolation & purification Urology Urology Department, Hospital YAG Laser
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Zusammenfassung:	An outbreak of methicillin resistant Staphylococcus aureus (MRSA) involving 88 patients in a general urology ward is described. Symptomatic bacteraemia and epididymo-orchitis occurred in 10 and 8% of patients respectively. Patients had a particularly high risk of acquiring serious MRSA infection after endoscopic neodymium yttrium aluminium garnet (Nd:YAG) laser treatment of the prostate. Appreciation of the mode of transmission of MRSA, a programme of continuing education for all medical and nursing staff, simple changes in ward protocol and advances in surgical laser technique contributed to the control of the outbreak.
ISSN:	0195-6701 1532-2939
DOI:	10.1016/S0195-6701(99)90035-X