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Airborne transmission from a neonate with Netherton syndrome during an outbreak of MRSA
Authors:Shinya Hara  Hikaru Yamamoto  Atsushi Kawabata  Teiji Azuma  Sachie Ishii  Naoya Okumura  Yoshinori Ito
Affiliation:1. Department of Pediatrics, Toyota Memorial Hospital, Toyota, Japan;2. Department of Neonatology, Toyota Memorial Hospital, Toyota, Japan;3. Department of Infectious Diseases, Toyota Memorial Hospital, Toyota, Japan;4. Department of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan
Abstract:
We encountered a 4 month outbreak of methicillin‐resistant Staphylococcus aureus (MRSA) colonization or infection that was difficult to control despite implementation of standard prevention methods. A neonate with Netherton syndrome had accelerated scaling of the skin and continued positive results for MRSA from clinical samples. The results of air sampling suggested the possibility of airborne transmission. The MRSA outbreak stopped after the patient was transferred to an isolation room, suggesting that airborne MRSA can play a role in MRSA colonization. Isolation rooms should be considered in specific circumstances, as described in the present study.
Keywords:airborne outbreak  methicillin‐resistant Staphylococcus aureus  neonatal intensive care unit  Netherton syndrome
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