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How often do asymptomatic healthcare workers cause methicillin-resistant Staphylococcus aureus outbreaks? A systematic evaluation.
Authors:Ralf-Peter Vonberg  Sabine Stamm-Balderjahn  Sonja Hansen  Irina Zuschneid  Henning Ruden  Michael Behnke  Petra Gastmeier
Institution:Institute for Medical Microbiology and Hospital Epidemiology, Medical School Hannover, Hannover, Germany. Vonberg.Ralf@MH-Hannover.DE
Abstract:A systematic search was performed to identify outbreaks of methicillin-resistant Staphylococcus aureus infection and colonization caused by healthcare workers (HCWs). Of 191 outbreaks identified, 11 had strong epidemiological evidence that HCWs were the source. In 3 of these outbreaks, asymptomatic carriers were the cause. The frequent practice of screening asymptomatic HCWs should be reconsidered.
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