Abstract

A case of refractory carriage of methicillin-resistant Staphylococcus aureus (MRSA) by a nurse is described. The nurse's home environment was widely contaminated with MRSA and two family members acquired the organism. Relapse of carriage after routine anti-staphylococcal measures and three negative sets of screening specimens resulted in a hospital outbreak involving three patients. The problem was finally terminated after a co-ordinated commercial cleaning of the house, thermal disinfection of all linen and replacement of some soft furnishings.

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