[Methicillin-resistant Staphylococcus aureus in repatriates from the Faro airplane crash, 1992].
OBJECTIVE
To review the suitability of the guidelines of the Working Group Infection Prevention (WIP) and the Medical Inspectorate of Health with regard to possible methicillin-resistant Staphylococcus aureus (MRSA) contamination.


METHODS
Medical Inspectorate of Health.


METHODS
Retrospective analysis.


METHODS
For 95 repatriates from the Faro air crash, a questionnaire was filled out by medical microbiologists and attending specialists in Dutch hospitals (response rate: 100%). Classification for MRSA risk category was done in accordance with the guidelines of the Medical Inspectorate of Health. Surveillance data of the National Institute of Public Health and Environmental Protection were consulted.


RESULTS
Colonisation with MRSA occurred in 8 out of the 59 patients in the high-risk group (hospitalisation > 24 h in Portugal or invasive procedures). No MRSA was found in the low-risk group (all other repatriates). The MRSA-positive patients had burns at least. Infection was detected in three patients on admission, in five patients later (after 6-27 days of hospitalisation), after 1-9 negative cultures. Probably all patients had been contaminated with MRSA in Portugal. In two Dutch hospitals secondary contamination was observed.


CONCLUSIONS
The WIP guidelines on MRSA control proved to be sufficient with exception of the inventory cultures and the isolation measures notably for patients with covered wounds. The MRSA risk classification of patients according to the guidelines of the Medical Inspectorate of Health proved adequate.
Stomph
E C
EC
Geneeskundige Inspectie van de Volksgezondheid, Rijswijk.
Bilkert-Mooiman
M A
MA
D000060:Accidents, Aviation; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002353:Carrier State / Q000382:microbiology*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D016106:Methicillin Resistance; D008875:Middle Aged; D009426:Netherlands / Q000208:ethnology; D011174:Portugal; D012189:Retrospective Studies; D013203:Staphylococcal Infections / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification* / Q000378:metabolism; D014946:Wound Infection / Q000382:microbiology
Meticilline-resistente Staphylococcus aureus bij gerepatrieerden van de Faro-vliegramp, 1992.