title: [Epidemic of methicillin-resistant Staphylococcus aureus due to the transfer of 2 Dutch burn patients from a hospital outside of the Netherlands; who suffers the consequences?].
abstract: Two burns patients who were transferred to the Central Military Hospital Utrecht from a foreign hospital, were found to be colonised with MRSA. During their 5-week hospitalisation, 21 healthcare workers and one patient became colonised with the same MRSA strain, despite isolation precautions. The department was closed for 29 days; 96 admissions were cancelled and 1411 screening cultures for MRSA were performed. Colonised healthcare workers were temporarily unable to work and additional costs were incurred for disposables and cleaning procedures. The resultant bill for this outbreak was approximately [symbol: see text] 122,500. MRSA outbreaks occur in hospitals with some degree of regularity, but the strong dispersal during this epidemic was exceptional. The transfer of possible MRSA-colonised patients from hospitals outside of the Netherlands sometimes faces opposition due to the considerable demands it makes on a hospital's personnel, organisation and finances. If this were to be compensated, then the currently successful Dutch MRSA policy could be coupled with a willingness to accept patients from hospitals outside of the Netherlands.
authors.affiliation: Universitair Medisch Centrum Utrecht, Eijkman-Winkler Instituut voor Microbiologie, Infectieziekten en Ontsteking, onderafd. Ziekenhuishygiëne en Infectiepreventie, Postbus 85.500, 3508 GA Utrecht. a.troelstra@lab.azu.nl
authors.forename: A
authors.initials: A
authors.lastname: Troelstra
authors.forename: T E M
authors.initials: TE
authors.lastname: Kamp-Hopmans
authors.forename: F J M
authors.initials: FJ
authors.lastname: Wessels
authors.forename: M A J
authors.initials: MA
authors.lastname: Bilkert-Mooiman
authors.forename: J
authors.initials: J
authors.lastname: Verhoef
authors.forename: E M
authors.initials: EM
authors.lastname: Mascini
mesh_terms: D002056:Burns / Q000150:complications; D003428:Cross Infection / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology / Q000517:prevention & control; D004196:Disease Outbreaks; D006772:Hospitals, Military; D006801:Humans; D008297:Male; D016106:Methicillin Resistance; D009426:Netherlands / Q000453:epidemiology; D010356:Patient Isolation; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology / Q000517:prevention & control; D013211:Staphylococcus aureus / Q000187:drug effects* / Q000302:isolation & purification