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Occupational MRSA Infection: Risk Factor, Disposition, Prevention, and Therapy

  • R. Brans
  • O. Kaup
  • N. Y. Schürer
Living reference work entry

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) is an important cause of healthcare-associated infections. Healthcare workers (HCWs) are regularly exposed to MRSA at work and, thus, at higher risk for MRSA colonization than the general population. Colonized HCWs are usually asymptomatic but may rarely develop an infection by their own MRSA carriage strains. Work-related hand eczema is common among HCWs because of the necessity for wearing of occlusive gloves and frequent hand hygiene procedures during patient care. The associated skin barrier impairment may increase the risk for MRSA acquisition which is even more enhanced in those suffering from atopic dermatitis. Apart from healthcare, animal farming and meat production have become other occupational sectors with increasing exposure to MRSA and colonization of the involved workforce. This chapter will highlight the significance of occupational MRSA colonization and infection, its predisposition and inoculation, prevention, and current treatment modalities.

Keywords

Staphylococcus aureus MRSA Healthcare workers Livestock Farmers Meat production Atopic dermatitis Skin barrier Antimicrobial peptides Colonization Decolonization Infection Hand eczema Severity Disinfection Antibiotic therapy Prevention Transmission 

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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Dermatology, Environmental Medicine and Health TheoryUniversity of OsnabrückOsnabrückGermany
  2. 2.Institute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm)University of OsnabrückOsnabrückGermany

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