While I worked at my last job at least 2 newborns from the
> normal newborn nursery developed staph infections, was it MRSA and/or was
it
> from me-i don't know. The fact is large numbers of us are colonized. Does
the
> fact that I would sometimes develop nose lesions make me a greater risk?
> Noone seems to have the answers to these questions. Hospital workers are
not
> routinely screened for MRSA, subclinical or otherwise.

Maybe they should be. How long does it take JCAHO to pick up on something
like this?
Ever discussed it with your Infection Control people? I think I'll ask mine.

> As for MRSA and breast milk, the fact is that premies   fed MRSA
contaminated
> breast milk via NG tubes have developed MRSA sepsis and died but the
response
> to this remains in question. Below is a link to a story from Scotland (i
> think) where an almost 6 lb "premie" was isolated from his family d/t
MRSA.
> www.iomonline.co.uk/ViewArticle2. aspx?SectionID=870&ArticleID=867256

Question: were these babies fed freshly pumped, refrigerated < 48 hours, or
frozen defrosted mom's milk? Would be interesting to find this out in light
of the recent article about the effects of freezing on antioxidant
properties of breast milk. Test all 3 versions from randomly, or moms whose
babies DO have MRSA, and see what shows up.

I've read that one thing that tends to make HCPs susceptible to MRSA is the
repeated and constant use of antibacterial soap. Does anyone know if the
hand sanitizers have any effect of MRSA colonization?

> Lynn Shea Rn,Bsn,Ibclc
> formerly Franklin, Ma -now Lakewood Ranch, FL


--- Phyllis Adamson, IBCLC, RLC
--- Glendale, AZ, USA
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