A Dutch medical student has the potentially more virulent Panton-Valentine leukocidin (PVL) form of MRSA colonization yet shows no signs or symptoms of infection. More than a year ago, a routine MRSA screening of health care personnel providing care for MRSA-positive patients detected the colonization. Since then, the student has been treated intensively but unsuccessfully in an attempt to decolonize her. During this decolonization period, the medical student was barred from performing patient-related interventions, temporarily interrupting her medical residency. After initial treatment with mupirocin nasal ointment and antibiotics proved ineffective, a more stringent hygiene regime was added that included hand, nose, hair, and body scrubbing with disinfecting soap. Additional precautions included simultaneous treatment of household members and disinfection of the family home. Despite these efforts, her MRSA status has remained positive. WIP guideline s bar any health care worker diagnosed with MRSA from performing patient-related interventions. Unable to complete the residency requirement of at least 1 year of patient care, the medical student was advised to pursue a career in another profession.
|Title of host publication||Public Health Ethics|
|Subtitle of host publication||Cases spanning the globe|
|Editors||Drue H. Barrett, Leonard W. Ortmann, Angus Dawson, Carla Saenz, Andreas Reis, Gail Bolan|
|Publication status||Published - 2016|
|Name||Public Health Ethics Analysis|
Rump, B., Kessler, C., Fanoy, E., Wassenberg, M., Krom, A., Verweij, M. F., & van Steenbergen, J. (2016). Case 2: Exceptions to National MRSA Prevention Policy for a Medical Resident with Untreatable MRSA Colonization. In D. H. Barrett, L. W. Ortmann, A. Dawson, C. Saenz, A. Reis, & G. Bolan (Eds.), Public Health Ethics: Cases spanning the globe (pp. 191-194). (Public Health Ethics Analysis; Vol. 3). Springer. https://edepot.wur.nl/413151