Case 2: Exceptions to National MRSA Prevention Policy for a Medical Resident with Untreatable MRSA Colonization

B. Rump, C. Kessler, Ewout Fanoy, Marjan Wassenberg, André Krom, M.F. Verweij, Jim van Steenbergen

Research output: Chapter in Book/Report/Conference proceedingChapterAcademicpeer-review


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.
Original languageEnglish
Title of host publicationPublic Health Ethics
Subtitle of host publicationCases spanning the globe
EditorsDrue H. Barrett, Leonard W. Ortmann, Angus Dawson, Carla Saenz, Andreas Reis, Gail Bolan
ISBN (Electronic)9783319238470
ISBN (Print)9783319238463
Publication statusPublished - 2016

Publication series

NamePublic Health Ethics Analysis


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