Jw. Jones et al., An MRSA outbreak in a urology ward and its association with Nd : YAG coagulation laser treatment of the prostate, J HOSP INF, 41(1), 1999, pp. 39-44
An outbreak of methicillin resistant Staphylococcus aureus (MRSA) involving
88 patients in a general urology ward is described. Symptomatic bacteraemi
a and epididymo-orchitis occurred in 10 and 8% of patients respectively. Pa
tients had a particularly high risk of acquiring serious MRSA infection aft
er endoscopic neodymium yttrium aluminium garnet (Nd:YAG) laser treatment o
f the prostate. Appreciation of the mode of transmission of MRSA, a program
me of continuing education for all medical and nursing staff, simple change
s in ward protocol and advances in surgical laser technique contributed to
the control of the outbreak.