Methicillin-Resistant Staphylococcus aureus in a Beauty Salon, the Netherlands
2008

MRSA Outbreak in a Beauty Salon

Sample size: 45 publication Evidence: moderate

Author Information

Author(s): Huijsdens Xander W., Janssen Maria, Renders Nicole H.M., Leenders Alexander, van Wijk Paul, van Santen-Verheuvel Marga G., Koel van-Driel Jolanda, Morroy Gabriella

Primary Institution: National Institute for Public Health and the Environment, Bilthoven, the Netherlands

Hypothesis

How did a methicillin-resistant Staphylococcus aureus outbreak occur in a beauty salon?

Conclusion

The study found that skin treatments in a beauty salon likely led to MRSA transmission from an infected beautician to customers.

Supporting Evidence

  • Eleven people were found to be MRSA positive, including the beautician and two customers.
  • All MRSA isolates were identical and identified as the CA-MRSA USA300 strain.
  • The beautician had recurrent MRSA infections before the outbreak was identified.

Takeaway

A beautician with a skin infection spread a germ called MRSA to her customers, showing that even places like beauty salons can have germs that make people sick.

Methodology

The study involved screening 45 individuals who had contact with the beautician and analyzing MRSA isolates using various typing methods.

Potential Biases

The study relied on the consent and cooperation of patients for screening, which may introduce bias.

Limitations

The Netherlands does not require reporting of MRSA infections, which may lead to underreporting and undetected outbreaks.

Participant Demographics

The mean age of the patients was 29 years, with a range from 21 to 40 years.

Digital Object Identifier (DOI)

10.3201/eid1411.071297

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