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Evaluation of methicillin-resistant Staphylococcus aureus (MRSA) cases among employees at a workholdings manufacturing facility.
Int J Occup Environ Health 2010 Oct-Dec; 16(4):540-541
The HHE Program responded to a request regarding reports of methicillin-resistant Staphylococcus aureus (MRSA) skin infections among employees at a workholdings manufacturer. Management submitted the request to determine if these infections were related to workplace exposures. The HHE Program investigators collected bulk metalworking fluids (MWF) from machine reservoirs and swab samples from machine and bathroom surfaces and tested them for the presence of MRSA. Additionally, investigators reviewed the results of chemical and microbiological tests for metalworking fluids that were previously conducted by a third party. Investigators also spoke with employees confidentially about their health and reviewed medical records of employees who reported current or past MRSA infections. Program investigators found that three employees reported MRSA skin infections that were confirmed through laboratory testing, but determined that these infections were not likely related to the workplace. In the bulk MWF or surface samples taken by HHE Program investigators, MRSA was not found but testing previously done by a third party indicated total bacteria levels in the MWF were highly variable and poorly controlled. Program investigators recommended that management evaluate employee exposures to MWF and evaluate the need for engineering controls and enclosures to reduce exposures. It was also recommended that managers ensure custodial staff keep restrooms and hand-washing stations clean and urge employees to keep cuts and wounds covered with dry bandages to prevent the spread of MRSA infections. Investigators also recommended that employees seek prompt medical care for skin infections and maintain good skin health through proper hygiene and use of moisturizers. The final report is available at <a href="https://www.cdc.gov/niosh/hhe/reports/pdfs/2009-0098-3103.pdf"target="_blank">https://www.cdc.gov/niosh/hhe/reports/pdfs/2009-0098-3103.pdf</a>.
Skin-diseases; Skin-disorders; Skin-infections; Infection-control; Infectious-diseases; Machine-shop-workers; Machinists; Metalworking-fluids; Microorganisms; Bacteria; Bacterial-disease; Bacterial-infections; Engineering-controls; Control-technology
Issue of Publication
International Journal of Occupational and Environmental Health