Second MRSA outbreak in a nursing home; role for a super spreader or super sensitive resident

Introduction / objectives MRSA prevalence is low in nursing homes (NH) in the Netherlands. However, outbreaks in NH are usually larger than those occurring in hospitals. The national MRSA database shows that in the last three years 24% of the outbreaks occurred in NH. The NH under investigation experienced outbreaks in 2007 and 2010. Two residents and one health care worker (HCW) were involved in both outbreaks. One of these residents (R-Z) has diabetes and pressure ulcers, and was therefore not considered for eradication therapy. R-Z could have acted as a super spreader.