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Nursing issues
Intensive decontamination of emergency department surfaces is required to prevent spread of methicillin-resistant Staphylococcus aureus from actively colonised patients
  1. Mohammad Al Mamun1,
  2. Tanvir C Turin2
  1. 1 Department of Public Health, General Directorate of Health Affairs in Tabuk Region, Ministry of Health, Tabuk, Saudi Arabia
  2. 2 Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
  1. Correspondence to Dr Tanvir C Turin; turin.chowdhury{at}

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Commentary on: Liang SY, Jansson DR, Hogan PG, et al. Emergency department environmental contamination with methicillin-resistant Staphylococcus aureus after care of colonized patients. Ann Emerg Med 2019;4:31578–6.

Implications for practice and research

  • Appropriate environmental surface decontamination practice and use of personal protective equipment are essential to reduce transmission of methicillin-resistant Staphylococcus aureus (MRSA) in emergency department care settings.

  • Further investigations are required to explore improved environmental disinfection techniques and MRSA decolonisation strategies in order to address MRSA surface contamination when treating MRSA-infected patients.


Patients colonised or infected with methicillin-resistant Staphylococcus aureus (MRSA) shed bacteria and contaminate environmental surfaces during their hospital stay, and create risks for transmission of MRSA to healthcare professionals and other patients.1 2 Existing literature demonstrates that the prevalence of MRSA contamination in the hospital environment has ranged from 0.6% to …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.