Abstract
INTRODUCTION: On 30 January 2019, Lembah Pantai Health Office (LPHO) received a notification on positive MRSA cases among customers at a massage parlour in Kuala Lumpur. Investigations were commenced with objectives to establish the outbreak existence, to determine the epidemiological characteristics and to identify source of infection. METHODS: Investigation was focused on cases, environmental and laboratory investigation. All notified cases, employees (masseur) and the owner were investigated through phone or face to face interview. Environmental investigation and sample were taken to look for possible source of infection. Hand and nasal swab were taken from all available employees during investigation. RESULTS: Eleven customers were diagnosed to be positive MRSA with history of having foot massaged in the premise from Jun 2018. The first onset was on 19 Jun 2018, with symptoms of rashes with pus discharge and inflammation over their shin. All of them had seek treatment with eight being admitted at various private hospitals and diagnosed through laboratory investigations. Nasal swab from one-woman employee also positive for MRSA. Environmental investigation showed the massage area was crowded with chairs attach to each other and made from fabric. DISCUSSION: MRSA can be transmitted to other person through direct skin to skin contact or contacts with shared items or surfaces. As in this outbreak, the source of infection was believed to be from the masseur as a carrier. Prevention and control measures were already taken for both, the carrier and the premise.
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@proceedings{APCPH-2019-75,
title = {MRSA Outbreak at a Massage Parlour in Kuala Lumpur, 2019},
author = {Diana M and Rozanim K and Rohani I and Harpreeta K and Fitri Syafiqah A and Muhammad Taufiq AR and Haryati M},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: On 30 January 2019, Lembah Pantai Health Office (LPHO) received a notification on positive MRSA cases among customers at a massage parlour in Kuala Lumpur. Investigations were commenced with objectives to establish the outbreak existence, to determine the epidemiological characteristics and to identify source of infection. METHODS: Investigation was focused on cases, environmental and laboratory investigation. All notified cases, employees (masseur) and the owner were investigated through phone or face to face interview. Environmental investigation and sample were taken to look for possible source of infection. Hand and nasal swab were taken from all available employees during investigation. RESULTS: Eleven customers were diagnosed to be positive MRSA with history of having foot massaged in the premise from Jun 2018. The first onset was on 19 Jun 2018, with symptoms of rashes with pus discharge and inflammation over their shin. All of them had seek treatment with eight being admitted at various private hospitals and diagnosed through laboratory investigations. Nasal swab from one-woman employee also positive for MRSA. Environmental investigation showed the massage area was crowded with chairs attach to each other and made from fabric. DISCUSSION: MRSA can be transmitted to other person through direct skin to skin contact or contacts with shared items or surfaces. As in this outbreak, the source of infection was believed to be from the masseur as a carrier. Prevention and control measures were already taken for both, the carrier and the premise.},
note = {Type: ORAL PRESENTATION; Organisation: 1Pejabat Kesihatan Lembah Pantai, Jabatan Kesihatan Wilayah Persekutuan Kuala Lumpur dan Putrajaya, Jalan Cenderasari, Kuala Lumpur, Malaysia, 2Jabatan Kesihatan Wilayah Persekutuan Kuala Lumpur dan Putrajaya, Jalan Cenderasari, Kuala Lumpur, Malaysia},
keywords = {massage parlour, MRSA, MRSA outbreak},
pubstate = {published},
tppubtype = {proceedings}
}