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Foreign Adopted Children Are a Source of Methicillin-Resistant Staphylococcus aureus Transmission to Countries With Low Prevalence

Hagleitner, Melanie M. MD*; Mascini, Ellen M. MD†‡; van Berkel, Saskia MD*; Bosman, Janneke MD*; Mulder, Jaap C. MD*; van Setten, Petra A. PhD*

Pediatric Infectious Disease Journal:
doi: 10.1097/INF.0b013e3182535dc6
Brief Reports

We report a 13.0% prevalence rate of methicillin-resistant Staphylococcus aureus (MRSA) carriers in foreign adopted children, who are frequently hospitalized within the first year after arrival. Hospitalization in the country of origin and special need status are no significant risk factors for MRSA colonization. Healthcare workers are overrepresented among their adoptive parents. These children represent a potential source of MRSA transmission into the healthcare system.

Author Information

From the *Department of Paediatrics, Rijnstate Hospital, Arnhem, The Netherlands; Laboratory for Medical Microbiology and Immunology, Rijnstate Hospital, Arnhem, The Netherlands; and Departmentof Hygiene and Infection Control, Rijnstate Hospital, Arnhem, The Netherlands.

The authors have no funding or conflicts of interest to disclose.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s website (

Address for correspondence: Jaap C. Mulder, MD, Department of Paediatrics, Rijnstate Hospital Arnhem, Wagnerlaan 55, 6815 AD Arnhem, The Netherlands. E-mail:

© 2012 Lippincott Williams & Wilkins, Inc.