Adriënne van der Schoor

Conclusion Our results show that environmental contamination was rare, with no long-term contamination of surfaces. The dynamics in environmental contamination by S aureus is highly influenced by the admitted patients, and therefore highly variable, and assumed to be continuously changing. We considered an exogenous source for almost one sixth of patients, which is congruent with literature. To optimise detecting contamination of the environment, future research should focus on the role of dry biofilms and on methods of sampling and culture. Last, we performed our study in a low endemic setting for MRSA, which does not allow extrapolation of our results to a high endemic setting. 2 109 Dynamics of S. aureus in patients and the hospital environment

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