I've been expecting this for quite some time. Up until recently, MRSA has been confined to medical facilities where it has been a substantial problem. This pathogen is resistant to all known antibiotics and can kill. With careful attention to procedures, the risk has been mostly managed but in the past couple of months, it has been reported that MRSA has escaped to the environment outside medical facilities. This is a clear and present danger and can result in death. It enters the body through wounds or breaks in the skin. A newborn's circumcision site is an excellent and easy entry point.
I have told this story before but it's worth repeating. I read about it some years ago. There was a hospital that was having an extremely high number of staph infections in their post surgical patients. They tightened up their procedures to no avail. They then decided that the source was somewhere in the operating rooms and they had to go to extraordinary lengths to get rid of it. Everything was moved out of the operating rooms and everything that could be cleaned was cleaned and disinfected thoroughly and in detail. If it could be disassembled, it was and reassembled and returned to the OR. Anything that could not be washed was discarded. The walls, floor and ceilings of the ORs were cleaned and disinfected. After all of that, the infections continued unabated just as before. The hospital closed down their operating rooms, sent their surgical patients to other hospitals and called in a consultant. It was finally discovered that the staph was living in the disinfectant and all of the cleaning and disinfecting simply spread it around again. This just illustrates how tough and resistant this pathogen is. It is definitely something to be feared. It is closely related to the infamous "Flesh-eating bacteria."
There are so many ways that a baby could be infected. From the medical personnel, equipment or supplies during delivery, while in the nursery, during the circumcsion procedure or from a mother who became infected while in the medical facility and passes it on to her son. Babies with no open wounds will usually resist infection but boys with a circumcision wound are literally sitting ducks.
I immediately suspected MRSA as the pathogen that killed the Edmondton, Alberta boy last year.
Maybe this will bring neonatal circumcision to an end.
Frank