We performed a literature search to identify reports that link MRSA outbreaks with the use of hydrotherapy or other bathing activities. The search was performed in PubMed (http://www.pubmed.gov) using the following algorithms: (1) MRSA and pool; (2) MRSA and hydrotherapy; (3) MRSA and bathtub; (4) hydrotherapy and outbreak; and (5) bathing and outbreak. The articles found were restricted to reports published in English between 1980 and 2018. In addition, we searched the Outbreak Database (http://www.outbreak-database.com).
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