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hodologic considerations, including population. During a meticillin-resistant Staphylococcus aureus contact tracing and screening investigation, two borderline oxacillin-resistant Staphylococcus aureus (BORSA)-positive screening cultures were encountered among neonatal intensive care unit (NICU) healthcare workers (HCWs). This finding led to further investigations. To assess the likelihood of an outbreak with direct transmission among HCWs. An infection control team was initiated after the discovery. The team initiated additional infec