Methicillin-resistant Staphylococcus aureus (MRSA) carriage among health care personnel in nonoutbreak settings in tertiary care hospital in Mysore.


Journal

American journal of infection control
ISSN: 1527-3296
Titre abrégé: Am J Infect Control
Pays: United States
ID NLM: 8004854

Informations de publication

Date de publication:
12 2021
Historique:
received: 26 05 2021
revised: 20 06 2021
accepted: 21 06 2021
pubmed: 29 6 2021
medline: 30 11 2021
entrez: 28 6 2021
Statut: ppublish

Résumé

Methicillin-resistant Staphylococcus aureus (MRSA) is a multidrug resistant organism recognized as major cause of infections ranging from relatively minor skin and soft tissue infections to life-threatening systemic infections. Contact transmission from health care personnel (HCP) to the patients provides the main mode of transmission of MRSA. Screening of HCPs colonized with MRSA may aid in preventing spread of this organism. Two samples were collected from 200 HCP which included sample from anterior nares and web spaces of both hands. Identification of Staphylococcus aureus and MRSA strains were done as per standard operating protocol. Results were compiled, tabulated, and all data were subjected to SPSS, version 17.0 software for analysis. About 25.5% (51 HCPs) were carriers of S aureus and among them 6.5% (13 HCPs) were carriers of MRSA. Among the MRSA carriers, 28.4% were physicians, followed by nursing interns (21.1%), MBBS interns (9%), nurses (5.4%), and others, that is, physiotherapist, housekeeping staff, and helping staff (37.5%). In spite of having infection control policies in place, MRSA carriage rate was 6.5%. This signifies the importance of periodic systematic screening of all HCPs and decolonization, which may help in eliminating the burden of MRSA carrier status and spread of infection in the health care setting.

Sections du résumé

BACKGROUND
Methicillin-resistant Staphylococcus aureus (MRSA) is a multidrug resistant organism recognized as major cause of infections ranging from relatively minor skin and soft tissue infections to life-threatening systemic infections. Contact transmission from health care personnel (HCP) to the patients provides the main mode of transmission of MRSA. Screening of HCPs colonized with MRSA may aid in preventing spread of this organism.
METHODS
Two samples were collected from 200 HCP which included sample from anterior nares and web spaces of both hands. Identification of Staphylococcus aureus and MRSA strains were done as per standard operating protocol. Results were compiled, tabulated, and all data were subjected to SPSS, version 17.0 software for analysis.
RESULTS
About 25.5% (51 HCPs) were carriers of S aureus and among them 6.5% (13 HCPs) were carriers of MRSA. Among the MRSA carriers, 28.4% were physicians, followed by nursing interns (21.1%), MBBS interns (9%), nurses (5.4%), and others, that is, physiotherapist, housekeeping staff, and helping staff (37.5%).
CONCLUSIONS
In spite of having infection control policies in place, MRSA carriage rate was 6.5%. This signifies the importance of periodic systematic screening of all HCPs and decolonization, which may help in eliminating the burden of MRSA carrier status and spread of infection in the health care setting.

Identifiants

pubmed: 34182067
pii: S0196-6553(21)00428-4
doi: 10.1016/j.ajic.2021.06.013
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1499-1502

Informations de copyright

Copyright © 2021 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Auteurs

Deepashree R (D)

Department of Microbiology, JSS Medical College, Mysore, Karnataka, India. Electronic address: drdeepu.rajshekar@gmail.com.

Saniya Khanum (S)

Department of Microbiology, Faculty of Life Sciences, JSS AHER, Bannimanta, Mysore, Karnataka, India.

Sujatha S R (SS)

Department of Microbiology, JSS Medical College, Mysore, Karnataka, India.

Tejashree A (T)

Department of Microbiology, JSS Medical College, Mysore, Karnataka, India.

Nagalambika Prasad (N)

Department of Microbiology, Faculty of Life Sciences, JSS AHER, Bannimanta, Mysore, Karnataka, India.

Ramya B V (RB)

Department of Nursing, JSS Hospital, Mysore, Karnataka, India.

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