Department of Medical Microbiology and Infectious Diseases, Erasmus Medical Centre, Rotterdam, The Netherlands.
J Hosp Infect. 2011 Nov;79(3):198-201. doi: 10.1016/j.jhin.2011.05.009. Epub 2011 Jul 16.
The prevalence of meticillin-resistant Staphylococcus aureus (MRSA) carriage at hospital admission in The Netherlands was 0.03% in 1999-2000. The aim of the present study was to assess whether the prevalence of MRSA carriage in The Netherlands has changed over the last few years. In five Dutch hospitals, 6496 unique patients were screened for nasal S. aureus carriage at hospital admission by microbiological culture between 1 October 2005 and 7 June 2007. In total, 2036 of 6496 (31.3%) patients carried S. aureus in their nose, and seven of 6496 (0.11%) patients were nasal carriers of MRSA. Compared with 1999-2000, the prevalence of MRSA carriage in the Dutch population at hospital admission has increased more than three fold; however, this increase was not significant (P=0.06, Fisher's exact test). This prevalence is still among the lowest in the world, probably as a result of the stringent Dutch infection control policy, and the restrictive use of antibiotics in The Netherlands.
1999-2000 年，荷兰住院患者中耐甲氧西林金黄色葡萄球菌（MRSA）携带率为 0.03%。本研究旨在评估过去几年荷兰 MRSA 携带率是否发生变化。在五家荷兰医院中，2005 年 10 月 1 日至 2007 年 6 月 7 日期间，通过微生物培养对 6496 名独特的住院患者进行了鼻腔金黄色葡萄球菌携带情况筛查。共有 6496 名患者中的 2036 名（31.3%）携带金黄色葡萄球菌，6496 名患者中有 7 名（0.11%）是耐甲氧西林金黄色葡萄球菌的鼻腔携带者。与 1999-2000 年相比，荷兰住院人群中 MRSA 携带率增加了三倍以上；然而，这种增加并不显著（P=0.06，Fisher 确切检验）。这一流行率仍处于世界最低水平，可能是由于荷兰严格的感染控制政策和抗生素的限制使用。
