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土耳其开塞利埃尔西耶斯大学医院急诊科工作人员中甲氧西林耐药金黄色葡萄球菌携带情况及危险因素与接触表面的细菌污染

Prevalence and risk factors for methicillin resistant Staphylococcus aureus carriage among emergency department workers and bacterial contamination on touch surfaces in Erciyes University Hospital, Kayseri, Turkey.

作者信息

Oguzkaya-Artan Muge, Baykan Zeynep, Artan Cem, Avsarogullari Levent

机构信息

Erciyes University Halil Bayraktar Health Services Vocational School, Kayseri, Turkey.

Erciyes University Medical Faculty Department of Medical Education, Kayseri, Turkey.

出版信息

Afr Health Sci. 2015 Dec;15(4):1289-94. doi: 10.4314/ahs.v15i4.31.

Abstract

OBJECTIVE

The aim of this study was to determine Staphylococcus aureus and methicillin-resistant S. aureus (MRSA) nasal carriage among emergency department (ED) workers, and bacterial contamination on hand-touch surfaces at ED.

METHODS

This single-centered study enrolled 105 ED workers and 190 hand-touch surfaces at ED in June 2014. Nasal and environmental samples for S. aureus carriage and for bacterial contamination were obtained. For isolation swabs were cultured on ChromAgar S. aureus and environmental samples first cultured in broth and antibiogram obtained by clinical and Laboratory Standards Institute guidelines. A questionnaire was completed for each subject.

RESULTS

The S. aureus carriage rate was 18.1% (n=19), with 2.9% (n=3) MRSA positivity. There were two (1.9%) mobile phone positivities for S. aureus, one of them was MRSA, and a computer keyboard contamination for MRSA was also detected. All MRSA isolates were susceptible for the tested antibiotics. There was significant difference between gender (p=0.044) in terms of nasal carriage of S. aureus and MRSA, all three MRSA isolates were from females.

CONCLUSION

Our study showed that the carriage of MRSA was not affected by clinical exposure in the hospital because of the existing infection control policy in our hospital.

摘要

目的

本研究旨在确定急诊科工作人员中金黄色葡萄球菌和耐甲氧西林金黄色葡萄球菌(MRSA)的鼻腔携带情况,以及急诊科手触表面的细菌污染情况。

方法

这项单中心研究于2014年6月招募了105名急诊科工作人员和急诊科的190个手触表面。采集了鼻腔和环境样本以检测金黄色葡萄球菌携带情况和细菌污染情况。用于分离的拭子在金黄色葡萄球菌显色琼脂上培养,环境样本先在肉汤中培养,并按照临床和实验室标准协会的指南获得抗菌谱。为每个受试者填写了一份问卷。

结果

金黄色葡萄球菌携带率为18.1%(n = 19),MRSA阳性率为2.9%(n = 3)。有两部手机(1.9%)检测出金黄色葡萄球菌阳性,其中一部为MRSA,还检测到一个电脑键盘被MRSA污染。所有MRSA分离株对测试的抗生素敏感。在金黄色葡萄球菌和MRSA的鼻腔携带方面,性别之间存在显著差异(p = 0.044),所有三株MRSA分离株均来自女性。

结论

我们的研究表明,由于我们医院现有的感染控制政策,MRSA的携带情况不受医院临床暴露的影响。

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