巴西初级卫生保健机构中接受治疗的患者慢性伤口中金黄色葡萄球菌的患病率及相关危险因素。
Prevalence of and risk factors associated with the presence of Staphylococcus aureus in the chronic wounds of patients treated in primary health care settings in Brazil.
作者信息
Pereira-Franchi Eliane Patricia Lino, Barreira Maria Rachel Nogueira, Costa Natália de Sousa Lima Moreira da, Fortaleza Carlos Magno Castelo Branco, Cunha Maria de Lourdes Ribeiro de Souza da
机构信息
Departamento de Microbiologia e Imunologia, Instituto de Biociências de Botucatu, Universidade Estadual Paulista Júlio de Mesquita Filho, Botucatu, SP, Brasil.
Departamento de Doenças Tropicais, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista Júlio de Mesquita Filho, Botucatu, SP, Brasil.
出版信息
Rev Soc Bras Med Trop. 2017 Nov-Dec;50(6):833-838. doi: 10.1590/0037-8682-0205-2017.
INTRODUCTION
Wounds can be colonized by methicillin-resistant Staphylococcus aureus (MRSA).
METHODS
We evaluated the prevalence of S. aureus and MRSA in the wounds of patients treated at Basic Health Units in Brazil and identified risk factors associated with their presence.
RESULTS
The prevalence rates of S. aureus and MRSA were 51.5% and 8.7%, respectively. There was a correlation between the presence of S. aureus in wounds and nostrils (p<0.01). A positive association was detected between S. aureus infection and previous benzylpenicillin use (p=0.02). No associations were observed for MRSA.
CONCLUSIONS
Multidrug-resistant pathogens are present in primary healthcare settings in Brazil.
引言
伤口可能被耐甲氧西林金黄色葡萄球菌（MRSA）定植。
方法
我们评估了在巴西基层卫生单位接受治疗的患者伤口中金黄色葡萄球菌和MRSA的流行情况，并确定了与其存在相关的风险因素。
结果
金黄色葡萄球菌和MRSA的流行率分别为51.5%和8.7%。伤口和鼻孔中金黄色葡萄球菌的存在之间存在相关性（p<0.01）。在金黄色葡萄球菌感染与先前使用苄青霉素之间检测到正相关（p=0.02）。未观察到MRSA有相关性。
结论
巴西的初级卫生保健机构中存在多重耐药病原体。
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