Kahsay Atsebaha Gebrekidan, Hagos Dawit Gebreegziabher, Abay Getahun Kahsay, Mezgebo Tadele Araya
Department of Medical Microbiology and Immunology, Institute of Biomedical Sciences, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.
BMC Res Notes. 2018 May 11;11(1):294. doi: 10.1186/s13104-018-3399-1.
The objective of this study was to determine the prevalence of methicillin-resistant Staphylococcus aureus and antimicrobial susceptibility patterns among janitors working at Mekelle University, Tigray, Northern Ethiopia.
The overall prevalence of S. aureus and MRSA in the present study were 17.97% (69/384) and 6.25% (24/384) respectively. Although not statistically significant, the prevalence of MRSA among janitors working in the medical area (9.7%, 10/103) was two times higher than the non-medical area (4.9%, 14/281). Janitors who had more service year and who were unable to read and write were found with high isolates of MRSA. Nasal carriage of MRSA among janitors who work in the hospital and who were hospitalized in the last 3 months and those who had exposure to wastes and body fluids were 13 (37.1%) and 10 (38.5%) respectively. Majority of the isolates of S. aureus were sensitive to ciprofloxacin (67; 97%), doxycycline (56; 81%), erythromycin (54; 78%), chloramphenicol (50; 72.5%) and cefoxitin (45; 65.2%). Sixty-seven of the 69 (97%) were resistant to penicillin. Of the 69 isolates of S. aureus, 22 (31.9%) showed multidrug resistant. Fourteen were resistant to three antimicrobials, 2 were resistant to four antimicrobials, and 7 were resistant to five antimicrobials.
本研究的目的是确定在埃塞俄比亚北部提格雷州默克莱大学工作的清洁工中耐甲氧西林金黄色葡萄球菌的流行率及抗菌药敏模式。
在本研究中,金黄色葡萄球菌和耐甲氧西林金黄色葡萄球菌的总体流行率分别为17.97%(69/384)和6.25%(24/384)。在医疗区域工作的清洁工中耐甲氧西林金黄色葡萄球菌的流行率(9.7%,10/103)虽无统计学意义,但比非医疗区域(4.9%,14/281)高出两倍。工作年限较长且不识字的清洁工中耐甲氧西林金黄色葡萄球菌的分离株较多。在医院工作且在过去3个月内住院以及接触过废物和体液的清洁工中,耐甲氧西林金黄色葡萄球菌的鼻腔携带率分别为13例(37.1%)和10例(38.5%)。大多数金黄色葡萄球菌分离株对环丙沙星(67株;97%)、强力霉素(56株;81%)、红霉素(54株;78%)、氯霉素(50株;72.5%)和头孢西丁(45株;65.2%)敏感。69株中有67株(97%)对青霉素耐药。在69株金黄色葡萄球菌分离株中,22株(31.9%)表现出多重耐药。14株对三种抗菌药物耐药,2株对四种抗菌药物耐药,7株对五种抗菌药物耐药。