悉尼患有囊性纤维化的医护人员中的耐甲氧西林金黄色葡萄球菌
Methicillin-resistant Staphylococcus aureus in health-care workers with cystic fibrosis in Sydney.
作者信息
Song Yang, Keatley Lucy Rebecca, Middleton Peter Gordon
机构信息
Cystic Fibrosis Service, Department of Respiratory and Sleep Medicine Westmead Hospital Australia.
Cystic Fibrosis Unit Ludwig Engel Centre for Respiratory Research, Westmead Institute for Medical Research University of Sydney Australia.
出版信息
Respirol Case Rep. 2018 Oct 29;6(9):e00378. doi: 10.1002/rcr2.378. eCollection 2018 Dec.
Cystic Fibrosis (CF), the most common lethal inherited disorder in Australia, is associated with increased respiratory tract colonization/infection. Given that many adults with CF work as health-care workers (HCW), which has been associated with an increased risk of methicillin-resistant Staphylococcus aureus (MRSA) colonization/infection, we examined these risks in 252 adults with CF at our centre between 2001-2015. Demographic and clinical characteristics, including pathogens, were compared for HCW and non-HCW groups. MRSA colonization/infection was found in 20 subjects, comprising 2/19 HCW, and 18/233 non-HCW ( = 0.66). Sixteen of these 20 subjects undertook eradication therapy, with success in 2/2 HCW and 5/14 non-HCW. This study showed that the rate of MRSA colonization/infection did not differ between adults with CF who work in the health-care setting versus other areas. This suggests that choosing a health-care profession does not necessarily result in an increased risk of MRSA colonization/infection for an adult with CF.
囊性纤维化（CF）是澳大利亚最常见的致命性遗传疾病，与呼吸道定植/感染增加有关。鉴于许多成年CF患者从事医护工作者（HCW）职业，而这与耐甲氧西林金黄色葡萄球菌（MRSA）定植/感染风险增加相关，我们于2001年至2015年间在我们中心对252名成年CF患者的这些风险进行了研究。对医护工作者组和非医护工作者组的人口统计学和临床特征（包括病原体）进行了比较。在20名受试者中发现了MRSA定植/感染，其中包括2/19名医护工作者和18/233名非医护工作者（P = 0.66）。这20名受试者中有16人接受了根除治疗，2/2名医护工作者和5/14名非医护工作者治疗成功。这项研究表明，在医护环境中工作的成年CF患者与其他领域的成年CF患者相比，MRSA定植/感染率没有差异。这表明选择医护职业不一定会增加成年CF患者MRSA定植/感染的风险。
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