Akre Technical Institute, University of Duhok Polytechnic, Duhok, Kurdistan Region, Iraq.
Department of Medicine, College of Medicine, University of Zakho, Zakho, Kurdistan Region, Iraq.
Int J Infect Dis. 2020 Feb;91:218-222. doi: 10.1016/j.ijid.2019.12.006. Epub 2019 Dec 13.
The aim was to investigate methicillin-resistant Staphylococcus aureus (MRSA) carriage rates and to characterize the staphylococcal cassette chromosome mec (SCCmec) among Syrian refugees and the host community in Duhok, Iraq.
A total of 492 host community and 355 Syrian refugee subjects were recruited. Participant bio-information was collected using a study questionnaire. MRSA carriage was identified as recommended in the Clinical and Laboratory Standards Institute guidelines. PCR was performed for typing the mecA gene and SCCmec groups.
In the host community, 76/492 (15.4%) carried MRSA, whereas 49/355 (13.8%) Syrian refugees carried MRSA (p = 0.505). Refugees were classified according to their arrival date; 36/278 (13%) existing refugees and 13/77 (16.9%) new refugee arrivals were identified as MRSA carriers (p = 0.375). Regarding the risk factors influencing MRSA spread, no association was found between MRSA prevalence and risk factors. The most common types of SCCmec in both communities were types IVa and V: 67.1% and 5.26%, and 49% and 2.04%, respectively.
It is inferred that the effect of MRSA in refugees on the host community will be negligible. However, the refugee carriage rate is higher than that found in Western countries, the final destination of refugees. Therefore, screening for MRSA is mandated and the rapid detection of carriers would prevent its spread.
旨在调查伊拉克杜胡克的叙利亚难民和当地居民中耐甲氧西林金黄色葡萄球菌（MRSA）的携带率，并对其葡萄球菌盒染色体 mec（SCCmec）进行特征分析。
共招募了 492 名当地居民和 355 名叙利亚难民作为研究对象。使用研究问卷收集参与者的生物信息。按照临床和实验室标准协会的指南来确定 MRSA 的携带情况。采用 PCR 方法对 mecA 基因和 SCCmec 组进行分型。
在当地居民中，76/492（15.4%）携带 MRSA，而 49/355（13.8%）的叙利亚难民携带 MRSA（p=0.505）。根据到达日期对难民进行分类；36/278（13%）的现有难民和 13/77（16.9%）的新抵达难民被确定为 MRSA 携带者（p=0.375）。关于影响 MRSA 传播的风险因素，MRSA 流行率与风险因素之间没有关联。在两个社区中最常见的 SCCmec 类型均为 IVa 和 V 型：分别为 67.1%和 5.26%，49%和 2.04%。
可以推断，难民中的 MRSA 对当地居民的影响可以忽略不计。然而，难民的携带率高于其最终目的地西方国家。因此，需要对 MRSA 进行筛查，并对携带者进行快速检测以防止其传播。
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