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耐甲氧西林金黄色葡萄球菌和凝固酶阴性葡萄球菌在加纳公立医院医护人员手机上的抗生素耐药模式。

Antibiotic resistance pattern of methicillin-resistant and from mobile phones of healthcare workers in public hospitals in Ghana.

机构信息

Department of Biotechnology, Faculty of Agriculture, University for Development Studies, Tamale, Ghana.

Department of Ecotourism and Environmental Management, Faculty of Natural Resources and Environment, University for Development Studies, Tamale, Ghana.

出版信息

Pan Afr Med J. 2022 Mar 30;41:259. doi: 10.11604/pamj.2022.41.259.29281. eCollection 2022.

Abstract

INTRODUCTION

mobile phone plays an essential role in the lives of healthcare professionals in hospitals as far as communication is concerned. However, it can also serve as a source of nosocomial infections. This study aimed at determining the prevalence and antibiotic susceptibility of Methicillin-resistant Staphylococcus aureus (MRSA) and Escherichia coli isolated from mobile phones used by healthcare staff working in three public hospitals in Ghana.

METHODS

in total, 220 swab samples were collected from 110 mobile phones of healthcare workers at a referral and two public tertiary hospitals in Ghana. Direct spreading of swab samples on agar plates was done. MacConkey agar and Baird Parker agar were used to isolate E. coli and S. aureus, respectively. Clinical Laboratory Standard Institute´s guidelines were followed for susceptibility testing, and S. aureus strains resistant to cefoxitin were considered to be MRSA. All E. coli and MRSA isolates were tested for their susceptibility to antibiotics using European Committee on Antimicrobial Susceptibility Testing (EUCAST) 2018 guidelines with its breakpoints. Obtained qualitative data were analyzed by using Microsoft Excel.

RESULTS

of 110 mobile phones, 78 (70.9%) and 4 (3.6%) were colonized with S. aureus and E. coli, respectively. From the 78 S. aureus isolates, 22 (28%) isolates were MRSA. Fifty percent (50%) (11/22) of the MRSA isolates were multi-drug resistant, of which one isolate was resistant to all antibiotics tested. E. coli isolates had 100 resistances to both ceftriaxone and ceftazidime.

CONCLUSION

mobile phones used by healthcare workers in hospitals frequently harbor E. coli, S. aureus, MRSA and may be sources of hospital-associated infections.

摘要

简介

手机在医院中,医护人员的生活中起着至关重要的作用,在通讯方面更是如此。然而,它也可能成为医院感染的源头。本研究旨在确定在加纳三家公立医院工作的医护人员使用的手机中分离出的耐甲氧西林金黄色葡萄球菌(MRSA)和大肠杆菌的流行率和抗生素耐药性。

方法

总共从加纳一家转诊医院和两家公立医院的 110 名医护人员的 110 部手机中采集了 220 个棉签样本。直接将棉签样本涂抹在琼脂平板上。使用麦康凯琼脂和 Baird Parker 琼脂分别分离大肠杆菌和金黄色葡萄球菌。按照临床实验室标准协会的指南进行药敏试验,对头孢西丁耐药的金黄色葡萄球菌菌株被认为是 MRSA。使用欧洲抗菌药物敏感性试验委员会(EUCAST)2018 指南及其折点,对所有大肠杆菌和 MRSA 分离株进行抗生素敏感性测试。使用 Microsoft Excel 分析获得的定性数据。

结果

在 110 部手机中,分别有 78 部(70.9%)和 4 部(3.6%)定植有金黄色葡萄球菌和大肠杆菌。在 78 株金黄色葡萄球菌分离株中,有 22 株(28%)为 MRSA。22 株 MRSA 分离株中有 50%(11/22)为多药耐药,其中一株对所有测试的抗生素均有耐药性。大肠杆菌分离株对头孢曲松和头孢他啶均有 100%的耐药性。

结论

医院医护人员使用的手机经常定植有大肠杆菌、金黄色葡萄球菌、MRSA,可能是医院相关感染的源头。

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