Karimian P, Mojtahedi A, Anvari M, Mesbahi G, Ghalandari M
Department of Pathology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Microbiology Department, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Arch Razi Inst. 2024 Oct 31;79(5):955-961. doi: 10.32592/ARI.2024.79.5.955. eCollection 2024 Oct.
is the most important human pathogen, in community and hospital-acquired infections. The colonization rate of this organism is high in medical personnel and devices. Considering the importance of carriers in the transmission of infection, this study investigated the origin of methicillin-resistant (MRSA) isolated from Velayat and Poursina Hospitals of Rasht. In an eight-month period, a total of 500 samples were collected from hospitalized patients, healthcare personnel, various surfaces, air, and medical devices within the intensive care units (ICUs) of Velayat and Poursina Hospitals. After the identification of MRSA strains by microbiological and biochemical standard methods, the DNA of the isolates was extracted. The typing of MRSA strains was done after determining the sequence of amplified protein A genes by polymerase chain reaction (PCR) using specific primers. Among 500 samples, 45 (9%) samples were infected with and 31 (68.9%) MRSA strains were identified from different ICUs. For the first time, was divided into three types with the help of the technique in the ICU of Rasht hospitals. Among the examined samples, the t14870 type prevailed (95.5%), which had been found in previous studies in different regions of Iran. However, two types, t8463 (2.2%) and t605 (2.2%), were obtained for the first time in Iran, which were MRSA and obtained from the noses of patients. The high frequency of isolates in (ICUs) and among healthcare personnel significantly contributes to the transmission of infections within the hospital setting.
在社区和医院获得性感染中,是最重要的人类病原体。这种微生物在医务人员和医疗设备中的定植率很高。考虑到携带者在感染传播中的重要性,本研究调查了从拉什特的韦拉亚特医院和普尔西纳医院分离出的耐甲氧西林金黄色葡萄球菌(MRSA)的来源。在八个月的时间里,共从韦拉亚特医院和普尔西纳医院重症监护病房(ICU)的住院患者、医护人员、各种表面、空气和医疗设备中采集了500份样本。通过微生物学和生化标准方法鉴定出MRSA菌株后,提取分离株的DNA。使用特异性引物通过聚合酶链反应(PCR)确定扩增的蛋白A基因序列后,对MRSA菌株进行分型。在500份样本中,有45份(9%)样本感染了该菌,从不同的ICU中鉴定出31株(68.9%)MRSA菌株。在拉什特医院的ICU中,借助该技术首次将其分为三种类型。在所检测的样本中,t14870型占主导(95.5%),此前在伊朗不同地区的研究中已发现该类型。然而,t8463(2.2%)和t605(2.2%)这两种类型是在伊朗首次获得的,它们是MRSA,从患者的鼻子中分离得到。ICU中和医护人员中该菌分离株的高频率显著促成了医院环境内感染的传播。