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来自临床标本的耐甲氧西林基因:尼泊尔一项基于医院的横断面研究。

and genes in methicillin-resistant from clinical specimens: a cross-sectional hospital based study from Nepal.

作者信息

Adhikari Sirjana, Sharma Supriya, Adhikari Sanjib, Shrestha Sanjit, Bhatta Dwij Raj

机构信息

Central Department of Microbiology, Tribhuvan University, Kirtipur, Kathmandu, Nepal.

Department of Pathology, Kirtipur Hospital, Kirtipur, Kathmandu, Nepal.

出版信息

Iran J Microbiol. 2025 Feb;17(1):99-105. doi: 10.18502/ijm.v17i1.17806.

Abstract

BACKGROUND AND OBJECTIVES

has increasingly been associated with community and healthcare-associated infections worldwide and contributes to treatment failures due to the emergence of multidrug-resistant (MDR) and methicillin-resistant (MRSA) strains. We aimed to determine the prevalence and antibiotic susceptibility pattern of MRSA isolated from patients attending a burn center and to detect and genes among MRSA isolates.

MATERIALS AND METHODS

A cross-sectional hospital based study was conducted on 1950 clinical samples collected from hospital inpatients and outpatients of Kirtipur Hospital, which is a burn specialist hospital in Kathmandu, Nepal. Each sample underwent conventional cultural methods for bacterial isolates identification.

RESULTS

Out of 1950 samples, 452 (23.2%) samples showed bacterial growth, of which 109 isolates (24.1%) were identified as Gram positive and 343 (75.9%) as Gram negative bacteria. Among the Gram positive bacteria, 53 (48.62%) were Of the total isolates, 40 (75.5%) were MRSA and 48 (90.6%) were MDR. Of the 40 MRSA isolates, 29 (72.5%) carried the gene and 3 (7.5%) harbored gene.

CONCLUSION

The high prevalence of MRSA in a burn unit underscores the need for more rigorous infection control practices that follow standard protocols to reduce MRSA transmission in both individuals and the hospital environment.

摘要

背景与目的

在全球范围内,(该病菌)越来越多地与社区感染和医疗保健相关感染相关联,并且由于多重耐药(MDR)和耐甲氧西林金黄色葡萄球菌(MRSA)菌株的出现导致治疗失败。我们旨在确定从一家烧伤中心的患者中分离出的MRSA的流行情况和抗生素敏感性模式,并检测MRSA分离株中的(相关)基因。

材料与方法

在尼泊尔加德满都一家烧伤专科医院——基尔蒂普尔医院,对从住院患者和门诊患者收集的1950份临床样本进行了一项基于医院的横断面研究。每个样本都采用常规培养方法进行细菌分离株鉴定。

结果

在1950份样本中,452份(23.2%)样本显示有细菌生长,其中109株分离株(24.1%)被鉴定为革兰氏阳性菌,343株(75.9%)为革兰氏阴性菌。在革兰氏阳性菌中,53株(48.62%)是(某种菌,原文此处未明确)。在所有分离株中,40株(75.5%)是MRSA,48株(90.6%)是MDR。在40株MRSA分离株中,29株(72.5%)携带(某个基因,原文此处未明确)基因,3株(7.5%)含有(另一个基因,原文此处未明确)基因。

结论

烧伤病房中MRSA的高流行率凸显了遵循标准方案采取更严格的感染控制措施的必要性,以减少MRSA在个体和医院环境中的传播。

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