Prevalence of methicillin-resistant Staphylococcus aureus among hospital healthcare workers in a tertiary care hospital: A cross-sectional study

2016 ◽  
Vol 5 (3) ◽  
pp. 169 ◽  
Author(s):  
Kannan Sridharan ◽  
Anshika Mallik ◽  
Molly Madan
Author(s):  
Fibhaa Syed ◽  
Nasim Akhtar ◽  
Mohammad Ali Arif ◽  
Adil Ramzan ◽  
Rauf Niazi ◽  
...  

Abstract Objective: To determine the nasal carriage of staphylococcus aureus and methicillin-resistant staphylococcus aureus among healthcare workers in a tertiary care setting. Methods: The cross-sectional study was conducted at the Pakistan Institute of Medical Sciences, Islamabad, Pakistan, from April to July 2018, and comprised healthcare workers at the institution. Nasal swabs were collected and cultured on Mannitol salt agar. Mannitol fermenting colonies which were gram-positive cocci, catalase-positive and coagulase-positive were identified as staphylococcus aureus. Antibiotic susceptibility test was performed by modified Kirby-Bauer disc diffusion method. Methicillin resistance was detected using cefoxitin disc diffusion method. Data was analysed using SPSS 23. Results: Of the 210 nasal swabs, 52(24.76%) had a staphylococcus aureus growth, and, of them, 15(7.1%) were methicillin-resistant. No association could be established with either any single category of healthcare worker or an inter-department variation (p>0.05). Likewise, there was no association with age, gender, duration of service, smoking, co-morbidities, use of antibiotics in the preceding six months, treating a patient with methicillin-resistant staphylococcus aureus in the preceding six months and hospitalisation in the preceding year (p>0.05). Conclusion: The frequency of nasal carriage of methicillin resistant staphylococcus aureus amongst healthcare workers was regardless of the nature of their professional engagement. Key Words: Methicillin resistant staphylococcus aureus, Nasal carriage, Continuous...


2020 ◽  
Vol 27 (03) ◽  
pp. 576-580
Author(s):  
Khadija Muneer ◽  
Saima Ayub ◽  
Jazab Aqeel ◽  
Surraya Jaffer ◽  
Taimia Ayub ◽  
...  

Staphylococcus aureus is a gram positive coccus responsible for severe morbidity and mortality as it causes community and hospital acquired infections. The Methicillin resistant Staphylococcus aureus is responsible for several difficult to treat infections in human. Objectives: To find out Frequency of Methicillin resistant Staphylococcus aureus in Patients in a tertiary care hospital of Lahore. Study Design: Cross-sectional study. Setting: Tertiary care (Services Hospital) Lahore. Period: Four months from 1st August 2017 to 30th November 2017. Material & Methods: A total of 2534 isolates were obtained during the period (1 August 2017 to 30 November 2017) from patients at a tertiary care hospital of Lahore. Specimen were inoculated on blood agar plates, strains obtained were confirmed for Staphylococcus aureus using conventional biochemical tests and oxacillin disk test was performed to confirm methicillin resistant Staphylococcus aureus. Result: Out of 104 Staphylococcus aureus isolates, methicillin resistant Staphylococcus aureus was 46 (44.2%) and methicillin sensitive Staphylococcus aureus was 58 (55.8%). Conclusion: Methicillin resistant Staphylococcus aureus is a big challenge for current health care system and this may be a cause of morbidity and mortality in community and hospital patients.


Author(s):  
Sahil Gurjar ◽  
Namami Mathur ◽  
Sulochana R. Jadhavar

Background: In recent times, emerging resistance to majority of antibiotic classes seen in Methicillin-resistant Staphylococcus aureus (MRSA) isolates is of concern in hospital-acquired infection. MRSA carriage by healthcare workers (HCWs) has been documented to be as high as 50% in some studies. Higher carrier rate increases the risk of developing active infection as well as transmission of infection to the patients. The study aims to establish a relationship between MRSA carrier rate and healthcare workers of a tertiary care hospital in Pune and understand the need for screening regimens, based on the outcome.Methods: A cross-sectional study including health care workers from a tertiary care hospital working in different clinical departments was carried out. Data was collected by taking samples of nasal swabs of 115 HCWs and inoculated immediately on blood agar. Culture plates were incubated at 37°C for 24 hours and colonies were tested by routine diagnostic techniques. Antibiotic sensitivity was tested using cefoxitin discs on Mueller Hinton medium.Results: Prevalence of Staphylococcus aureus carriage was reported in 19 out of 115 (16.52%) healthcare workers, of which 63.2% were MRSA and 36.8% were MSSA. Prevalence of MRSA among Orthopaedic surgeons and General surgeons showed a carrier rate of 25% and 18.2% respectively. Nurses had a prevalence rate of 0.39 %. Overall prevalence of MRSA carriage in healthcare workers was reported to be 10.4%Conclusions: MRSA carriage among HCWs at the hospital is considerably high. The high prevalence of MRSA carriage emphasizes the need for stringent hospital infection control and regular screening regimen of HCWs.


2020 ◽  
Vol 1 (3) ◽  
pp. 31-39
Author(s):  
Madiha Khan ◽  
Wafa Komal ◽  
Mushtaq A. Saleem ◽  
Naveed Ahmad ◽  
Zara Rafaque ◽  
...  

The methicillin resistant Staphylococcus aureus (MRSA) is affecting the economy worldwide contributing to the increased morbidity and treatment costs. The present cross sectional study was conducted to determine the association of MRSA with kidney and liver patients from Tertiary Care Hospital in Lahore, Pakistan and its antibacterialresistance patterns. The study was conducted for the period of one year; from April 2019 to April 2020. A total of 1984 different samples were obtained and examined for bacterial cultures using standard procedures. From total samples, 51.05% were collected from male and the rest 48.95% were collected from females including different age groups. Samples were inoculated on different culture media for isolation of S. aureus and susceptibility testing. A total of 253/1984 clinical samples exhibited S. aureus characteristics while 39 of 253 S. aureus (15.41%) were identified as MRSA. MRSA strains were found highly resistant to Amikacin (AK), Cefoxitin (FOX),Clindamycin (DA), Fusidic acid (FD), Gentamicin (CN) and Tobramycin (TOB) while highest sensitivity was noted against Vancomycin (100%) and Linezolid (100%). The presence of MRSA and multidrug resistance pose serious therapeutic burden to critically ill patients. A systematic and concerted effort is essential to identify high-risk patients rapidly and to reduce the burden of antimicrobial resistance.


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