Nasal Carriage of Methicillin-ResistantStaphylococcus aureusAmong Hospital Staff and Outpatients

Abstract

This study sought to determine the rate of nasal methicillin-resistant Staphylococcus aureus (MRSA) carriage among hospital staff and outpatients. Nasal swabs were obtained from 500 outpatients and 500 hospital staff. Hospital staff were 2.3-fold more likely to carry MRSA than were outpatients (6% vs 2.6%, P = .013).

Nasal Carriage of Methicillin- Resistant Staphylococcus aureus and Risk Factors Amongst Inpatients, Outpatients and Hospital Personnel

“…Cokca have reported the rate of MRSA nasal carriage to be 6% among hospital personnel and 2.6% among outpatients [5] . In this study, MRSA nasal carriage rate was 6.12% among physicians, 6.57% among nurses, and 5.17% among auxiliary health personnel.…”

“…S. aureus nasal carriage and MRSA nasal carriage rates in inpatients and outpatients in various studies are shown in Table 4. Risk factors for MRSA infection and colonization include recent admission to the hospital, surgical intervention, intravenous drug use, underlying disease, close contact with hospital personnel, antibiotic use in the last six months, institutionalization and the presence of hospital personnel among family members [5,8,11,16] . In our study, hospital personnel, inpatients and outpatients were evaluated for risk factors for MRSA nasal carriage.…”

“…It has been reported in many studies carried out in Turkey that the rate of MRSA infection varies between 37-71% [4] . MRSA usually spreads through direct contact with contaminated hands of health care workers; however, nasal carriage among hospital staff and inpatients may be accounted for some nosocomial MRSA infections [5] . Consequently, identification of patients and hospital staff colonized or infected with MRSA, subsequent isolation, and eradication of nasal carriage are necessary for the control of nosocomial MRSA infections [6][7][8] .…”

Incidence of Staphylococcus aureus Nasal Carriage in Patients With Diabetic Foot Wounds and Related Risk Factors

“…Ayrıca S. aureus nazal taşıyıcı-lığı oranı kontakt dermatitli hastalar, hemodiyaliz ve periton diyalizi hastaları, HIV-pozitif hastalar, intravenöz uyuşturucu bağımlıları ve hastane personelinde normal popülasyondan daha yüksektir (12,16). Yine, çalışmalar diyabetik hastalarda normal popülasyona oranla S. aureus nazal taşıyıcılığının daha fazla olduğunu göstermiştir (17).…”

“…Stafilokok infeksiyonlarının epidemiyolojisinde nazal taşıyıcılığın önemi 40 yıldan daha uzun bir süredir bilinmektedir. Literatürde S. aureus nazal taşıyıcılığı ve infeksiyon arasındaki ilişkiyi bildiren ve nazal taşıyıcılığın eradikasyonunun infeksiyon riskini azaltabileceğini gösteren çalışmalar vardır (9)(10)(11)(12). Ancak DA yarası olan hastalarda S. aureus nazal taşıyıcılığı ve yara infeksiyonu arasın-daki olası ilişkiyi gösteren yeterince çalışma mevcut değildir (7,8).…”