Volume 8, Issue 1 (6-2009)
JRUMS 2009, 8(1): 27-36 |
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Determination of the Prevalence of staphylococcus aureus Nasal Carriers and Antibiotic Resistance Pattern in Clinical Wards Staff of Ali- Ebne Abitaleb Hospital, Rafsanjan. JRUMS 2009; 8 (1) :27-36
URL: http://journal.rums.ac.ir/article-1-5360-en.html
URL: http://journal.rums.ac.ir/article-1-5360-en.html
Abstract: (1958 Views)
Background and Objectives: Staphylococcus aureus carriers are among the important causes of nosocomial infections. According to the studies, medical and health workers have always been considered as a source of nosocomial infections. The aim of this study is determination of the prevalence of the nasal carriers of staphylococcus aureus and antibiotic resistance in clinical wards' staffs in Ali- Ebne Abitaleb hospital, in Rafsanjan.
Material and Methods: This cross- sectional study was done in clinical wards staffs, of Ali- Ebne Abitaleb hospital. Two handred and twenty people between 22 and 58 years old were studied. Sampels were obtained by sterile swabs from deep tissue of anterior nares and then cultured. For identification of staphylococcus aureus, the major tests of catalase, coagolase and DNase were done. Disks of penicillin, cefixim, vancomycin, oxacillin, erythromycin, clindamycin, cefazolin, nitrofurantion, co- trimoxozole, ciprofloxacin, cephalothin doxycyclin and methicillin were used for antibiogram. Data were analyzed using SPSS. Chi- Square and T tests were used where appropriate.
Results: Among the 220 staffs who were studied, 44(20%) were nasal carriers of staphylococcus aureus. Resistance to antibiotics were as follows: penicillin (100%), cefixim(100%), methicillin (97.7%), oxacillin (77.3%) erythromycin (11.4%), doxycyclin (9.1%), cephalotin (6.9%), ciprofloxacin (6.8%), co- trimoxozole (4.5%), clindamycin (2.3%), cefazolin (2.3%) and nitrofurantoin and vancomycin(sensitive).
Conclusion: Considering the remarkable number of nasal carriers of staphylococcus aureus, and specially the high resistance to methicillin, oxacillin and penicillin among hospital staff, in order to prevent nosocomial infections we suggest that the carriers among the staff should be identified and treated properly.
Key words: Nasal Carriers, Staphylococcus Aureus, Hospital Staff, Drug Resistance
Funding: This research was funded by Rafsanjan University of Medical Sciences.
Conflict of interest: None declared.
Ethical approval: The Ethics Committee of Rafsanjan University of Medical Sciences approved the study.
Material and Methods: This cross- sectional study was done in clinical wards staffs, of Ali- Ebne Abitaleb hospital. Two handred and twenty people between 22 and 58 years old were studied. Sampels were obtained by sterile swabs from deep tissue of anterior nares and then cultured. For identification of staphylococcus aureus, the major tests of catalase, coagolase and DNase were done. Disks of penicillin, cefixim, vancomycin, oxacillin, erythromycin, clindamycin, cefazolin, nitrofurantion, co- trimoxozole, ciprofloxacin, cephalothin doxycyclin and methicillin were used for antibiogram. Data were analyzed using SPSS. Chi- Square and T tests were used where appropriate.
Results: Among the 220 staffs who were studied, 44(20%) were nasal carriers of staphylococcus aureus. Resistance to antibiotics were as follows: penicillin (100%), cefixim(100%), methicillin (97.7%), oxacillin (77.3%) erythromycin (11.4%), doxycyclin (9.1%), cephalotin (6.9%), ciprofloxacin (6.8%), co- trimoxozole (4.5%), clindamycin (2.3%), cefazolin (2.3%) and nitrofurantoin and vancomycin(sensitive).
Conclusion: Considering the remarkable number of nasal carriers of staphylococcus aureus, and specially the high resistance to methicillin, oxacillin and penicillin among hospital staff, in order to prevent nosocomial infections we suggest that the carriers among the staff should be identified and treated properly.
Key words: Nasal Carriers, Staphylococcus Aureus, Hospital Staff, Drug Resistance
Funding: This research was funded by Rafsanjan University of Medical Sciences.
Conflict of interest: None declared.
Ethical approval: The Ethics Committee of Rafsanjan University of Medical Sciences approved the study.
Type of Study: Research |
Subject:
Infectious & Tropical Diseases
Received: 2020/05/16 | Accepted: 2020/05/16 | Published: 2020/05/16
Received: 2020/05/16 | Accepted: 2020/05/16 | Published: 2020/05/16
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