Frequency of Nasal Carriage of Staphylococcus aureus and Associated Risk Factors and Its Antibiotic Susceptibility Pattern Among Healthcare Workers in Pastor and Aflatoonian Hospitals in Bam, Southeast Iran, in 2017: A Cross-Sectional Study
F. Saffari[1], A. Radfar[2], M. H. Sobhanipoor[3], R. Ahmadrajabi[4]
Received: 04/11/2018 Sent for Revision: 26/11/2018 Received Revised Manuscript: 18/01/2019 Accepted: 19/01/2019
Background and Objectives: Colonization of
Staphylococcus aureus in the nose of healthcare workers (HCWs) can be considered as the main source of nosocomial infections. The aim of this study was to investigate the frequency of
S. aureus nasal carriage among HCWs in Pastor and Aflatoonian hospitals in Bam, its antibiotic resistance patterns, and determine Staphylococcal protein A (
spa) typing and staphylococcal cassette chromosome mec (SCC
mec) typing of methicillin resistant
S. aureus isolate.
Materials and Methods: In this cross-sectional study, a total of 258 nasal swabs were collected from HCWs during 2017 and were analyzed to detect methicillin sensitive and resistant
S. aureus isolates. Resistance to different antibiotic agents was determined by disk diffusion. The presence of
nuc,
mecA,
pvl genes, and
spa and SCC
mec types were determined by polymerase chain reaction technique (PCR). The data were analyzed using chi-square and Fisher's exact tests.
Results: Thirty seven subjects (14.3%) were nasal carrier of
S. aureus and one of them (2.7%) was resistant to methicillin with Scc
mec type IV and
spa type t608. All of isolates were sensitive to vancomycin, linezolid and mupirocin. The
pvl gene was found in 8 (22.2%) isolates. Except with regard to gender (p=0.036), occupation, age, hospital ward, years of healthcare service, previous antibiotic therapy during the last three months, hospitalization and blood group were not significantly associated with nasal carriage (p˃ 0.05).
Conclusion: Although according to the results, the frequency of nasal carriage of
S. aureus isolates among HCWs at our hospitals compared to the other studies from Iran was low, regular
S. aureus carriage screening as well as decolonization strategies is recommended.
Key words: Staphylococcus aureus, Drug resistance, Health personnel, Molecular typing, Bam
Funding: This research was funded by Research Council of Bam University of Medical Sciences with the grant Number of 97/96.
Conflict of interest: None declared.
Ethical approval: The Ethics Committee of Bam University of Medical Sciences approved the study (IR. MUBAM. REC. 1397.003).
How to cite this article: Saffari F, Radfar A, Sobhanipoor MH, Ahmadrajabi R. Frequency of Nasal Carriage of
Staphylococcus aureus and Associated Risk Factors and Its Antibiotic Susceptibility Pattern Among Healthcare Workers in Pastor and Aflatoonian Hospitals in Bam, Southeast Iran, in 2017: A Cross-Sectional Study.
J Rafsanjan Univ Med Sci 2019; 18 (3): 209-26. [Farsi]
[1]- Assistant Prof., Dept. of Microbiology and Virology, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran, ORCID: 0000-0001-7281-7077
[2]- Assistant Prof. of Infectious Diseases, School of Medicine, Bam University of Medical Sciences, Bam, Iran, ORCID: 0000- 0002-8507-7415
[3]- PhD Student of Microbiology, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran, ORCID: 0000-0002-7670-4325
[4]- Assistant Prof., Dept. of Microbiology and Virology, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran, ORCID: 0000-0001-5636-7037
(Corresponding Author) Tel: (034)33257665, Fax: (034) 33257665, E-mail: ahmadrajabi3 @yahoo.com