Colonization of Methicillin-Resistant <i>Staphylococcus aureus</i> (MRSA) among Medical Students in Tertiary Institution in Central Malaysia

Methicillin-resistant <i>Staphylococcus aureus</i> or MRSA infection is virulent and presents with a broad spectrum of severity. Limited regional reports that specifically outlined the potential risk of medical students being part of the dissemination of MRSA in healthcare settings were...

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Main Authors: Sanjiv Rampal, Nur Hidayah Zainuddin, Nur Athirah Elias, Tengku Zetty Maztura Tengku Jamaluddin, Sandra Maniam, Seoh Wei Teh, Suresh Kumar Subbiah
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/9/7/382
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author Sanjiv Rampal
Nur Hidayah Zainuddin
Nur Athirah Elias
Tengku Zetty Maztura Tengku Jamaluddin
Sandra Maniam
Seoh Wei Teh
Suresh Kumar Subbiah
author_facet Sanjiv Rampal
Nur Hidayah Zainuddin
Nur Athirah Elias
Tengku Zetty Maztura Tengku Jamaluddin
Sandra Maniam
Seoh Wei Teh
Suresh Kumar Subbiah
author_sort Sanjiv Rampal
collection DOAJ
description Methicillin-resistant <i>Staphylococcus aureus</i> or MRSA infection is virulent and presents with a broad spectrum of severity. Limited regional reports that specifically outlined the potential risk of medical students being part of the dissemination of MRSA in healthcare settings were noted. This study aims to assess the prevalence and contributory factors of colonization of MRSA on neckties, headscarves, and ID badges among medical students in a local medical university in Malaysia. A cross-sectional study was conducted involving 256 medical students. A validated questionnaire was used to collect the data, and sample swabs were collected between July and August 2013 by swabbing neckties, headscarves, or identification badges. The swabs were then streaked onto mannitol salt agar (MSA) and incubated at 37 °C overnight. Out of 433 samples taken, 40 swabs (9.24%) were positive for <i>Staphylococcus aureus</i>. Out of the 40 swabs, five (12.5%) isolates were MRSA (one culture was isolated from the headscarf of a preclinical student, one culture was isolated from the necktie of clinical students, while the remaining three were isolated from identification badges of clinical students. There was no significant association between age, gender, ethnicity, and phase of medical students with the colonization of MRSA (<i>p</i> > 0.05). There was a significant association between knowledge score on hand hygiene practice and phase of medical students. MRSA colonies were present on neckties, headscarves, and identification badges of medical students of all phases. The findings from this study suggest the need for improvement of hand hygiene knowledge and discontinuity of mandatory use of physical ID badges and neckties among medical students.
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spelling doaj.art-77f55df5a9e6484f8a12dda3608771202023-11-20T05:56:58ZengMDPI AGAntibiotics2079-63822020-07-019738210.3390/antibiotics9070382Colonization of Methicillin-Resistant <i>Staphylococcus aureus</i> (MRSA) among Medical Students in Tertiary Institution in Central MalaysiaSanjiv Rampal0Nur Hidayah Zainuddin1Nur Athirah Elias2Tengku Zetty Maztura Tengku Jamaluddin3Sandra Maniam4Seoh Wei Teh5Suresh Kumar Subbiah6Department of Orthopedic and Traumatology, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor Darul Ehsan, MalaysiaMedical Programme, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor Darul Ehsan, MalaysiaMedical Programme, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor Darul Ehsan, MalaysiaDepartment of Medical Microbiology and Parasitology, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor Darul Ehsan, MalaysiaDepartment of Human Anatomy, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor Darul Ehsan, MalaysiaDepartment of Medical Microbiology and Parasitology, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor Darul Ehsan, MalaysiaDepartment of Medical Microbiology and Parasitology, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor Darul Ehsan, MalaysiaMethicillin-resistant <i>Staphylococcus aureus</i> or MRSA infection is virulent and presents with a broad spectrum of severity. Limited regional reports that specifically outlined the potential risk of medical students being part of the dissemination of MRSA in healthcare settings were noted. This study aims to assess the prevalence and contributory factors of colonization of MRSA on neckties, headscarves, and ID badges among medical students in a local medical university in Malaysia. A cross-sectional study was conducted involving 256 medical students. A validated questionnaire was used to collect the data, and sample swabs were collected between July and August 2013 by swabbing neckties, headscarves, or identification badges. The swabs were then streaked onto mannitol salt agar (MSA) and incubated at 37 °C overnight. Out of 433 samples taken, 40 swabs (9.24%) were positive for <i>Staphylococcus aureus</i>. Out of the 40 swabs, five (12.5%) isolates were MRSA (one culture was isolated from the headscarf of a preclinical student, one culture was isolated from the necktie of clinical students, while the remaining three were isolated from identification badges of clinical students. There was no significant association between age, gender, ethnicity, and phase of medical students with the colonization of MRSA (<i>p</i> > 0.05). There was a significant association between knowledge score on hand hygiene practice and phase of medical students. MRSA colonies were present on neckties, headscarves, and identification badges of medical students of all phases. The findings from this study suggest the need for improvement of hand hygiene knowledge and discontinuity of mandatory use of physical ID badges and neckties among medical students.https://www.mdpi.com/2079-6382/9/7/382<i>Staphylococcus aureus</i>MRSA colonizationnecktiesheadscarvesidentification badgesmedical students
spellingShingle Sanjiv Rampal
Nur Hidayah Zainuddin
Nur Athirah Elias
Tengku Zetty Maztura Tengku Jamaluddin
Sandra Maniam
Seoh Wei Teh
Suresh Kumar Subbiah
Colonization of Methicillin-Resistant <i>Staphylococcus aureus</i> (MRSA) among Medical Students in Tertiary Institution in Central Malaysia
Antibiotics
<i>Staphylococcus aureus</i>
MRSA colonization
neckties
headscarves
identification badges
medical students
title Colonization of Methicillin-Resistant <i>Staphylococcus aureus</i> (MRSA) among Medical Students in Tertiary Institution in Central Malaysia
title_full Colonization of Methicillin-Resistant <i>Staphylococcus aureus</i> (MRSA) among Medical Students in Tertiary Institution in Central Malaysia
title_fullStr Colonization of Methicillin-Resistant <i>Staphylococcus aureus</i> (MRSA) among Medical Students in Tertiary Institution in Central Malaysia
title_full_unstemmed Colonization of Methicillin-Resistant <i>Staphylococcus aureus</i> (MRSA) among Medical Students in Tertiary Institution in Central Malaysia
title_short Colonization of Methicillin-Resistant <i>Staphylococcus aureus</i> (MRSA) among Medical Students in Tertiary Institution in Central Malaysia
title_sort colonization of methicillin resistant i staphylococcus aureus i mrsa among medical students in tertiary institution in central malaysia
topic <i>Staphylococcus aureus</i>
MRSA colonization
neckties
headscarves
identification badges
medical students
url https://www.mdpi.com/2079-6382/9/7/382
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