Risk Factors Association for MRSA Nasal Colonization in Preoperative Patients in Azadi Teaching Hospital-Duhok, Kurdistan Region, Iraq

Background: Nasal colonization with Methicillin-resistant Staphylococcus aureus (MRSA) can predispose to subsequent infections in surgical and non-surgical patients, making the management challenging with increased rates of morbidity, mortality and cost burden. Objectives: The present study was c...

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Main Authors: Warveen L. Abdulkareem, Nawfal R. Hussein, Ayad A. Mohammed, Sardar H. Arif, Ibrahim A. Naqid
Format: Article
Language:English
Published: University of Zakho 2020-09-01
Series:Science Journal of University of Zakho
Subjects:
Online Access:https://sjuoz.uoz.edu.krd/index.php/sjuoz/article/view/712
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author Warveen L. Abdulkareem
Nawfal R. Hussein
Ayad A. Mohammed
Sardar H. Arif
Ibrahim A. Naqid
author_facet Warveen L. Abdulkareem
Nawfal R. Hussein
Ayad A. Mohammed
Sardar H. Arif
Ibrahim A. Naqid
author_sort Warveen L. Abdulkareem
collection DOAJ
description Background: Nasal colonization with Methicillin-resistant Staphylococcus aureus (MRSA) can predispose to subsequent infections in surgical and non-surgical patients, making the management challenging with increased rates of morbidity, mortality and cost burden. Objectives: The present study was carried out to evaluate the risk factors of MRSA nasal colonization in preoperative patients in Azadi Teaching Hospital in Duhok Province - Kurdistan Region-Iraq. Methods: Nasal swabs were obtained from 150 patients after completing a questionnaire. Conventional laboratory methods were carried out to identify Staphylococcus aureus (S. aureus) and antimicrobial susceptibility test was conducted for recognizing MRSA isolates. Results: A total of 41 (27.3%) of 150 patients were MRSA carriers. The mean age of participants MRSA carriers was 35.27±20.40 years old. The highest prevalence rate of nasal colonization with MRSA was in males (27.94%) than females (26.82%). In logistic regression analysis, no significant differences was detected between MRSA carriage and the associated risk factors including age [OR: 0.99 (95 % CI: 0.97- 1.01); P = 0.45], gender [OR: 1.05 (95 % CI: 0.51- 2.17); P = 0.87] and medical comorbidities [OR: 1.11 (95 % CI: 0.42- 2.92); P = 0.82]. Conclusions: Age, gender and medical comorbidities were not associated common risk factors for nasal colonization of MRSA in preoperative patients. This study should be considered preliminary and studies with larger sample sizes and with using advance molecular tools are needed in the future.
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spelling doaj.art-900d9716fe644a85bfbeda57d174ead82022-12-21T18:24:09ZengUniversity of ZakhoScience Journal of University of Zakho2663-628X2663-62982020-09-018310.25271/sjuoz.2020.8.3.712Risk Factors Association for MRSA Nasal Colonization in Preoperative Patients in Azadi Teaching Hospital-Duhok, Kurdistan Region, IraqWarveen L. Abdulkareem0Nawfal R. Hussein1Ayad A. Mohammed2Sardar H. Arif3Ibrahim A. Naqid4Azadi Teaching hospital, Duhok, Kurdistan Region, IraqDept. of Biomedical Sciences, College of Medicine, University of Zakho, Zakho, Kurdistan Region, IraqDept. of Surgery, College of Medicine University of Duhok, Duhok, Kurdistan Region, Iraq.Dept. of Surgery, College of Medicine University of Duhok, Duhok, Kurdistan Region, Iraq.Dept. of Biomedical Sciences, College of Medicine, University of Zakho - Kurdistan, IraqBackground: Nasal colonization with Methicillin-resistant Staphylococcus aureus (MRSA) can predispose to subsequent infections in surgical and non-surgical patients, making the management challenging with increased rates of morbidity, mortality and cost burden. Objectives: The present study was carried out to evaluate the risk factors of MRSA nasal colonization in preoperative patients in Azadi Teaching Hospital in Duhok Province - Kurdistan Region-Iraq. Methods: Nasal swabs were obtained from 150 patients after completing a questionnaire. Conventional laboratory methods were carried out to identify Staphylococcus aureus (S. aureus) and antimicrobial susceptibility test was conducted for recognizing MRSA isolates. Results: A total of 41 (27.3%) of 150 patients were MRSA carriers. The mean age of participants MRSA carriers was 35.27±20.40 years old. The highest prevalence rate of nasal colonization with MRSA was in males (27.94%) than females (26.82%). In logistic regression analysis, no significant differences was detected between MRSA carriage and the associated risk factors including age [OR: 0.99 (95 % CI: 0.97- 1.01); P = 0.45], gender [OR: 1.05 (95 % CI: 0.51- 2.17); P = 0.87] and medical comorbidities [OR: 1.11 (95 % CI: 0.42- 2.92); P = 0.82]. Conclusions: Age, gender and medical comorbidities were not associated common risk factors for nasal colonization of MRSA in preoperative patients. This study should be considered preliminary and studies with larger sample sizes and with using advance molecular tools are needed in the future.https://sjuoz.uoz.edu.krd/index.php/sjuoz/article/view/712Risk factors, MRSA, Nasal Colonization, Preoperative patients, Duhok
spellingShingle Warveen L. Abdulkareem
Nawfal R. Hussein
Ayad A. Mohammed
Sardar H. Arif
Ibrahim A. Naqid
Risk Factors Association for MRSA Nasal Colonization in Preoperative Patients in Azadi Teaching Hospital-Duhok, Kurdistan Region, Iraq
Science Journal of University of Zakho
Risk factors, MRSA, Nasal Colonization, Preoperative patients, Duhok
title Risk Factors Association for MRSA Nasal Colonization in Preoperative Patients in Azadi Teaching Hospital-Duhok, Kurdistan Region, Iraq
title_full Risk Factors Association for MRSA Nasal Colonization in Preoperative Patients in Azadi Teaching Hospital-Duhok, Kurdistan Region, Iraq
title_fullStr Risk Factors Association for MRSA Nasal Colonization in Preoperative Patients in Azadi Teaching Hospital-Duhok, Kurdistan Region, Iraq
title_full_unstemmed Risk Factors Association for MRSA Nasal Colonization in Preoperative Patients in Azadi Teaching Hospital-Duhok, Kurdistan Region, Iraq
title_short Risk Factors Association for MRSA Nasal Colonization in Preoperative Patients in Azadi Teaching Hospital-Duhok, Kurdistan Region, Iraq
title_sort risk factors association for mrsa nasal colonization in preoperative patients in azadi teaching hospital duhok kurdistan region iraq
topic Risk factors, MRSA, Nasal Colonization, Preoperative patients, Duhok
url https://sjuoz.uoz.edu.krd/index.php/sjuoz/article/view/712
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