Prevalence and determinants of methicillin-resistant Staphylococcus aureus and methicillin-sensitive Staphylococcus aureus carrier among staff of a tertiary eye hospital in Saudi Arabia

OBJECTIVES: The objective of this study was to estimate the prevalence and risk factors of methicillin-sensitive Staphylococcus aureus (MSSA) and methicillin-resistant S. aureus (MRSA) carriers among staff of a tertiary eye hospital in Saudi Arabia. METHODS: This retrospective study was conducted in...

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Main Authors: Ruhi A Khan, Anwar Ahmed, Anita Sapitan, Azza Maktabi, Sultan Al-Subaie, Rajiv Khandekar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Oman Journal of Ophthalmology
Subjects:
Online Access:http://www.ojoonline.org/article.asp?issn=0974-620X;year=2021;volume=14;issue=2;spage=88;epage=93;aulast=Khan
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author Ruhi A Khan
Anwar Ahmed
Anita Sapitan
Azza Maktabi
Sultan Al-Subaie
Rajiv Khandekar
author_facet Ruhi A Khan
Anwar Ahmed
Anita Sapitan
Azza Maktabi
Sultan Al-Subaie
Rajiv Khandekar
author_sort Ruhi A Khan
collection DOAJ
description OBJECTIVES: The objective of this study was to estimate the prevalence and risk factors of methicillin-sensitive Staphylococcus aureus (MSSA) and methicillin-resistant S. aureus (MRSA) carriers among staff of a tertiary eye hospital in Saudi Arabia. METHODS: This retrospective study was conducted in 2019. Nasal and axillary swabs of health-care staff were used to determine carriers of MRSA. Bacteria were identified by culture and sensitivity tests. These isolates were grouped as antibiotic resistant, sensitive, and others not in the S. aureus group. Demographics and other determinants were associated with carrier status. RESULTS: We evaluated the carrier status of 430 staff. There were 110 (24.9%; 95% confidence interval [CI]: 21.5, 29.7) S. aureus-positive staff, 21 (11.7%; 95% CI: 11.7, 26.4) of who carried the MRSA strain. Carrier status was significantly higher among physicians (31%) compared to nurses (22.5%) and other staff (5.7%) (P < 0.001). MRSA carrier status was significantly associated with >5 years of employment at the eye hospital (P = 0.02). MRSA was significantly associated with staff who were of Indian nationality (75%) compared to other nationalities (P = 0.04) and those who were at the hospital for <5-year stay compared more than 5 years at the hospital (P = 0.001). All carriers responded to decolonization treatment. CONCLUSIONS: The high prevalence of MRSA and relatively easy treat MRSA carriers points at the need for universal screening for MRSA carriers among eye health staff.
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spelling doaj.art-c0379b9177624d8c9a9943252039cf5d2022-12-21T18:58:32ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X2021-01-01142889310.4103/ojo.ojo_98_21Prevalence and determinants of methicillin-resistant Staphylococcus aureus and methicillin-sensitive Staphylococcus aureus carrier among staff of a tertiary eye hospital in Saudi ArabiaRuhi A KhanAnwar AhmedAnita SapitanAzza MaktabiSultan Al-SubaieRajiv KhandekarOBJECTIVES: The objective of this study was to estimate the prevalence and risk factors of methicillin-sensitive Staphylococcus aureus (MSSA) and methicillin-resistant S. aureus (MRSA) carriers among staff of a tertiary eye hospital in Saudi Arabia. METHODS: This retrospective study was conducted in 2019. Nasal and axillary swabs of health-care staff were used to determine carriers of MRSA. Bacteria were identified by culture and sensitivity tests. These isolates were grouped as antibiotic resistant, sensitive, and others not in the S. aureus group. Demographics and other determinants were associated with carrier status. RESULTS: We evaluated the carrier status of 430 staff. There were 110 (24.9%; 95% confidence interval [CI]: 21.5, 29.7) S. aureus-positive staff, 21 (11.7%; 95% CI: 11.7, 26.4) of who carried the MRSA strain. Carrier status was significantly higher among physicians (31%) compared to nurses (22.5%) and other staff (5.7%) (P < 0.001). MRSA carrier status was significantly associated with >5 years of employment at the eye hospital (P = 0.02). MRSA was significantly associated with staff who were of Indian nationality (75%) compared to other nationalities (P = 0.04) and those who were at the hospital for <5-year stay compared more than 5 years at the hospital (P = 0.001). All carriers responded to decolonization treatment. CONCLUSIONS: The high prevalence of MRSA and relatively easy treat MRSA carriers points at the need for universal screening for MRSA carriers among eye health staff.http://www.ojoonline.org/article.asp?issn=0974-620X;year=2021;volume=14;issue=2;spage=88;epage=93;aulast=Khancarrierhospital infectionmethicillin-resistant staphylococcus aureusmethicillin-sensitive staphylococcus aureus
spellingShingle Ruhi A Khan
Anwar Ahmed
Anita Sapitan
Azza Maktabi
Sultan Al-Subaie
Rajiv Khandekar
Prevalence and determinants of methicillin-resistant Staphylococcus aureus and methicillin-sensitive Staphylococcus aureus carrier among staff of a tertiary eye hospital in Saudi Arabia
Oman Journal of Ophthalmology
carrier
hospital infection
methicillin-resistant staphylococcus aureus
methicillin-sensitive staphylococcus aureus
title Prevalence and determinants of methicillin-resistant Staphylococcus aureus and methicillin-sensitive Staphylococcus aureus carrier among staff of a tertiary eye hospital in Saudi Arabia
title_full Prevalence and determinants of methicillin-resistant Staphylococcus aureus and methicillin-sensitive Staphylococcus aureus carrier among staff of a tertiary eye hospital in Saudi Arabia
title_fullStr Prevalence and determinants of methicillin-resistant Staphylococcus aureus and methicillin-sensitive Staphylococcus aureus carrier among staff of a tertiary eye hospital in Saudi Arabia
title_full_unstemmed Prevalence and determinants of methicillin-resistant Staphylococcus aureus and methicillin-sensitive Staphylococcus aureus carrier among staff of a tertiary eye hospital in Saudi Arabia
title_short Prevalence and determinants of methicillin-resistant Staphylococcus aureus and methicillin-sensitive Staphylococcus aureus carrier among staff of a tertiary eye hospital in Saudi Arabia
title_sort prevalence and determinants of methicillin resistant staphylococcus aureus and methicillin sensitive staphylococcus aureus carrier among staff of a tertiary eye hospital in saudi arabia
topic carrier
hospital infection
methicillin-resistant staphylococcus aureus
methicillin-sensitive staphylococcus aureus
url http://www.ojoonline.org/article.asp?issn=0974-620X;year=2021;volume=14;issue=2;spage=88;epage=93;aulast=Khan
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