Nasal carriage rate of methicillin resistant Staphylococcus aureus among Iranian healthcare workers: a systematic review and meta-analysis
Abstract Globally, methicillin-resistant Staphylococcus aureus (MRSA) remains a major cause of healthcare-associated infections. Healthcare workers (HCWs), patients and the environment may act as reservoirs for the spread of MRSA to patients and other HCWs. Screening and eradication of MRSA coloniza...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Medicina Tropical (SBMT)
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| Series: | Revista da Sociedade Brasileira de Medicina Tropical |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822017000500590&lng=en&tlng=en |
| _version_ | 1818534832336011264 |
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| author | Mohammad Emaneini Fereshteh Jabalameli Hosseinali Rahdar Willem B. van Leeuwen Reza Beigverdi |
| author_facet | Mohammad Emaneini Fereshteh Jabalameli Hosseinali Rahdar Willem B. van Leeuwen Reza Beigverdi |
| author_sort | Mohammad Emaneini |
| collection | DOAJ |
| description | Abstract Globally, methicillin-resistant Staphylococcus aureus (MRSA) remains a major cause of healthcare-associated infections. Healthcare workers (HCWs), patients and the environment may act as reservoirs for the spread of MRSA to patients and other HCWs. Screening and eradication of MRSA colonization is an effective method of reducing the MRSA infection rate. There are limited data on the prevalence of MRSA among Iranian HCWs. We performed a systematic search by using different electronic databases including Medline (via PubMed), Embase, Web of Science, and Iranian Databases (from January 2000 to July 2016). Meta-analysis was performed using the Comprehensive Meta-Analysis (Biostat V2.2) software. The meta-analyses showed that the prevalence of S. aureus and MRSA among HCWs were 22.7% [95% confidence interval (CI): 19.3-26.6] and 32.8% (95% CI: 26.0-40.4) respectively. The high rate of nasal MRSA carriage among Iranian HCWs has been attributed to poor compliance to hand hygiene, injudicious use of antibiotics, and ineffective infection control and prevention measures. The rational use of antibiotics plus strict infection control are the main pillars for controlling multidrug resistant microorganisms such as MRSA in the hospital setting. These measurements should be applied nationally. |
| first_indexed | 2024-12-11T18:16:43Z |
| format | Article |
| id | doaj.art-e77c220ada5c44c2ad9adc7b55ec46f7 |
| institution | Directory Open Access Journal |
| issn | 1678-9849 |
| language | English |
| last_indexed | 2024-12-11T18:16:43Z |
| publisher | Sociedade Brasileira de Medicina Tropical (SBMT) |
| record_format | Article |
| series | Revista da Sociedade Brasileira de Medicina Tropical |
| spelling | doaj.art-e77c220ada5c44c2ad9adc7b55ec46f72022-12-22T00:55:24ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-984950559059710.1590/0037-8682-0534-2016S0037-86822017000500590Nasal carriage rate of methicillin resistant Staphylococcus aureus among Iranian healthcare workers: a systematic review and meta-analysisMohammad EmaneiniFereshteh JabalameliHosseinali RahdarWillem B. van LeeuwenReza BeigverdiAbstract Globally, methicillin-resistant Staphylococcus aureus (MRSA) remains a major cause of healthcare-associated infections. Healthcare workers (HCWs), patients and the environment may act as reservoirs for the spread of MRSA to patients and other HCWs. Screening and eradication of MRSA colonization is an effective method of reducing the MRSA infection rate. There are limited data on the prevalence of MRSA among Iranian HCWs. We performed a systematic search by using different electronic databases including Medline (via PubMed), Embase, Web of Science, and Iranian Databases (from January 2000 to July 2016). Meta-analysis was performed using the Comprehensive Meta-Analysis (Biostat V2.2) software. The meta-analyses showed that the prevalence of S. aureus and MRSA among HCWs were 22.7% [95% confidence interval (CI): 19.3-26.6] and 32.8% (95% CI: 26.0-40.4) respectively. The high rate of nasal MRSA carriage among Iranian HCWs has been attributed to poor compliance to hand hygiene, injudicious use of antibiotics, and ineffective infection control and prevention measures. The rational use of antibiotics plus strict infection control are the main pillars for controlling multidrug resistant microorganisms such as MRSA in the hospital setting. These measurements should be applied nationally.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822017000500590&lng=en&tlng=enMRSANasal carriageHealthcare workersIranSystematic review |
| spellingShingle | Mohammad Emaneini Fereshteh Jabalameli Hosseinali Rahdar Willem B. van Leeuwen Reza Beigverdi Nasal carriage rate of methicillin resistant Staphylococcus aureus among Iranian healthcare workers: a systematic review and meta-analysis Revista da Sociedade Brasileira de Medicina Tropical MRSA Nasal carriage Healthcare workers Iran Systematic review |
| title | Nasal carriage rate of methicillin resistant Staphylococcus aureus among Iranian healthcare workers: a systematic review and meta-analysis |
| title_full | Nasal carriage rate of methicillin resistant Staphylococcus aureus among Iranian healthcare workers: a systematic review and meta-analysis |
| title_fullStr | Nasal carriage rate of methicillin resistant Staphylococcus aureus among Iranian healthcare workers: a systematic review and meta-analysis |
| title_full_unstemmed | Nasal carriage rate of methicillin resistant Staphylococcus aureus among Iranian healthcare workers: a systematic review and meta-analysis |
| title_short | Nasal carriage rate of methicillin resistant Staphylococcus aureus among Iranian healthcare workers: a systematic review and meta-analysis |
| title_sort | nasal carriage rate of methicillin resistant staphylococcus aureus among iranian healthcare workers a systematic review and meta analysis |
| topic | MRSA Nasal carriage Healthcare workers Iran Systematic review |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822017000500590&lng=en&tlng=en |
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