Nasal and Hands Carriage Rate of Methicillin-Resistant Staphylococcus aure-us among Health Care Workers at Alwahda Hospital, Derna
Increasing incidence of Methicillin-Resistant Staphylococcus aureus (MRSA) is a well-documented healthcare and community phenomenon of concern to medical and public health communities all over the world. One of the most important sources of MRSA infection in hospitals is health care workers (HCWs)...
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| Format: | Article |
| Language: | English |
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Omar Al-Mukhtar University
2019-12-01
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| Series: | مجلة المختار للعلوم |
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| Online Access: | https://omu.edu.ly/journals/index.php/mjsc/article/view/166 |
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| author | Hussain Y. H. Khnfar Dalal A. Thaood Ilham O. A. Abdraba Intesar N. Omran Guma M. K. Abdeldaim |
| author_facet | Hussain Y. H. Khnfar Dalal A. Thaood Ilham O. A. Abdraba Intesar N. Omran Guma M. K. Abdeldaim |
| author_sort | Hussain Y. H. Khnfar |
| collection | DOAJ |
| description |
Increasing incidence of Methicillin-Resistant Staphylococcus aureus (MRSA) is a well-documented healthcare and community phenomenon of concern to medical and public health communities all over the world. One of the most important sources of MRSA infection in hospitals is health care workers (HCWs) through nasal or hands carriage. The aim of this study is to determine the rate of methicillin-resistant Staphylococcus aureus among HCWs. A cross-sectional study involving 102 HCWs was conducted at Alwahda hospital, Derna. Nasal and hand swabs were collected and cultured on Mannitol Salt Agar. Gram staining was performed on mannitol fermenting colonies. Slide catalase and coagulase were performed to identify S. aureus. An oxacillin and cefoxitin susceptibility test was carried out on Muller Hinton agar using the modified Kirby-Bauer disc diffusion method. Results: out of 102 healthcare workers, 46 (45.1%) carried S. aureus. The rate of methicillin resistance amongst all S. aureus isolates was 47.8 % (22/46) whereas 21.6 % (22/102) of all HCWs were identified as MRSA carriers. Nurses had the highest MRSA carriage with 53%, compared to other HCW. On the other hand, the highest rate of MRSA (75%) was seen in CCU workers followed by workers of pediatric and surgical wards (66%, 62% respectively). The high rate of nasal and hand MRSA carriage among healthcare workers, especially in high-risk wards, indicates the imperfection of infection control measures in our hospitals and the necessity to improve the infection control program.
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| first_indexed | 2024-03-12T05:02:19Z |
| format | Article |
| id | doaj.art-f94d8201a4a24b6298e552d4235810b9 |
| institution | Directory Open Access Journal |
| issn | 2617-2178 2617-2186 |
| language | English |
| last_indexed | 2024-03-12T05:02:19Z |
| publishDate | 2019-12-01 |
| publisher | Omar Al-Mukhtar University |
| record_format | Article |
| series | مجلة المختار للعلوم |
| spelling | doaj.art-f94d8201a4a24b6298e552d4235810b92023-09-03T09:08:47ZengOmar Al-Mukhtar Universityمجلة المختار للعلوم2617-21782617-21862019-12-0134410.54172/mjsc.v34i4.166Nasal and Hands Carriage Rate of Methicillin-Resistant Staphylococcus aure-us among Health Care Workers at Alwahda Hospital, DernaHussain Y. H. Khnfar0Dalal A. Thaood1Ilham O. A. Abdraba2Intesar N. Omran3Guma M. K. Abdeldaim4Karsa polyclinic, LibyaDepartment of medical microbiology, Faculty of Medicine, University of Benghazi, LibyaDepartment Microbiology, Faculty of medicine, Omer-Almuktar University, Al-Bayda, LibyaDepartment of medical microbiology, Faculty of Medicine, University of Benghazi, LibyaDepartment of medical microbiology, Faculty of Medicine, University of Benghazi, Libya Increasing incidence of Methicillin-Resistant Staphylococcus aureus (MRSA) is a well-documented healthcare and community phenomenon of concern to medical and public health communities all over the world. One of the most important sources of MRSA infection in hospitals is health care workers (HCWs) through nasal or hands carriage. The aim of this study is to determine the rate of methicillin-resistant Staphylococcus aureus among HCWs. A cross-sectional study involving 102 HCWs was conducted at Alwahda hospital, Derna. Nasal and hand swabs were collected and cultured on Mannitol Salt Agar. Gram staining was performed on mannitol fermenting colonies. Slide catalase and coagulase were performed to identify S. aureus. An oxacillin and cefoxitin susceptibility test was carried out on Muller Hinton agar using the modified Kirby-Bauer disc diffusion method. Results: out of 102 healthcare workers, 46 (45.1%) carried S. aureus. The rate of methicillin resistance amongst all S. aureus isolates was 47.8 % (22/46) whereas 21.6 % (22/102) of all HCWs were identified as MRSA carriers. Nurses had the highest MRSA carriage with 53%, compared to other HCW. On the other hand, the highest rate of MRSA (75%) was seen in CCU workers followed by workers of pediatric and surgical wards (66%, 62% respectively). The high rate of nasal and hand MRSA carriage among healthcare workers, especially in high-risk wards, indicates the imperfection of infection control measures in our hospitals and the necessity to improve the infection control program. https://omu.edu.ly/journals/index.php/mjsc/article/view/166healthcare workersnasal carriagehand carriageS. aureusMRSA |
| spellingShingle | Hussain Y. H. Khnfar Dalal A. Thaood Ilham O. A. Abdraba Intesar N. Omran Guma M. K. Abdeldaim Nasal and Hands Carriage Rate of Methicillin-Resistant Staphylococcus aure-us among Health Care Workers at Alwahda Hospital, Derna مجلة المختار للعلوم healthcare workers nasal carriage hand carriage S. aureus MRSA |
| title | Nasal and Hands Carriage Rate of Methicillin-Resistant Staphylococcus aure-us among Health Care Workers at Alwahda Hospital, Derna |
| title_full | Nasal and Hands Carriage Rate of Methicillin-Resistant Staphylococcus aure-us among Health Care Workers at Alwahda Hospital, Derna |
| title_fullStr | Nasal and Hands Carriage Rate of Methicillin-Resistant Staphylococcus aure-us among Health Care Workers at Alwahda Hospital, Derna |
| title_full_unstemmed | Nasal and Hands Carriage Rate of Methicillin-Resistant Staphylococcus aure-us among Health Care Workers at Alwahda Hospital, Derna |
| title_short | Nasal and Hands Carriage Rate of Methicillin-Resistant Staphylococcus aure-us among Health Care Workers at Alwahda Hospital, Derna |
| title_sort | nasal and hands carriage rate of methicillin resistant staphylococcus aure us among health care workers at alwahda hospital derna |
| topic | healthcare workers nasal carriage hand carriage S. aureus MRSA |
| url | https://omu.edu.ly/journals/index.php/mjsc/article/view/166 |
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