Prevalence of MRSA carriage among Health care workers (HCW) of tertiary healthcare centre in Western India

Authors

  • Priyanka Rana, Ms Rajiv Gandhi Medical College, Kalwa, Thane
  • Poorva Abhishek Sule Lecturer, Department of Microbiology, Rajiv Gandhi Medical College
  • Vrushali Vishal Kulkarni Rajiv Gandhi Medical College, Kalwa, Thane
  • Milind R Ubale Rajiv Gandhi Medical College, Kalwa, Thane

DOI:

https://doi.org/10.7439/ijbr.v10i5.5168

Keywords:

MRSA, Health care workers, nasal carriage

Abstract

Title: "Prevalence of MRSA carriage among Health care workers (HCW) of tertiary healthcare centre in Western India

Abstract:

Objective: Methicillin-resistant Staphylococcus aureus infections are associated with higher mortality, morbidity as compared to infections by methicillin-susceptible strains. MRSA carriage in healthcare personnel is potential focus for spread of hospital acquired infections.The following study was conducted to assess, the prevalence of MRSA carriage in healthcare workers (HCWs) at a tertiary care centre in western India and to analyse the relation of age, gender, work experience and other factors with MRSA carriage.

Methods:

A cross sectional study was conducted on a total of 104 HCWs (Nurses & Doctors). Nasal swabs were collected and cultured on Blood Agar. The isolates were identified as S. aureus based on Gram staining, colony morphology, catalase production test, slide and tube coagulase tests, and mannitol fermentation test. Methicillin resistance was detected using cefoxitin disc on Muller Hinton agar using modified Kirby-Bauer disc diffusion method.

Results:

Of the 104 HCWs, 22 (21.15%) were identified as MRSA carriers. MRSA carriage was particularly higher among nurses (24.07%) as compared to doctors (18.0%). There was no significant differene between the gender (p = 0.2365), age (p = 0.2207), cadre of participant (p = 0.4485) and years of healthcare service (p = 0.1155) with regards to nasal carriage of MRSA.

Conclusions:

 

The high rate of nasal MRSA carriage among healthcare workers found in this study indicates the need for adjusted infection control measures to prevent MRSA transmission in our healthcare setting.

 

Downloads

Download data is not yet available.

References

[1] Wu PJ, Jeyaratnam D, Tosas O, Cooper BS, French GL. Point-of-care universal screening of methicillin-resistant Staphylococcus aureus: a cluster-randomizedd croos-over trial. J Hosp Inf. 2017;95:245-252 Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5384532/ Accessed on: 22/04/2019
[2] Goyal R, Das S, Mathur M. Colonization of MRSA among healthcare workers in a tertiary care hospital of Delhi. Indian J Med Sci. 2002;56:321-4 Available at: https://europepmc.org/abstract/med/12645167 Accessed on 19/04/2019
[3] Kluytmans J, Belkum A, Verbrugh H. Nasal carriage of Staphylococcus aureus: epidemiology, underlying mechanisms, and associated risks. Clin Microbiol Rev. 1997;10(3):505-520 Available at: https://cmr.asm.org/content/cmr/10/3/505.full.pdf Accessed on 21/04/2019
[4] Hawkins G, Stewert S, Blatchford O, Reilly J. Should healthcare workers be screened routinely for methicillin resistant Staphylococcus aureus? A review of the evidence. J Hosp Inf 2011; 77(4):285-289 Available at: https://www.journalofhospitalinfection.com/article/S0195-6701(10)00497-4/fulltext Accessed on: 22/04/2019
[5] Sax H, Allegranzi B, Uckay I, Larson E, Boyce J, Pittet D. My five moments for hand hygiene: a user-centred design approach to understand train, monitor and report hand hygiene. J. Hosp Infec. 2007;67:9-21 Available at: https://www.journalofhospitalinfection.com/article/S0195-6701(07)00190-9/pdf Accessed on: 19/04/2019
[6] Albrich WC, Harbarth S. Healthcare workers: source, vector or victim. Lancet Infect Dis 2008;8:289-301 Available at: https://www.researchgate.net/publication/5379369_Albrich_WC_Harbarth_S_Health-care_workers_source_vector_or_victim_of_MRSA_Lancet_8_289-301 Accessed on 19/04/2019
[7] Peters C, Dulon M, Kleinmuller O, Nienhaus A, Schablon A. MRSA prevalence and risk factors among health personnel and residents in nursing homes in Hamburg, Germany

Downloads

Published

2019-05-31

Issue

Section

Original Research Articles

How to Cite

1.
Prevalence of MRSA carriage among Health care workers (HCW) of tertiary healthcare centre in Western India. Int Jour of Biomed Res [Internet]. 2019 May 31 [cited 2024 Oct. 18];10(5):e5168. Available from: https://ssjournals.co.in/index.php/ijbr/article/view/5168

Similar Articles

1-10 of 173

You may also start an advanced similarity search for this article.