Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) is the most common multiresistant agent of hospital acquired infections in Europe. Health care-associated infections caused by MRSA described of severe course, epidemic dissemination, often with fatal outcome, accompanied by considerable economic damage. The prevention of such diseases is devoted to many publications of research results. However, developed and implemented by some preventive measures demanded evaluation of their effectiveness. Thus, the sanitation of MRSA nasal carriers among medical staff, as a measure of prevention strategies hasn’t unique estimate. In the article presents the results, we conducted a meta-analysis to assess the effectiveness of intranasal decolonization of Staphylococcus aureus among medical staff. In the study materials includes the results of four randomized clinical trial, installed total relative risk (RR = 0.20; [95% ДИ = 0.06 - 0.66], = 22.72; df = 3; p = 0.0001),shows the effectiveness of decolonization nasal carriers Staphylococcus aureus, a reduction in the frequency of the carrier and the number sources of infection among medical staff within a 6 month period from the date of its holding.

Highlights

  • Метициллинрезистентные штаммы Staphylococcus aureus (MRSA) – наиболее часто встречающийся мультирезистентный возбудитель внутрибольничных инфекций в Европе

  • Health care-associated infections caused by Methicillinresistant Staphylococcus aureus (MRSA) described of severe course

  • The prevention of such diseases is devoted to many publications of research results

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Summary

Introduction

Метициллинрезистентные штаммы Staphylococcus aureus (MRSA) – наиболее часто встречающийся мультирезистентный возбудитель внутрибольничных инфекций в Европе. Что источниками инфекции в медицинских организациях могут быть как пациенты с клинически выраженными формами заболеваний, вызванных метициллинрезистентными штаммами Staphylococcus aureus, так и носители MRSA из числа медицинского персонала [3 – 6]. По результатам систематического обзора 127 исследований различных авторов, проведенных в России в 2012 – 2013 годах, частота носительства среди медицинского персонала метициллинчувствительных Staphylococcus aureus составила 23,7% [95% ДИ = 10,7 – 36,7], MRSA – 4,6% [95% ДИ = 1,0 – 8,2] [7].

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