Abstract

The aim of this study was to determine Staphylococcus aureus and methicillin-resistant S. aureus (MRSA) nasal carriage among emergency department (ED) workers, and bacterial contamination on hand-touch surfaces at ED. This single-centered study enrolled 105 ED workers and 190 hand-touch surfaces at ED in June 2014. Nasal and environmental samples for S. aureus carriage and for bacterial contamination were obtained. For isolation swabs were cultured on ChromAgar S. aureus and environmental samples first cultured in broth and antibiogram obtained by clinical and Laboratory Standards Institute guidelines. A questionnaire was completed for each subject. The S. aureus carriage rate was 18.1% (n=19), with 2.9% (n=3) MRSA positivity. There were two (1.9%) mobile phone positivities for S. aureus, one of them was MRSA, and a computer keyboard contamination for MRSA was also detected. All MRSA isolates were susceptible for the tested antibiotics. There was significant difference between gender (p=0.044) in terms of nasal carriage of S. aureus and MRSA, all three MRSA isolates were from females. Our study showed that the carriage of MRSA was not affected by clinical exposure in the hospital because of the existing infection control policy in our hospital.

Highlights

  • S. aureus is one of the most important human bacterial pathogens and methicillin-resistant S. aureus (MRSA) is currently the most commonly identified antibiotic resistant pathogen which is capable of causing a wide range of infections, especially through cross infection spread from patient to patient in hospitals and in oth-Corresponding author: Muge Oguzkaya-Artan, Erciyes University, Halil Bayraktar Health Services Vocational College, Kayseri, Turkey

  • Our study showed that the carriage of MRSA was not affected by clinical exposure in the hospital because of the existing infection control policy in our hospital

  • We aimed to determine the prevalence of S. aureus and MRSA nasal carriage among emergency department (ED) healthcare workers (HCWs) without evidence of an active site of staphylococcal infection and to identify the variables associated with carriage

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Summary

Introduction

S. aureus is one of the most important human bacterial pathogens and methicillin-resistant S. aureus (MRSA) is currently the most commonly identified antibiotic resistant pathogen which is capable of causing a wide range of infections, especially through cross infection spread from patient to patient in hospitals and in oth-. Corresponding author: Muge Oguzkaya-Artan, Erciyes University, Halil Bayraktar Health Services Vocational College, Kayseri, Turkey. Aims of the study Determination of; i. Carriage rate of the S. aureus among ED workers, the risk factors and antibiotic susceptibilities ii. ED workers level of knowledge on the MRSA as an agent of hospital infection

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