Staphylococcus aureus nasal carriage among health care workers in a Nepal Hospital

Shrestha, Bikal; Pokhrel, Bharat Mani; Mohapatra, Tribhuban Mohan

doi:10.1590/s1413-86702009000500001

Cited by 17 publications

(19 citation statements)

References 7 publications

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“…This study detected a nasal carriage rate of S. aureus to be 15.7 % among HCWs which is lower than that reported by studies from elsewhere in Nepal; 20.37–43.80 % [ 6 – 9 ]. This is also lower than that reported (19.80–48 %) internationally [ 12 – 18 ].…”

Section: Discussioncontrasting

confidence: 80%

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Nasal carriage of methicillin resistant Staphylococcus aureus among health care workers at a tertiary care hospital in Western Nepal

Khanal

Sah

Lamichhane

et al. 2015

Antimicrob Resist Infect Control

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BackgroundStaphylococcus aureus is a frequent cause of infections in both the community and hospital. Methicillin-resistant Staphylococcus aureus continues to be an important nosocomial pathogen and infections are often difficult to manage due to its resistance to multiple antibiotics. Healthcare workers are important source of nosocomial transmission of MRSA. This study aimed to determine the nasal carriage rate of S. aureus and MRSA among healthcare workers at Universal College of Medical Sciences and Teaching Hospital, Nepal and to determine antibiotic susceptibility pattern of the isolates.MethodsA cross-sectional study involving 204 healthcare workers was conducted. Nasal swabs were collected and cultured on Mannitol salt agar. Mannitol fermenting colonies which were gram positive cocci, catalase positive and coagulase positive were identified as S. aureus. Antibiotic susceptibility test was performed by modified Kirby-Bauer disc diffusion method. Methicillin resistance was detected using cefoxitin disc diffusion method.ResultsOf 204 healthcare workers, 32 (15.7 %) were nasal carriers of S. aureus and among them 7 (21.9 %) were carrier of MRSA. Overall nasal carriage rate of MRSA was 3.4 % (7/204). Highest MRSA nasal carriage rate of 7.8 % (4/51) was found among nurses. Healthcare workers of both surgical wards and operating room accounted for 28.6 % (2/7) of MRSA carriers each. Among MRSA isolates inducible clindamycin resistance was observed in 66.7 % (2/3) of erythromycin resistant isolates.ConclusionsHigh nasal carriage of S. aureus and MRSA among healthcare workers (especially in surgery ward and operating room) necessitates improved infection control measures to be employed to control MRSA transmission in our setting.

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Section: Discussioncontrasting

confidence: 80%

“…The average nasal carriage rate of S. aureus and MRSA among HCWs has been shown to be 23.7 and 4.6 % respectively [ 3 ]. Different studies from Nepal have showed nasal carriage rate of S. aurues among HCWs to be 20.37 – 43.8 % [ 6 – 9 ].…”

Section: Introductionmentioning

confidence: 99%

Nasal carriage of methicillin resistant Staphylococcus aureus among health care workers at a tertiary care hospital in Western Nepal

Khanal

Sah

Lamichhane

et al. 2015

Antimicrob Resist Infect Control

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“…En este estudio, se detectó el S. aureus en el personal de salud en el 26,7 % de los casos. Estos resultados son coherentes con los obtenidos en otras ciudades de Colombia, con reportes de hasta un 72 % de colonización y en países de Asia con reportes entre 27 % al 37 % (19)(20)(21)(22)(23). Sin embargo, la prevalencia reportada en países de América Latina es más baja, con valores que oscilan entre el 12 % y 17,1 % (24,25).…”

Section: Discussionunclassified

“…Sin embargo, la prevalencia reportada en países de América Latina es más baja, con valores que oscilan entre el 12 % y 17,1 % (24,25). Por otra parte, la colonización por sarm en el personal de salud encontrada en este estudio (36,4 %) fue más alta que la registrada en países de Asia y América Latina (21)(22)(23)(24)(25)(26).…”

Section: Discussionunclassified

Prevalencia de Staphylococcus aureus que coloniza el personal de salud de un hospital de la ciudad de Cali

Delgado¹,

Lopez²,

Vivas³

2016

Rev. Cienc. Salud

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“…Shrestha et al 71 described the nasal carriage of Staphylococcus aureus among health care workers in a Nepal hospital. Cury et al 72 studied 151 methicillin-resistant (MRSA) strains isolated from patients admitted to tertiary care hospitals in two metropolitan areas (Campinas City and Ribeirao Preto) in the southeast of Brazil through PCR-based techniques and found that the variability among such strains is larger than previously reported, indicating that the techniques used by these authors can be an alternative to pulsed-field gel electrophoresis.…”

Section: Methodsmentioning

confidence: 99%

Metabolic and infectious pathologies in Brazilian medical literature: a review

Rocha-e-Silva¹

2010

Clinics

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OBJECTIVE: This review of original reports on metabolic and infectious diseases that were recently published in Brazilian journals is designed to inform the readership of CLINICS about their content.METHODS: I conducted a search in PubMed for original research articles (clinical or basic research) recently published (2008)(2009) by Brazilian medical and biological periodicals. Papers on metabolic pathologies were retrieved by searching for appropriate keywords such as metabolic syndrome and obesity. Papers on infectious disease were obtained by entering 15 different keywords for the most commonly occurring pathologies. Review articles, editorials, letters to the editor, and case reports were manually excluded. Selected titles were then categorized into appropriate sub-categories. RESULTS:This search produced a total of 123 articles, which filtered down to 72 articles after eliminating editorials, review articles, letters to the Editor and case reports.

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Staphylococcus aureus nasal carriage among health care workers in a Nepal Hospital

Cited by 17 publications

References 7 publications

Nasal carriage of methicillin resistant Staphylococcus aureus among health care workers at a tertiary care hospital in Western Nepal

Nasal carriage of methicillin resistant Staphylococcus aureus among health care workers at a tertiary care hospital in Western Nepal

Prevalencia de Staphylococcus aureus que coloniza el personal de salud de un hospital de la ciudad de Cali

Metabolic and infectious pathologies in Brazilian medical literature: a review

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