Low Rates of Nasal Colonization With Methicillin-Resistant Staphylococcus aureus Among Staff Members of an Italian Hospital

Pan, Angelo; Lorenzotti, Silvia; Ferrari, Lucio; Granata, RN Luisa; Signorini, Liana; Carnevale, G

doi:10.1086/501152

Cited by 4 publications

(5 citation statements)

References 12 publications

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“…Even though comparisons between studies are difficult because of the big differences in numbers of participants, low rates of MRSA colonization in the ICUs of three health care facilities (3/109, 1/57, 1/44) were similar to the frequencies found in other ICU studies in Italy (0/27) and France (2/68) [3,5]. However, the frequencies observed were lower than in other studies of ICU health care workers from other countries of the region such as Paraguay (20/142) and Colombia (3/26) [6,7].…”

Section: Discussionsupporting

confidence: 63%

Prevalence of methicillin‐resistant Staphylococcus aureus among health care workers of intensive care units in Ecuador

Ruiz

Mora

Zurita

et al. 2014

J Infect Dev Ctries

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Introduction: Colonization of health care workers with methicillin-resistant Staphylococcus aureus (MRSA) has been an important route of dispersion and infection of MRSA and has been implicated in epidemic outbreaks. The objective of the present study was to assess prevalence of MRSA colonization in the anterior nares of health care personnel at the intensive care unit (ICUs) of three hospital facilities in Quito, Ecuador. Methodology: The prevalence of MRSA in specimens from all ICU health care workers of three hospitals was measured by using a real-time PCR assay and CHROMagar MRSA. Results: The prevalence of MRSA among the three health care facilities was 2.4%. Conclusion: The prevalence of MRSA colonization was relatively low compared to other studies and showed no differences between hospital facilities.

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Section: Discussionsupporting

confidence: 63%

Prevalence of methicillin‐resistant Staphylococcus aureus among health care workers of intensive care units in Ecuador

Ruiz

Mora

Zurita

et al. 2014

J Infect Dev Ctries

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“…The latter may be quite relevant for circumstances where an epidemiological link may be sought and where nurses and physicians are the staff carriers primarily investigated. Carrier staff may be localized to one specific service or widely distributed throughout a facility [62,70]. There is increased carriage of MRSA in clinical wards than elsewhere [71,84].…”

Section: Seek and Ye Shall Findmentioning

confidence: 99%

“…Some have proposed that staff carrier rates may be so low that no such screening should be conducted [185]. The latter view is very much in the minority, and staff surveillance cultures have been procured in numerous outbreaks as part of the various control methods [25][26][27]29,31,33,35,36,39,[41][42][43]45,53,59,60,63,65,70,[74][75][76][77]86,[92][93][94]96,104,106,111,113,117,120,124,127,129,131,139,159,183,[186][187][188]. Some have proposed that staff screening should be an active component of routine control methods [36,41,43,…”

Section: Seek and Ye Shall Findmentioning

confidence: 99%

“…Poor compliance with handwashing is a systemic problem and may occur despite the healthcare workers' knowledge [9,70,212]. Some facilities lack readily available handwashing stations [212].…”

Section: Dialogue Disagreement and Discordmentioning

confidence: 99%

“…Treatment failure of carriage may also occur purely due to the frank refusal to accept eradication regimens [84]. Some have suggested that culture-negative status for healthcare workers could promote a false sense of security [70]. Such discord and controversies have the potential to create strained relationships with infection control services and/or management [40,113], and mistrust and non-compliance may especially be accentuated with the spectre that MRSA carriage might interfere with careers.…”

Section: Dialogue Disagreement and Discordmentioning

confidence: 99%

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The role of healthcare personnel in the maintenance and spread of methicillin-resistant Staphylococcus aureus

Cimolai

2008

Journal of Infection and Public Health

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Healthcare workers may acquire methicillin-resistant Staphylococcus aureus (MRSA) from patients, both hospital and home environments, other healthcare workers, family and public acquaintances, and pets. There is a consensus of case reports and series which now strongly support the role for MRSA-carrying healthcare personnel to serve as a reservoir and as a vehicle of spread within healthcare settings. Carriage may occur at a number of body sites and for short, intermediate, and long terms. A number of approaches have been taken to interrupt the linkage of staff-patient spread, but most emphasis has been placed on handwashing and the treatment of staff MRSA carriers. The importance of healthcare workers in transmission has been viewed with varying degrees of interest, and several logistical problems have arisen when healthcare worker screening is brought to the forefront. There is now considerable support for the screening and treatment of healthcare workers, but it is suggested that the intensity of any such approach must consider available resources, the nature of the outbreak, and the strength of epidemiological associations. The task of assessing healthcare personnel carriage in any context should be shaped with due regard to national and international guidelines, should be honed and practiced according to local needs and experience, and must be patient-oriented.

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Health-care workers: source, vector, or victim of MRSA?

Albrich

Harbarth

2008

The Lancet Infectious Diseases

455

452

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Low Rates of Nasal Colonization With Methicillin-Resistant Staphylococcus aureus Among Staff Members of an Italian Hospital

Cited by 4 publications

References 12 publications

Prevalence of methicillin‐resistant Staphylococcus aureus among health care workers of intensive care units in Ecuador

Prevalence of methicillin‐resistant Staphylococcus aureus among health care workers of intensive care units in Ecuador

The role of healthcare personnel in the maintenance and spread of methicillin-resistant Staphylococcus aureus

Health-care workers: source, vector, or victim of MRSA?

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