High Nasal Carriage of MRSA Among Healthcare Workers Requires Improved Infection Control Measures
Staphylococcus 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 by Khanal et al. (2015) 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.
A 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.
Of 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.
The researchers conclude that high 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. Their research was published in Antimicrobial Resistance and Infection Control.
Reference: Khanal R, Sah P, Lamichhane P, Lamsal A, Upadhaya S and Pahwa VK. Nasal carriage of methicillin resistant Staphylococcus aureus among healthcare workers at a tertiary care hospital in Western Nepal. Antimicrobial Resistance and Infection Control 2015, 4:39 doi:10.1186/s13756-015-0082-3
Tackling Health Care-Associated Infections: SHEA’s Bold 10-Year Research Plan to Save Lives
December 12th 2024Discover SHEA's visionary 10-year plan to reduce HAIs by advancing infection prevention strategies, understanding transmission, and improving diagnostic practices for better patient outcomes.
Point-of-Care Engagement in Long-Term Care Decreasing Infections
November 26th 2024Get Well’s digital patient engagement platform decreases hospital-acquired infection rates by 31%, improves patient education, and fosters involvement in personalized care plans through real-time interaction tools.
The Leapfrog Group and the Positive Effect on Hospital Hand Hygiene
November 21st 2024The Leapfrog Group enhances hospital safety by publicizing hand hygiene performance, improving patient safety outcomes, and significantly reducing health care-associated infections through transparent standards and monitoring initiatives.
The Importance of Hand Hygiene in Clostridioides difficile Reduction
November 18th 2024Clostridioides difficile infections burden US healthcare. Electronic Hand Hygiene Monitoring (EHHMS) systems remind for soap and water. This study evaluates EHHMS effectiveness by comparing C difficile cases in 10 hospitals with CMS data, linking EHHMS use to reduced cases.
