Abstract

Objective: The aim of this study was to find the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) carrier status in anterior nares and hands of health-care professionals working in orthopedic wards of a tertiary care hospital and to decolonize them to reduce spread of MRSA to their patients. Methods: The study was conducted in a super specialty, tertiary care teaching hospital. The samples were collected from anterior nares, palm, web spaces, and fingertips of 140 health-care professionals (48 doctors, 74 nurses, and 18 technicians) working in orthopedic wards using sterile pre-moistened swabs. MRSA carrier status was identified by Kirby-Bauer disc diffusion method. Result: Most (76.4%) of the health-care professionals were <30 years of age and 51% were male. MRSA in anterior nares of doctors was 4.3%, nurses 1.4%, and technicians 0.7% and none had MRSA in their hands. Methicillin-sensitive Staphylococcus aureus (MSSA) growth was more among nurses (nurses - 5.7%, doctors - 2.1%, and technicians - 1.4%) in anterior nares. In addition, 1.4% nurses’ hands were colonized with MSSA. Both MRSA and MSSA carriers were decolonized effectively and repeat sampling showed no growth. Conclusion: Health-care professionals have a greater chance of transmitting MRSA to patients and orthopedic patients are more susceptible for infection. Although MRSA carrier status was not very high among orthopedic health-care professionals compared to previous studies, it cannot be ignored. Nasal mupirocin and bath with chlorhexidine soap were effective in decolonization. Periodic screening and treatment of colonizers would help in elimination of MRSA carriage.

Original languageEnglish
Pages (from-to)346-349
Number of pages4
JournalAsian Journal of Pharmaceutical and Clinical Research
Volume11
Issue number3
DOIs
Publication statusPublished - 01-03-2018

Fingerprint

Tertiary Healthcare
Methicillin-Resistant Staphylococcus aureus
Tertiary Care Centers
Delivery of Health Care
Nurses
Methicillin
Orthopedics
Staphylococcus aureus
Hand
Disk Diffusion Antimicrobial Tests
Mupirocin
Soaps
Chlorhexidine
Growth
Baths
Nose
Teaching Hospitals
Infection

All Science Journal Classification (ASJC) codes

  • Pharmacology
  • Pharmaceutical Science
  • Pharmacology (medical)

Cite this

@article{22b89f60783846f19a1e155568b6c54d,
title = "Methicillin-resistant staphylococcus aureus carriage among health-care professionals of a tertiary care hospital",
abstract = "Objective: The aim of this study was to find the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) carrier status in anterior nares and hands of health-care professionals working in orthopedic wards of a tertiary care hospital and to decolonize them to reduce spread of MRSA to their patients. Methods: The study was conducted in a super specialty, tertiary care teaching hospital. The samples were collected from anterior nares, palm, web spaces, and fingertips of 140 health-care professionals (48 doctors, 74 nurses, and 18 technicians) working in orthopedic wards using sterile pre-moistened swabs. MRSA carrier status was identified by Kirby-Bauer disc diffusion method. Result: Most (76.4{\%}) of the health-care professionals were <30 years of age and 51{\%} were male. MRSA in anterior nares of doctors was 4.3{\%}, nurses 1.4{\%}, and technicians 0.7{\%} and none had MRSA in their hands. Methicillin-sensitive Staphylococcus aureus (MSSA) growth was more among nurses (nurses - 5.7{\%}, doctors - 2.1{\%}, and technicians - 1.4{\%}) in anterior nares. In addition, 1.4{\%} nurses’ hands were colonized with MSSA. Both MRSA and MSSA carriers were decolonized effectively and repeat sampling showed no growth. Conclusion: Health-care professionals have a greater chance of transmitting MRSA to patients and orthopedic patients are more susceptible for infection. Although MRSA carrier status was not very high among orthopedic health-care professionals compared to previous studies, it cannot be ignored. Nasal mupirocin and bath with chlorhexidine soap were effective in decolonization. Periodic screening and treatment of colonizers would help in elimination of MRSA carriage.",
author = "T. Latha and Bhat, {Anil K.} and {Manjunatha Hande}, H. and Chiranjay Mukhopadyay and Devi, {Elsa Sanatombi} and Nayak, {Baby S.}",
year = "2018",
month = "3",
day = "1",
doi = "10.22159/ajpcr.2018.v11i3.23151",
language = "English",
volume = "11",
pages = "346--349",
journal = "Asian Journal of Pharmaceutical and Clinical Research",
issn = "0974-2441",
publisher = "Innovare Academics Sciences Pvt. Ltd",
number = "3",

}

Methicillin-resistant staphylococcus aureus carriage among health-care professionals of a tertiary care hospital. / Latha, T.; Bhat, Anil K.; Manjunatha Hande, H.; Mukhopadyay, Chiranjay; Devi, Elsa Sanatombi; Nayak, Baby S.

In: Asian Journal of Pharmaceutical and Clinical Research, Vol. 11, No. 3, 01.03.2018, p. 346-349.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Methicillin-resistant staphylococcus aureus carriage among health-care professionals of a tertiary care hospital

AU - Latha, T.

AU - Bhat, Anil K.

AU - Manjunatha Hande, H.

AU - Mukhopadyay, Chiranjay

AU - Devi, Elsa Sanatombi

AU - Nayak, Baby S.

PY - 2018/3/1

Y1 - 2018/3/1

N2 - Objective: The aim of this study was to find the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) carrier status in anterior nares and hands of health-care professionals working in orthopedic wards of a tertiary care hospital and to decolonize them to reduce spread of MRSA to their patients. Methods: The study was conducted in a super specialty, tertiary care teaching hospital. The samples were collected from anterior nares, palm, web spaces, and fingertips of 140 health-care professionals (48 doctors, 74 nurses, and 18 technicians) working in orthopedic wards using sterile pre-moistened swabs. MRSA carrier status was identified by Kirby-Bauer disc diffusion method. Result: Most (76.4%) of the health-care professionals were <30 years of age and 51% were male. MRSA in anterior nares of doctors was 4.3%, nurses 1.4%, and technicians 0.7% and none had MRSA in their hands. Methicillin-sensitive Staphylococcus aureus (MSSA) growth was more among nurses (nurses - 5.7%, doctors - 2.1%, and technicians - 1.4%) in anterior nares. In addition, 1.4% nurses’ hands were colonized with MSSA. Both MRSA and MSSA carriers were decolonized effectively and repeat sampling showed no growth. Conclusion: Health-care professionals have a greater chance of transmitting MRSA to patients and orthopedic patients are more susceptible for infection. Although MRSA carrier status was not very high among orthopedic health-care professionals compared to previous studies, it cannot be ignored. Nasal mupirocin and bath with chlorhexidine soap were effective in decolonization. Periodic screening and treatment of colonizers would help in elimination of MRSA carriage.

AB - Objective: The aim of this study was to find the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) carrier status in anterior nares and hands of health-care professionals working in orthopedic wards of a tertiary care hospital and to decolonize them to reduce spread of MRSA to their patients. Methods: The study was conducted in a super specialty, tertiary care teaching hospital. The samples were collected from anterior nares, palm, web spaces, and fingertips of 140 health-care professionals (48 doctors, 74 nurses, and 18 technicians) working in orthopedic wards using sterile pre-moistened swabs. MRSA carrier status was identified by Kirby-Bauer disc diffusion method. Result: Most (76.4%) of the health-care professionals were <30 years of age and 51% were male. MRSA in anterior nares of doctors was 4.3%, nurses 1.4%, and technicians 0.7% and none had MRSA in their hands. Methicillin-sensitive Staphylococcus aureus (MSSA) growth was more among nurses (nurses - 5.7%, doctors - 2.1%, and technicians - 1.4%) in anterior nares. In addition, 1.4% nurses’ hands were colonized with MSSA. Both MRSA and MSSA carriers were decolonized effectively and repeat sampling showed no growth. Conclusion: Health-care professionals have a greater chance of transmitting MRSA to patients and orthopedic patients are more susceptible for infection. Although MRSA carrier status was not very high among orthopedic health-care professionals compared to previous studies, it cannot be ignored. Nasal mupirocin and bath with chlorhexidine soap were effective in decolonization. Periodic screening and treatment of colonizers would help in elimination of MRSA carriage.

UR - http://www.scopus.com/inward/record.url?scp=85042926399&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85042926399&partnerID=8YFLogxK

U2 - 10.22159/ajpcr.2018.v11i3.23151

DO - 10.22159/ajpcr.2018.v11i3.23151

M3 - Article

VL - 11

SP - 346

EP - 349

JO - Asian Journal of Pharmaceutical and Clinical Research

JF - Asian Journal of Pharmaceutical and Clinical Research

SN - 0974-2441

IS - 3

ER -