Volume 5, Issue 2 (Spring 2016 2016)                   J Occup Health Epidemiol 2016, 5(2): 83-88 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mohseni Moghadam F, Tashakori M, Shahidi Zandi B, Hadavi M, Ranjbar E, Shahidi Zandi S. Assessment of the frequency of Staphylococcus aureus carriers and its antibiotic susceptibility in paramedical students in Rafsanjan University of Medical Sciences, Iran. J Occup Health Epidemiol 2016; 5 (2) :83-88
URL: http://johe.rums.ac.ir/article-1-196-en.html

Related article in
Google Scholar

1- Facully Member, Dept. of Basic science, Paramedical Faculty, Rafsanjan University of Medical Sciences, Rafsanjan , Iran.
2- Dept. of Basic Science, Paramedical Faculty ,Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
3- Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
4- Dept. of Anesthesiology, Paramedical Faculty, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. , hadavimaryam@yahoo.com
5- Kerman University of Medical Sciences, Kerman, Iran.
Article history
Received: 2015/10/7
Accepted: 2015/12/7
ePublished: 2016/06/25
Abstract:   (8152 Views)

Background: Methicillin-resistant Staphylococcus aureus (MRSA) is resistant to most antibiotics and is an important pathogen of nosocomial infections. The prevalence of community (CA-MRSA) and hospital acquired methicillin-resistant S. aureus (HA-MRSA) infection is increased. In this study we investigated the frequency of MRSA colonization and its antibiotic susceptibility in students of Rafsanjan University of Medical Sciences, Iran.

Materials and Methods: In this cross-sectional study, we evaluated 200 nursing, midwifery and paramedical students. Nasal swabs were taken from all cases and were cultured on a blood medium agar. Methicillin resistance was confirmed using Oxacillin and cefoxcitin disks. Inducible clinadamycin resistance was identified using D-zone test. Demographic and specific information were collected by questionnaire. Data were analyzed by chi-square test.

Results: Among 200 studied cases, the frequency of nasal carriers for S. aureus was 5%. Six (60%) out of 10 S. aureus isolates were MRSA strains. Fifty percent of MRSA and 25% of methicillin-susceptible S. aureus (MSSA) were resistant to clindamycin. Four out of 6 strains of MRSA and 1 of the MSSA strains were resistant to erythromycin and D test was positive in 50% of cases.

Conclusions: Nasal carriers of the resistant strains of S. aureus are always a serious threat to themselves and others. The rate of MRSA colonization, especially clindamycin-resistant strains, was high among studied cases, emphesizing the need for screening S. aureus.

Full-Text [PDF 358 kb]   (1686 Downloads) |   |   Full-Text (HTML)  (1255 Views)  

References
1. Bennett JE, Dolin R, Blaser MJ. Principles and practice of infectious diseases. 7th ed. Elsevier Health Sciences; 2014. (2-Volume Set).
2. Kasper DL, Fauci AS, Hauser SL, Longo DL, Jameson JL, Loscalzo J. Harrison's manual of medicine. 19th ed. New York City, United States: McGraw Hill Education; 2015.
3. Brooks GF, Carroll KC, Butel J, Morse S. Jawetz, Melnick and Adelberg's medical microbiology. 24th ed. New York City, United States: McGraw Hill Education, 2007.
4. Diederen BMW, Kluytmans JAJW. The emergence of infections with community-associated methicillin resistant Staphylococcus aureus. Journal of Infection 2006; 52(3):157-68.
5. Kasper D, Fauci A, Hauser S, Longo D, Jameson JL, Loscalzo J. Harrison's principles of internal medicine. 19th ed. New York City, United States: McGraw Hill Education; 2015.
6. Patricia Jevons M. “Celbenin”-resistant Staphylococci. Br Med J 1961; 1(5219):124-5.
7. Wunderink RG. How important is methicillin-resistant Staphylococcus aureus as a cause of community-acquired pneumonia and what is best antimicrobial therapy? Infect Dis Clin North Am 2013; 27(1):177-88.
8. Crum NF, Lee RU, Thornton SA, Stine OC, Wallace MR, Barrozo C, et al. Fifteen-year study of the changing epidemiology of methicillin-resistant Staphylococcus aureus. Am J Med 2006;119(11):943-51.
9. Salgado CD, Farr BM, Calfee DP. Community-acquired methicillin-resistant Staphylococcus aureus: a meta-analysis of prevalence and risk factors. Clin Infect Dis 2003; 36(2):131-9.
10. Scheurich D, Woeltje K. Skin and soft tissue infections due to CA-MRSA. Mo Med 2008; 106(4):274-6.
11. Turnidge JD, Bell JM. Methicillin-resistant Staphylococcal aureus evolution in Australia over 35 years. Microb Drug Resist 2000; 6(3):223-9.
12. Tille P. Bailey & Scott's diagnostic microbiology. 13th ed. United States: Elsevier Health Sciences; 2013.
13. Clinical and Laboratory Standards Institute. M100-S24: Performance standards for antimicrobial susceptibility testing, twenty-fourth informational supplement. 24th ed. 950 West Valley Road, Suite 2500, Wayne Pennsylvania 19087 USA: nat'l comm clinical lab standards; 2014.
14. Carleton HA, Diep BA, Charlebois ED, Sensabaugh GF, Perdreau-Remington F. Community-adapted methicillin-resistant Staphylococcus aureus (MRSA): population dynamics of an expanding community reservoir of MRSA. J Infect Dis 2004; 190(10):1730-8.
15. Hashemi SH, Seifrabiei MA, Ahmadi S, Alikhani MY. Frequency of nasal carriage of Staphylococcus aureus and its antimicrobial resistance in Hamadan's medical students. Scientific Journal of Hamadan University of Medical Sciences 2012; 19(3):36-40.
16. Rahbar M, Yaghoobi M, Kia-Darbandsari B. Prevalence of nasal carriage of Staphylococcus aureus and susceptibility of isolates to methicillin and mupirocin among healthcare workers in an Iranian Hospital. Infect Control Hosp Epidemiol 2006; 27(3):323-5.
17. Ziasheykh Aleslami N, Rezaeian M, Tashakori M. Determination of the prevalence of Staphylococcus aureus nasal carriers and antibiotic resistance pattern in clinical wards staff of Ali-Ebne Abitaleb Hospital, Rafsanjan. Journal of Rafsanjan University of Medical Sciences 2009; 8(1):27-36.
18. Ma XX, Sun DD, Wang S, Wang ML, Li M, Shang H, et al. Nasal carriage of methicillin-resistant Staphylococcus aureus among preclinical medical students: epidemiologic and molecular characteristics of methicillin-resistant S. aureus clones. Diagn Microbiol Infect Dis 2011;70(1):22-30.
19. Prates KA, Torres AM, Garcia LB, Yamada Ogatta SF, Cardoso CL, Bronharo Tognim MC. Nasal carriage of methicillin-resistant Staphylococcus aureus in university students. Braz J Infect Dis 2010; 14(3):316-8.
20. Ghasemian R, Najafi N, Makhlough A, Khademloo M. Frequency of nasal carriage of Staphylococcus aureus and its antimicrobial resistance pattern in patients on hemodialysis. Iran J Kidney Dis 2010; 4(3):218-22.
21. Alavi SM, Rajabzadeh AR, Dezfoulian A, Haghighizadeh MH. Determination of nasal carriage of Staphylococcus aureus and antimicrobial resistance among hospital personnel in razi hospital Ahwaz, spring 2003. Jundishapur Scientific Medical Journal 2006; 5(1):378-84.
22. Saderi H, Owlia P, Jalali Nadoushan MR. Difference in epidemiology and antibiotic susceptibility of methicillin resistant and methicillin susceptible Staphylococcus aureus isolates. Arch Clin Infect Dis 2009; 4(4):219-23.
23. Fatholahzadeh B, Emaneini M, Gilbert G, Udo E, Aligholi M, Modarressi MH, et al. Staphylococcal cassette chromosome mec (SCC mec) analysis and antimicrobial susceptibility patterns of methicillin-resistant Staphylococcus aureus (MRSA) isolates in Tehran, Iran. Microb Drug Resist 2008;14(3):217-20.
24. Graffunder EM, Venezia RA. Risk factors associated with nosocomial methicillin-resistant Staphylococcus aureus (MRSA) infection including previous use of antimicrobials. J Antimicrob Chemother 2002; 49(6):999-1005.
25. Mohraz M, Jonaidi N, Rasoulinejad M, Broum MA, Aligholi M, Shahsavan Sh. Determination of prevalence of methicillin resistant staphylococcus infections through measurement of mics of s. aureus isolates imam hospital (november 2001 to january 2003). Tehran University Medical Journal 2003; 61(3):182-92.
26. Tashakori M, Mohseni Moghadam F, Ziasheikholeslami N, Jafarpour P, Behsoun M, Hadavi M, et al. Staphylococcus aureus nasal carriage and patterns of antibiotic resistance in bacterial isolates from patients and staff in a dialysis center of southeast Iran. Iran J Microbiol 2014; 6(2):79-83.
27. Shagufta Naseer B, Jayaraj YM. Nasal carriage of methicillin resistant Staphylococcus aureus isolates from intensive care unit patients. Research Journal of Biological Sciences 2010; 5(2):150-4.
28. Song JH, Hsueh PR, Chung DR, Ko KS, Kang CI, Peck KR, et al. Spread of methicillin-resistant Staphylococcus aureus between the community and the hospitals in Asian countries: an ANSORP study. J Antimicrob Chemother 2011; 66(5):1061-9.

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

2024 CC BY 4.0 | Journal of Occupational Health and Epidemiology

Designed & Developed by : Yektaweb