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[Prevalence of MRSA infections in patients on hemodialysis].
Med Pregl. 2007; 60 Suppl 2:97-100.MP

Abstract

INTRODUCTION

The prevalence of MRSA (Methicillin Resistant Staphylococcus Aureus) in haemodialysis patients has increased dramatically during recent years. The aim of our study is to determine the prevalence of MRSA colonization among haemodialysis patients and medical staff.

MATERIAL AND METHODS

This prospective study included 235 patients undergoing haemodialysis therapy and 60 medical staff members, in the Center for Haemodialysis Sarajevo. Nasal and throat samples were taken (identification of MRSA was performed using standard microbiological methods). A total of 474 nasal and throat cultures from patients' samples and 120 cultures from medical staff samples were obtained.

RESULTS AND DISCUSSION

The total number of sampled patients was 235 and colonies were found in 36 of the samples (15.3%). Among medical staff nasal carriage rate of MRSA was 11.6% (7/60). The mean age of haemodialysis patients with MRSA was 52.94:1:5.3. The patients aged between 55 and 64 had the highest prevalence of MRSA (11/36, 30.55%). Those aged 45-54 had the next highest prevalence of nasal carriage (10/36, 27.77%). Patients aged 65 years had middle prevalence of MRSA (6/36, 8.33%). Patients aged 25-34 had the lowest prevalence of nasal carriage. We did not have possibilities to isolate MRSA positive dialysis patients, and we used intensive antibacterial prophylaxis. We treated our patients with mupirocin ointment (three times a day for 5-14 days) and gained decolonization in 34 patients (94.4%). In the treatment period, positive medical staff did not come to work.

CONCLUSION

The overall prevalence of MRSA colonization in our dialysis patients was higher (15.3%). Implementation of adequate strategies for prevention of MRSA with application of mupirocin among carriers, reduced prevalence of MRSA in our dialysis units.

Authors+Show Affiliations

Centar za hemodijalizu, Klinicki centar Univerziteta, Sarajevo. resickcs@bih.net.baNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

srp

PubMed ID

18928170

Citation

Resić, Halima, et al. "[Prevalence of MRSA Infections in Patients On Hemodialysis]." Medicinski Pregled, vol. 60 Suppl 2, 2007, pp. 97-100.
Resić H, Corić A, Dedeić-Ljubović A, et al. [Prevalence of MRSA infections in patients on hemodialysis]. Med Pregl. 2007;60 Suppl 2:97-100.
Resić, H., Corić, A., Dedeić-Ljubović, A., Hukić, M., Avdić, E., & Kukavica, N. (2007). [Prevalence of MRSA infections in patients on hemodialysis]. Medicinski Pregled, 60 Suppl 2, 97-100.
Resić H, et al. [Prevalence of MRSA Infections in Patients On Hemodialysis]. Med Pregl. 2007;60 Suppl 2:97-100. PubMed PMID: 18928170.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Prevalence of MRSA infections in patients on hemodialysis]. AU - Resić,Halima, AU - Corić,Aida, AU - Dedeić-Ljubović,Amela, AU - Hukić,Mirsada, AU - Avdić,Emir, AU - Kukavica,Nihad, PY - 2008/10/22/pubmed PY - 2008/11/14/medline PY - 2008/10/22/entrez SP - 97 EP - 100 JF - Medicinski pregled JO - Med. Pregl. VL - 60 Suppl 2 N2 - INTRODUCTION: The prevalence of MRSA (Methicillin Resistant Staphylococcus Aureus) in haemodialysis patients has increased dramatically during recent years. The aim of our study is to determine the prevalence of MRSA colonization among haemodialysis patients and medical staff. MATERIAL AND METHODS: This prospective study included 235 patients undergoing haemodialysis therapy and 60 medical staff members, in the Center for Haemodialysis Sarajevo. Nasal and throat samples were taken (identification of MRSA was performed using standard microbiological methods). A total of 474 nasal and throat cultures from patients' samples and 120 cultures from medical staff samples were obtained. RESULTS AND DISCUSSION: The total number of sampled patients was 235 and colonies were found in 36 of the samples (15.3%). Among medical staff nasal carriage rate of MRSA was 11.6% (7/60). The mean age of haemodialysis patients with MRSA was 52.94:1:5.3. The patients aged between 55 and 64 had the highest prevalence of MRSA (11/36, 30.55%). Those aged 45-54 had the next highest prevalence of nasal carriage (10/36, 27.77%). Patients aged 65 years had middle prevalence of MRSA (6/36, 8.33%). Patients aged 25-34 had the lowest prevalence of nasal carriage. We did not have possibilities to isolate MRSA positive dialysis patients, and we used intensive antibacterial prophylaxis. We treated our patients with mupirocin ointment (three times a day for 5-14 days) and gained decolonization in 34 patients (94.4%). In the treatment period, positive medical staff did not come to work. CONCLUSION: The overall prevalence of MRSA colonization in our dialysis patients was higher (15.3%). Implementation of adequate strategies for prevention of MRSA with application of mupirocin among carriers, reduced prevalence of MRSA in our dialysis units. SN - 0025-8105 UR - https://www.unboundmedicine.com/medline/citation/18928170/[Prevalence_of_MRSA_infections_in_patients_on_hemodialysis]_ L2 - https://medlineplus.gov/dialysis.html DB - PRIME DP - Unbound Medicine ER -