Incidence of meticillin-resistant Staphylococcus aureus in neonatal care unit of departmental hospital centre of Zou Collines in Benin
Incidence of meticillin-resistant Staphylococcus aureus in neonatal care unit of departmental hospital centre of Zou Collines in Benin
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DOI：
10.1016/j.arcped.2006.07.004
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发表时间：
2006-11-01
影响因子：
1.8
通讯作者：
Prevost, G.
中科院分区：
文献类型：
--
作者：
Ahoyo, A. -T.;Baba-Moussa, L.;Prevost, G.
耐甲氧西林金黄色葡萄球菌(MRSA)是引起医院感染的重要原因之一。它具有在世界各地医院传播的特殊能力。目的-分析从诊断标本中分离的金黄色葡萄球菌中MRSA的比例。为了让医务人员意识到MRSA感染的问题，并更好地照顾患者。病人和方法。-在3个月的时间里，在贝宁中心医院部门的新生儿病房进行了一项前瞻性研究。我们确定了SA的新生儿携带者，特别是MRSA和与携带相关的因素。新生儿病房3个科室收治患者290例。在入院后48小时检查的195例诊断标本中，112例患者通过鼻拭子进行了检测。同时进行环境擦拭。结果：患者标本中检出金黄色葡萄球菌141株。诊断标本中MRSA的比例为36%。耐甲氧西林金黄色葡萄球菌占环境标本的39%。结论：我们的调查显示，从诊断标本中分离的金黄色葡萄球菌中有高水平的MRSA。根据这些发现，为了减少医院感染，制定了适当的预防计划，包括加强手部卫生宣传，正确消毒材料和患者。(C)2006年爱思唯尔·马森公司。
Meticillin resistant Staphylococcus aureus (MRSA) is among the most important causes of nosocomial infections. It possesses a particular ability to spread in hospitals worldwide.Objective.-To analyze the proportion of MRSA among S. aureus isolated from specimen taken for diagnosis purposes. To make the medical staff aware of the problem of MRSA infections and to take a better care of patients.Patients and methods.-During 3 months, a prospective study was carried out in the neonatal unit of centre hospitalier departemental du Zou et Collines in Benin. We identified newborn carriers of SA, particularly MRSA and factors associated with the carriage. Two hundred and ninety patients were admitted in the 3 divisions of the neonatal unit. From 195 specimens examined for diagnosis purposes 48 h after hospitalization, 112 patients were detected by nose swabbing. Concurrently, swabbing of environment was achieved.Results.-Among patients' specimens, 141 isolations of S. aureus were observed. The proportion of MRSA was 36% amongst diagnostic specimens. MRSA represented 39% of the environment specimens. None of the isolated MRSA produces Panton Valentine leukocidin.Conclusion.-Our survey revealed a high level of MRSA among S. aureus isolated from diagnostic specimens. Consecutive to such findings and for decreasing nosocomial infection, an appropriate prevention program was installed, including intensive promotion of hands hygiene, correct sterilization and disinfection of materials and patients. (c) 2006 Elsevier Masson SAS.