ehealth digital library

Digital library of
the Tanzania
health
community

Prevalence of Methicillin-resistant Staphylococcus Aureus Carriage on Admission among Patients Attending Regional Hospitals in Dar es Salaam, Tanzania.

Joachim, A., Moyo, S. J., Nkinda, L., Majigo, M., Mbaga, E., Mbembati, N., Aboud, S. and Lyamuya, E. F. (2017) Prevalence of Methicillin-resistant Staphylococcus Aureus Carriage on Admission among Patients Attending Regional Hospitals in Dar es Salaam, Tanzania. BMC research notes, 10 (1). p. 417. ISSN 1756-0500

[img]
Preview
PDF
Agricola Joachim.pdf - Published Version
Available under License Creative Commons Attribution Non-commercial.

Download (1MB) | Preview

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) is a major pathogen responsible for hospital and community acquired infection. Colonization with MRSA is associated with a high risk of developing infection. This study aimed to determine the rate of MRSA carriage on admission and the associated risk factors among patients attending regional hospitals, in Dar es Salaam, Tanzania. A total of 258 patients were included in this study. Nasal swabs were collected on admission to the hospital and after 48 h of hospital stay for detection of MRSA. Of 258 patients enrolled, 89 (34.5%) were colonized with S. aureus and out them 22 (24.7%) were carriers of MRSA, giving an overall MRSA nasal carriage rate of 8.5% (22/258). One patient acquired MRSA while admitted in the hospital. Most of the S. aureus isolates 85 (95.5%) were resistant to penicillin. Resistance to gentamycin, ciprofloxacin, kanamycin, linezolid and mupirocin were 14.6, 11.2, 11.2, 3.4 and 1.1%, respectively. The prevalence of inducible clindamycin resistance, constitutive clindamycin resistance, MS phenotype (resistance to erythromycin alone), and multidrug resistance was 21.3, 3.4, 12.4, and 16.9%, respectively. We observed a statistically significant association between MRSA and multiple drugs resistance among S. aureus isolates (p = 0.001). Of the risk factors investigated none were statistically significant associated with MRSA. There is a high prevalence of MRSA among patients on admission at the two municipal hospitals in Dar es Salaam. The high prevalence of MRSA and the increased rates of resistance to commonly used antimicrobials among MRSA isolates call for attention to the importance of including the screening of MRSA in our hospitals setting in order to prevent further spread of MRSA strains to other patients and to the communities. Control and prevention strategies should be emphasized including decolonization.

Item Type: Article
Keywords: Antibiotic resistance, Infection, MRSA nasal carriage
Subjects: Emerging and Re-emerging Infectious Diseases
Divisions: Muhimbili University of Health and Allied Sciences (MUHAS)
Depositing User: Mr Joseph Madata
Date Deposited: 29 Oct 2017 19:13
Last Modified: 29 Oct 2017 19:13
URI: http://ihi.eprints.org/id/eprint/4247

Actions (login required)

Edit Item Edit Item

Downloads

Downloads per month over past year

View more statistics