Methicillin-resistant Staphylococcus sp. colonizing health care workers of a cancer hospital
Carregando...
Data
2014-09
Autores
Título da Revista
ISSN da Revista
Título de Volume
Editor
Resumo
The aim of the study was to analyze epidemiological and microbiological aspects of oral colonization
by methicillin-resistant Staphylococcus of health care workers in a cancer hospital. Interview and sa-
liva sampling were performed with 149 health care workers. Antimicrobial resistance was deter-
mined by disk diffusion and minimum inhibitory concentration. Polymerase Chain Reaction, Internal
Transcribed Spacer-Polymerase Chain Reaction and Pulsed Field Gel Electrophoresis were per-
formed for genotypic characterization of methicillin-resistant Staphylococcus. Risk factors were de-
termined by logistic regression. Methicillin-resistant Staphylococcus colonization prevalence was
19.5%, denture wearing (p = 0.03), habit of nail biting (p = 0.04) and preparation and administration
of antimicrobial (p = 0.04) were risk factors identified. All methicillin-resistant Staphylococcus were
S. epidermidis, 94.4% of them had mecA gene. Closely related and indistinguishable methicillin-
resistant S. epidermidis were detected. These results highlight that HCWs which have contact with
patient at high risk for developing infections were identified as colonized by MRSE in the oral cavity,
reinforcing this cavity as a reservoir of these bacteria and the risk to themselves and patients safety,
because these microorganisms may be spread by coughing and talking.
Descrição
Palavras-chave
Health personnel, Hospital, Occupational health, Oncology service, Staphylococcus, Methicillin resistance
Citação
COSTA, Dayane de Melo; KIPNIS, André; LEÃO-VASCONCELOS, Lara Stefânia Netto de Oliveira; ROCHA-VILEFORT, Larissa Oliveira; TELLES, Sheila Araújo; ANDRÉ, Maria Cláudia Dantas Porfírio Borges; TIPPLE, Anaclara Ferreira Veiga; LIMA, Ana Beatriz Mori; RIBEIRO, Nádia Ferreira Gonçalves; PEREIRA, Mayara Regina; PRADO-PALOS, Marinésia Aparecida. Methicillin-resistant Staphylococcus sp. colonizing health care workers of a cancer hospital. Brazilian Journal of Microbiology, São Paulo, v. 45, n. 3, p. 799-805, July/Sept. 2014.