Do Methicillin Resistant Staphylococcus (MRSA) Carrier Patients Influence MRSA Infection more than MRSA-carrier Medical Offcers and MRSA-carrier Family?

ABSTRACT: to determine the rate of MRSA-carrier among patients, family members and health care providers, and the association between MRSA-carrier family members and health care providers on MRSA infection patient after orthopaedic surgery. Methods: this is a cross-sectional analytical study. Samples were taken consecutively during December 2010 to December 2011, consisting of postoperative patients infected with MRSA, attending family members, and the medical offcers with history of contact with the patient. Swab culture were taken from nasal and axilla of all subjects. The incidence of MRSA infection, and MRSA-carrier on the patient, family members andmedical offcers were presented descriptively, while their association with MRSA infection was statistically tested using Fischer exact test. Results: during the study period, there were 759 surgeries, with 4 (0.5%) patients were identifed to have MRSA infection. Of these four cases, 48 subjects were enrolled. The rate of MRSA-carrier among patients, family and health care providers were 50%, 25% and 0% respectively. There were no signifcant association between MRSA and the rates of MRSA-carrier on the family member or health care providers. Conclusion: the incidence of MRSA infection, MRSA-carrier patient, MRSA-carrier health care providers, and family member carrier were 0.5%, 50%, 0%, and 25% respectively. No signifcant association found between MRSA-carrier on the family member or health care providers and MRSA infection patient. There were no MRSA infection found on the health care provider.
Key words: methicillin-resistant Staphylococcus aureus infection, MRSA-carrier patient, MRSA-carrier family member, MRSA-carrier medical offcer
Author: Ismail H. Dilogo, Abikara Arya, Phedy, Tony Loho
Journal Code: jpkedokterangg130266

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