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
