Methicillin resistant Staphylococcus aureus (MRSA): an interim report of carriage and conversion rates in nursing students.
OBJECTIVE: To evaluate and characterize MRSA and staphylococci carriage and conversion rates in nursing students across clinical semester rotations and to describe risk factors. DESIGN: A prospective, longitudinal cohort design (interim report) with three times of measurement. Data collected between...
| Publicado en: | Clinical Laboratory Science Vol. 25; no. 2; pp. 94 - 102 |
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| Autores principales: | , , , , , |
| Formato: | questionnaire/scale research tables/charts Journal Article |
| Publicado: |
American Society for Clinical Laboratory Science
Spring2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108125661&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 108125661 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0894959X IKL jtl: Clinical Laboratory Science issn: 0894959X maglogo: N pubinfo: dt: Spring2012 vid: 25 iid: 2 pid: 13703 pub: American Society for Clinical Laboratory Science place: Dundee, Michigan artinfo: ui: 108125661 2011589277 10.29074/ascls.25.2.94 NLM22693778 108125661 ppf: 94 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Methicillin resistant Staphylococcus aureus (MRSA): an interim report of carriage and conversion rates in nursing students. aug: au: Rohde, Rodney E. Rowder, Cheryl Patterson, Tom Redwine, Gerald Vasquez, Bob Carranco, Emillio affil: Texas State University-San Marcos, San Marcos, TX sug: subj: Methicillin-Resistant Staphylococcus Aureus Staphylococcal Infections Microbiology Students, Nursing Adult Analysis of Variance Bacterial Colonization Carrier State Carrier State Risk Factors Confidence Intervals Data Analysis Software Descriptive Statistics Female Funding Source Human Infection Control Logistic Regression Male Nasal Cavity Microbiology Odds Ratio P-Value Prevalence Prospective Studies Questionnaires Repeated Measures Seroconversion Staphylococcal Infections Diagnosis Staphylococcal Infections Epidemiology Texas Adult: 19-44 years Female Male ab: OBJECTIVE: To evaluate and characterize MRSA and staphylococci carriage and conversion rates in nursing students across clinical semester rotations and to describe risk factors. DESIGN: A prospective, longitudinal cohort design (interim report) with three times of measurement. Data collected between August 2010 and May 2011 (ongoing longitudinal study to May 2012). Institutional Review Board approval (2010F5693). SETTING: Texas State University, San Marcos, TX. PARTICIPANTS: Eighty-seven nursing students. INTERVENTIONS: A positive MRSA swab represented an end-point for a participant. Intervention offered was bactroban (mupirocin) for nasal decolonization and an oral antibiotic, doxycycline; posttreatment collection to verify decolonization prior to next clinical rotation. MAIN OUTCOME MEASURES: Screening for Staphylococcus aureus and MRSA identification; confirmation and antibiotic susceptibility by Vitek 2. Self-administered questionnaires collected demographics and risk factors. Generalized estimating equations calculated population-averaged panel logistic regression models allowing for an AR(1) error by Stata version 12. RESULTS: MRSA colonization did not increase. 5. aureus prevalence (20-26%). Species prevalence other than S. aureus increased (9.2% to 80%). The following associations were found to be statistically significant: boil or skin infection odds with S. aureus (OR= 2.43, p< .05), working or volunteering in healthcare facility odds with 5. other (OR= 2.72, p < .05) and gym and sports activities odds with S. other (OR= 4.98, p < .001). CONCLUSIONS: MRSA colonization did not increase. Knowledge and understanding of MRSA (risks) may play a role in compliance and barrier precautions. 5. aureus colonization remained stable (25- 30%). Species colonization other than S. aureus (e.g. S. epidermis, S. haemolyticus) increased to significant levels. ABBREVIATIONS: MRSA= Methicillin resistant Staphybcoccus aureus; CA-MRSA= Communityassociated methicillin resistant Staphylococcus aureus; HA-MRSA=Healthcare-associated methicillin resistant Staphylococcus aureus; CLS = Clinical Laboratory Science; OR = Odds Ration; CI = Confidence Interval; HCWs = Healthcare Workers; Healthcare associated infections = HAIs. INDEX TERMS: Methicillin resistant Staphylococcus aureus, MRSA, Community acquired infections. Nursing research. Nosocomial infections, HAIs. pubtype: Academic Journal doctype: questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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