Title |
Methicillin-resistant Staphylococcus aureus contamination and distribution in patient’s care environment at Muhimbili National Hospital, Dar es Salaam-Tanzania
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Published in |
BMC Research Notes, July 2018
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DOI | 10.1186/s13104-018-3602-4 |
Pubmed ID | |
Authors |
Emmanuel James Nkuwi, Fatima Kabanangi, Agricola Joachim, Sima Rugarabamu, Mtebe Majigo |
Abstract |
Environmental contamination with methicillin-resistant Staphylococcus aureus in routine medical care settings poses an increased risk of health care associated infections through cross-transmission. This study aimed at determining the magnitude and distribution of methicillin-resistant S. aureus contamination among various items in patients' care surroundings at Muhimbili National Hospital, Tanzania's largest tertiary hospital. A total of 200 environmental samples from high touch items were processed and out of these methicillin-resistant S. aureus was 19.5% with significantly higher contamination in general wards. Patients' beds surfaces were the most contaminated among studied items (43.7%), whilst the surgical trolleys were least contaminated (7.7%). Presence of 10 or more patients in a room was an important significant correlate for methicillin-resistant S. aureus contamination by bivariate logistic regression model (odds ratio: 4.75, 95% confidence interval 1.624-13.895, p = 0.004). These findings warrant further study of decontamination practices and improved infection control mechanisms, especially in light of the drug resistant isolates identified. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 69 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 10 | 14% |
Student > Master | 7 | 10% |
Student > Postgraduate | 4 | 6% |
Researcher | 3 | 4% |
Student > Doctoral Student | 2 | 3% |
Other | 7 | 10% |
Unknown | 36 | 52% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 9 | 13% |
Immunology and Microbiology | 7 | 10% |
Biochemistry, Genetics and Molecular Biology | 3 | 4% |
Nursing and Health Professions | 3 | 4% |
Unspecified | 2 | 3% |
Other | 5 | 7% |
Unknown | 40 | 58% |