High rates of methicillin-resistant Staphylococcus aureus colonisation in a Brazilian Intensive Care Unit

Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses
Daniele Martins de Sousa OliveiraMaria Eliete Batista Moura

Abstract

To evaluate the colonisation rate of Staphylococcus aureus in the oropharynx and the insertion site of central venous catheters in intensive care unit patients. Cross-sectional study. Brazilian intensive care unit. Samples were collected from October to December 2015 from the oropharyngeal cavity and central venous catheter insertion site of 110 patients. Samples that presented growth of Staphylococcus aureus were isolated and their sensitivity profiles were tested for several antimicrobials. The study participants (110) were mostly females older than 60 years (53.6%). The mean length of hospitalisation was 15.5 days (±31.3). A total of 188 biological samples were collected: 110 collected from the oropharynx and 78 from the central venous catheter insertion site. A 35% (n = 38/110) S. aureus colonisation rate of the patients was observed in at least one collection site. In the oropharynx alone, a 31% rate (n = 34/110) was found, and a 12.8% rate (n = 10/78) at central venous catheter insertion sites only. MRSA colonisation in the oropharynx or at the central venous catheter occurred in 29 (26.4%) patients and vancomycin resistant Staphylococcus aureus was present in 24 (22.4%) of the patients studied. Patients hospitalised for ...Continue Reading

Citations

Oct 22, 2020·The Canadian Journal of Infectious Diseases & Medical Microbiology = Journal Canadien Des Maladies Infectieuses Et De La Microbiologie Médicale·Mariana Moreira AndradeJaime Henrique Amorim
Nov 2, 2020·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Kevin B Laupland, Fiona Coyer

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