Methicillin-resistant Staphylococcus sp. colonizing health care workers of a cancer hospital
The aim of the study was to analyze epidemiological and microbiological aspects of oral colonization by methicillin-resistant Staphylococcus of health care workers in a cancer hospital. Interview and saliva sampling were performed with 149 health care workers. Antimicrobial resistance was determined...
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| Veröffentlicht in: | Brazilian journal of microbiology 2014-07, Vol.45 (3), p.799-805 |
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| creator | Costa, Dayane de Melo Kipnis, André Leão-Vasconcelos, Lara Stefânia Netto de Oliveira Rocha-Vilefort, Larissa Oliveira Telles, Sheila Araújo André, Maria Cláudia Dantas Porfírio Borges Tipple, Anaclara Ferreira Veiga Lima, Ana Beatriz Mori Ribeiro, Nádia Ferreira Gonçalves Pereira, Mayara Regina Prado-Palos, Marinésia Aparecida |
| description | The aim of the study was to analyze epidemiological and microbiological aspects of oral colonization by methicillin-resistant Staphylococcus of health care workers in a cancer hospital. Interview and saliva sampling were performed with 149 health care workers. Antimicrobial resistance was determined by disk diffusion and minimum inhibitory concentration. Polymerase Chain Reaction, Internal Transcribed Spacer-Polymerase Chain Reaction and Pulsed Field Gel Electrophoresis were performed for genotypic characterization of methicillin-resistant Staphylococcus. Risk factors were determined by logistic regression. Methicillin-resistant Staphylococcus colonization prevalence was 19.5%, denture wearing (p = 0.03), habit of nail biting (p = 0.04) and preparation and administration of antimicrobial (p = 0.04) were risk factors identified. All methicillin-resistant Staphylococcus were S. epidermidis, 94.4% of them had mecA gene. Closely related and indistinguishable methicillin-resistant S. epidermidis were detected. These results highlight that HCWs which have contact with patient at high risk for developing infections were identified as colonized by MRSE in the oral cavity, reinforcing this cavity as a reservoir of these bacteria and the risk to themselves and patients safety, because these microorganisms may be spread by coughing and talking. |
| doi_str_mv | 10.1590/S1517-83822014000300006 |
| format | Article |
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Interview and saliva sampling were performed with 149 health care workers. Antimicrobial resistance was determined by disk diffusion and minimum inhibitory concentration. Polymerase Chain Reaction, Internal Transcribed Spacer-Polymerase Chain Reaction and Pulsed Field Gel Electrophoresis were performed for genotypic characterization of methicillin-resistant Staphylococcus. Risk factors were determined by logistic regression. Methicillin-resistant Staphylococcus colonization prevalence was 19.5%, denture wearing (p = 0.03), habit of nail biting (p = 0.04) and preparation and administration of antimicrobial (p = 0.04) were risk factors identified. All methicillin-resistant Staphylococcus were S. epidermidis, 94.4% of them had mecA gene. Closely related and indistinguishable methicillin-resistant S. epidermidis were detected. These results highlight that HCWs which have contact with patient at high risk for developing infections were identified as colonized by MRSE in the oral cavity, reinforcing this cavity as a reservoir of these bacteria and the risk to themselves and patients safety, because these microorganisms may be spread by coughing and talking.</description><identifier>ISSN: 1517-8382</identifier><identifier>ISSN: 1678-4405</identifier><identifier>EISSN: 1678-4405</identifier><identifier>DOI: 10.1590/S1517-83822014000300006</identifier><identifier>PMID: 25477910</identifier><language>eng</language><publisher>Brazil: Springer Nature B.V</publisher><subject>Bacteria ; Bacterial Proteins - genetics ; Cancer ; Cancer Care Facilities ; Carrier State - epidemiology ; Carrier State - microbiology ; Electrophoresis, Gel, Pulsed-Field ; Genotype ; Health Personnel ; Hospitals ; Humans ; Interviews as Topic ; Medical personnel ; Methicillin Resistance ; Microbial Sensitivity Tests ; MICROBIOLOGY ; Mouth - microbiology ; Occupational diseases ; Polymerase Chain Reaction ; Prevalence ; Research Paper ; Risk Factors ; Saliva - microbiology ; Staphylococcal Infections - epidemiology ; Staphylococcal Infections - microbiology ; Staphylococcus epidermidis - classification ; Staphylococcus epidermidis - drug effects ; Staphylococcus epidermidis - genetics ; Staphylococcus epidermidis - isolation & purification ; Studies</subject><ispartof>Brazilian journal of microbiology, 2014-07, Vol.45 (3), p.799-805</ispartof><rights>Copyright Sociedade Brasileira de Microbiologia 2014</rights><rights>Copyright © 2014, Sociedade Brasileira de Microbiologia 2014</rights><rights>This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-5b0487ec650d2afc1c60f69a754179d236265a89ebbb7506da6fce942041178c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4204961/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4204961/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25477910$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Costa, Dayane de Melo</creatorcontrib><creatorcontrib>Kipnis, André</creatorcontrib><creatorcontrib>Leão-Vasconcelos, Lara Stefânia Netto de Oliveira</creatorcontrib><creatorcontrib>Rocha-Vilefort, Larissa Oliveira</creatorcontrib><creatorcontrib>Telles, Sheila Araújo</creatorcontrib><creatorcontrib>André, Maria Cláudia Dantas Porfírio Borges</creatorcontrib><creatorcontrib>Tipple, Anaclara Ferreira Veiga</creatorcontrib><creatorcontrib>Lima, Ana Beatriz Mori</creatorcontrib><creatorcontrib>Ribeiro, Nádia Ferreira Gonçalves</creatorcontrib><creatorcontrib>Pereira, Mayara Regina</creatorcontrib><creatorcontrib>Prado-Palos, Marinésia Aparecida</creatorcontrib><title>Methicillin-resistant Staphylococcus sp. colonizing health care workers of a cancer hospital</title><title>Brazilian journal of microbiology</title><addtitle>Braz J Microbiol</addtitle><description>The aim of the study was to analyze epidemiological and microbiological aspects of oral colonization by methicillin-resistant Staphylococcus of health care workers in a cancer hospital. Interview and saliva sampling were performed with 149 health care workers. Antimicrobial resistance was determined by disk diffusion and minimum inhibitory concentration. Polymerase Chain Reaction, Internal Transcribed Spacer-Polymerase Chain Reaction and Pulsed Field Gel Electrophoresis were performed for genotypic characterization of methicillin-resistant Staphylococcus. Risk factors were determined by logistic regression. Methicillin-resistant Staphylococcus colonization prevalence was 19.5%, denture wearing (p = 0.03), habit of nail biting (p = 0.04) and preparation and administration of antimicrobial (p = 0.04) were risk factors identified. All methicillin-resistant Staphylococcus were S. epidermidis, 94.4% of them had mecA gene. Closely related and indistinguishable methicillin-resistant S. epidermidis were detected. These results highlight that HCWs which have contact with patient at high risk for developing infections were identified as colonized by MRSE in the oral cavity, reinforcing this cavity as a reservoir of these bacteria and the risk to themselves and patients safety, because these microorganisms may be spread by coughing and talking.</description><subject>Bacteria</subject><subject>Bacterial Proteins - genetics</subject><subject>Cancer</subject><subject>Cancer Care Facilities</subject><subject>Carrier State - epidemiology</subject><subject>Carrier State - microbiology</subject><subject>Electrophoresis, Gel, Pulsed-Field</subject><subject>Genotype</subject><subject>Health Personnel</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Medical personnel</subject><subject>Methicillin Resistance</subject><subject>Microbial Sensitivity Tests</subject><subject>MICROBIOLOGY</subject><subject>Mouth - microbiology</subject><subject>Occupational diseases</subject><subject>Polymerase Chain Reaction</subject><subject>Prevalence</subject><subject>Research Paper</subject><subject>Risk Factors</subject><subject>Saliva - microbiology</subject><subject>Staphylococcal Infections - epidemiology</subject><subject>Staphylococcal Infections - microbiology</subject><subject>Staphylococcus epidermidis - classification</subject><subject>Staphylococcus epidermidis - drug effects</subject><subject>Staphylococcus epidermidis - genetics</subject><subject>Staphylococcus epidermidis - isolation & purification</subject><subject>Studies</subject><issn>1517-8382</issn><issn>1678-4405</issn><issn>1678-4405</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9UUtrFTEUDqLYWv0LGnDjZq4nmbxmI0jxBRUX1Z0QMrmZTmpuMiYZpf56U2978QEuwgnnfI_zQOgJgQ3hAzw_J5zITvWKUiAMAPr2QNxBx0RI1TEG_G7734KO0INSLgEoB0bvoyPKmZQDgWP0-b2rs7c-BB-77Iov1cSKz6tZ5quQbLJ2LbgsG2xTSNH_8PECz86EOmNrssPfU_7icsFpwqZlonUZz6ksvprwEN2bTCju0U08QZ9ev_p4-rY7-_Dm3enLs84yxWrHR2BKOis4bKmZLLECJjEYyRmRw5b2ggpu1ODGcZQcxNaIybqBUWCESGX7E7TZ6xbrXUj6Mq05NkP9a036nzU1wos9YVnHndtaF2s2QS_Z70y-0sl4_Wcl-llfpG_62nMQpAk8uxHI6evqStU7X6wLwUSX1qKJ6BmVfbNv0Kd_QQ_tETFIqpSgqqHkHmVzKiW76dAMAX198v_M8vj3WQ682xv3PwHT0qVF</recordid><startdate>20140701</startdate><enddate>20140701</enddate><creator>Costa, Dayane de Melo</creator><creator>Kipnis, André</creator><creator>Leão-Vasconcelos, Lara Stefânia Netto de Oliveira</creator><creator>Rocha-Vilefort, Larissa Oliveira</creator><creator>Telles, Sheila Araújo</creator><creator>André, Maria Cláudia Dantas Porfírio Borges</creator><creator>Tipple, Anaclara Ferreira Veiga</creator><creator>Lima, Ana Beatriz Mori</creator><creator>Ribeiro, Nádia Ferreira Gonçalves</creator><creator>Pereira, Mayara Regina</creator><creator>Prado-Palos, Marinésia Aparecida</creator><general>Springer Nature B.V</general><general>Sociedade Brasileira de Microbiologia</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CLZPN</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7N</scope><scope>M7P</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>GPN</scope></search><sort><creationdate>20140701</creationdate><title>Methicillin-resistant Staphylococcus sp. colonizing health care workers of a cancer hospital</title><author>Costa, Dayane de Melo ; Kipnis, André ; Leão-Vasconcelos, Lara Stefânia Netto de Oliveira ; Rocha-Vilefort, Larissa Oliveira ; Telles, Sheila Araújo ; André, Maria Cláudia Dantas Porfírio Borges ; Tipple, Anaclara Ferreira Veiga ; Lima, Ana Beatriz Mori ; Ribeiro, Nádia Ferreira Gonçalves ; Pereira, Mayara Regina ; Prado-Palos, Marinésia Aparecida</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-5b0487ec650d2afc1c60f69a754179d236265a89ebbb7506da6fce942041178c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Bacteria</topic><topic>Bacterial Proteins - 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| ispartof | Brazilian journal of microbiology, 2014-07, Vol.45 (3), p.799-805 |
| issn | 1517-8382 1678-4405 1678-4405 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Bacteria Bacterial Proteins - genetics Cancer Cancer Care Facilities Carrier State - epidemiology Carrier State - microbiology Electrophoresis, Gel, Pulsed-Field Genotype Health Personnel Hospitals Humans Interviews as Topic Medical personnel Methicillin Resistance Microbial Sensitivity Tests MICROBIOLOGY Mouth - microbiology Occupational diseases Polymerase Chain Reaction Prevalence Research Paper Risk Factors Saliva - microbiology Staphylococcal Infections - epidemiology Staphylococcal Infections - microbiology Staphylococcus epidermidis - classification Staphylococcus epidermidis - drug effects Staphylococcus epidermidis - genetics Staphylococcus epidermidis - isolation & purification Studies |
| title | Methicillin-resistant Staphylococcus sp. colonizing health care workers of a cancer hospital |
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