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Comparative study of Nasal Colonization of Staphylococcus Aureus including Methicillin Resistant Staphylococcus Aureus (MRSA) among different population group

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UMS

UNIVERSITI MALAYSIA SABAH

COMPARATIVE STUDY OF NASAL COLONIZATION OF STAPHYLOCOCCUS AUREUS INCLUDING METHICILLIN

RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) AMONG DIFFERENT POPULATION GROUP

Dr. Su Su Hlaing Sekolah Perubatan

Kod Project: SLB0026-SKK-2012

MAY 2012 TO APRIL 2014

(2)

Comparative study of nasal colonizat~on of Staphylococcus aureus including methicillin resistant Staphylococcus aureus (MRSA)

among different population group

Dr. Su Su Hlaingl, Dr. Nor Amalina Emran2, Dr. Than Myint\ Dr. Khin Swe 003, Dr. lin Sabai Aung3

ABSTRACT

Methicillin-resistant Staphylococcus aureus (MRSA) has been identified as a major cause of community-associated (CA) S.aureus infections in the past decade. Nasal colonization with community acquired methicillin resistant S.aureus (CA-MRSA) is being increasingly reported, especially in places where people are in close contact and where hygiene is compromised.

Data on the nasal carriage rate and antibiotic sensitivity pattern of S.aureus strains prevalent in the community are not availaole for many countries including Malaysia. The aim of this study is to assess the nasal carriage rate of S.auerus including MRSA in the different

population group with regards to exposure to hospital environment of students from School of Medicine (SPU), Universiti Malaysia Sabah (UMS), so as to estimate the extent of transmission of S.aureus in the community. Altogether 453 subjects including year 1 to 5 medical sbJdents, year 1 and year 3 nursing students were participated in the study. The nasal swab samples were taken from them after they signed and completed the questionnaire forms. S.aureus was isolated from 141 out of 453 nasal swab samples. Thus the overall percentage of nasal carriage of S.aureus in this study was (31%), a rate similar to that found in other community-based nasal carriage studies. The nasal carriage rate of S.aureus was significantly higher (p<0.05) among the medical students (33.4%) than the nursing students (22.7%). None of the S.aureus isolated were found to

.

be resistant to

cefoxitin 30 J,lg disc as well as oxacillin 1J,lg disc. PBP2' was not detected from those isolates also. It was concluded that although there was (31%) prevalence rate of nasal carriage of S.aureus among different population group including pre-clinical and clinical years of medical students and nursing students of SPU, UMS, there were no nasal carriage of MRSA among them.

1. Senior lecturer, Pathobiology & Medical Diagnostic Department, SPU, UMS 2. Professor, Pathobiology & Medical Diagnostic Department, SPU, UMS

3. Associate Professor, Pathobiology & Medical Diagnostic Department, SPU, UMS 4. Associate Professor, Head of Rural Medicine Research Unit (RMRU), SPU, UMS

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