Methicillin-resistant Staphylococcus aureus contamination and distribution in patient's care environment at Muhimbili National Hospital, Dar es Salaam-Tanzania.
Emmanuel James NkuwiFatima KabanangiAgricola JoachimSima RugarabamuMtebe MajigoPublished in: BMC research notes (2018)
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.
Keyphrases
- methicillin resistant staphylococcus aureus
- drug resistant
- end stage renal disease
- staphylococcus aureus
- drinking water
- healthcare
- ejection fraction
- newly diagnosed
- risk assessment
- chronic kidney disease
- heavy metals
- multidrug resistant
- prognostic factors
- primary care
- human health
- palliative care
- quality improvement
- climate change
- electronic health record
- acute care