Evidence map›Paper›PMID 26457182›Full record

ArticleAntimicrobial resistance and infection control2015

Nasal carriage of methicillin resistant Staphylococcus aureus among health care workers at a tertiary care hospital in Western Nepal.

Rita Khanal, Prakash Sah, Pramila Lamichhane, Apsana Lamsal, Sweety Upadhaya, Vijay Kumar Pahwa

Open access · goldAbstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 64 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Nasal Carriage of Methicillin-ResistantInterdisciplinary perspectives on infectious diseases · 2025
    Article
  6. Methicillin-Resistant and Biofilm-ProducingThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2023
    Article
  7. Nasal Carriage Rate ofInfection and drug resistance · 2023
    Article
  8. Hand and nasal carriage ofJAC-antimicrobial resistance · 2022
    Article
  9. High Levels of Methicillin-ResistantInfection and drug resistance · 2022
    Article
  10. Article
  11. Methicillin-resistant Staphylococcus aureus in Nepal.JNMA; journal of the Nepal Medical Association · 2021
    Article
  12. Nasal Carriage of Methicillin-ResistantInternational journal of microbiology · 2021
    Article
  13. Novel Detection of Nasty Bugs, Prevention Is Better than Cure.International journal of molecular sciences · 2020
    Review
  14. The effect of fennel essential oil andPostepy dermatologii i alergologii · 2019
    Article
  15. Article
  16. Methicillin-resistantNew microbes and new infections · 2019
    Article
  17. Molecular characteristics ofThe Pan African medical journal · 2019
    Article
  18. Multidrug-resistantBioMed research international · 2019
    Article
  19. Nasal Carriage of Methicillin-ResistantInternational journal of microbiology · 2018
    Article
  20. Comparison of Nasal Colonization of Methicillin-ResistantThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Rita KhanalDepartment of Microbiology, Universal College of Medical Sciences and Teaching Hospital, Bhairahawa, Nepal.
Prakash SahDepartment of Microbiology, Universal College of Medical Sciences and Teaching Hospital, Bhairahawa, Nepal.
Pramila LamichhaneDepartment of Microbiology, Universal College of Medical Sciences and Teaching Hospital, Bhairahawa, Nepal.
Apsana LamsalDepartment of Microbiology, Universal College of Medical Sciences and Teaching Hospital, Bhairahawa, Nepal.
Sweety UpadhayaDepartment of Microbiology, Universal College of Medical Sciences and Teaching Hospital, Bhairahawa, Nepal.
Vijay Kumar PahwaDepartment of Microbiology, Universal College of Medical Sciences and Teaching Hospital, Bhairahawa, Nepal.
Universal College of Medical SciencesCollege of Medical Sciences · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStaphylococcus aureus is a frequent cause of infections in both the community and hospital. Methicillin-resistant Staphylococcus aureus continues to be an important nosocomial pathogen and infections are often difficult to manage due to its resistance to multiple antibiotics. Healthcare workers are important source of nosocomial transmission of MRSA. This study aimed to determine the nasal carriage rate of S. aureus and MRSA among healthcare workers at Universal College of Medical Sciences and Teaching Hospital, Nepal and to determine antibiotic susceptibility pattern of the isolates.

methodsA cross-sectional study involving 204 healthcare workers was conducted. Nasal swabs were collected and cultured on Mannitol salt agar. Mannitol fermenting colonies which were gram positive cocci, catalase positive and coagulase positive were identified as S. aureus. Antibiotic susceptibility test was performed by modified Kirby-Bauer disc diffusion method. Methicillin resistance was detected using cefoxitin disc diffusion method.

resultsOf 204 healthcare workers, 32 (15.7 %) were nasal carriers of S. aureus and among them 7 (21.9 %) were carrier of MRSA. Overall nasal carriage rate of MRSA was 3.4 % (7/204). Highest MRSA nasal carriage rate of 7.8 % (4/51) was found among nurses. Healthcare workers of both surgical wards and operating room accounted for 28.6 % (2/7) of MRSA carriers each. Among MRSA isolates inducible clindamycin resistance was observed in 66.7 % (2/3) of erythromycin resistant isolates.

conclusionsHigh nasal carriage of S. aureus and MRSA among healthcare workers (especially in surgery ward and operating room) necessitates improved infection control measures to be employed to control MRSA transmission in our setting.

Indexed as

Healthcare workersMRSANasal carriageNepal

Identifiers

PMID26457182
PMCPMC4600207
OpenAlexW1854940365

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.