Evidence map›Paper›PMID 28056831›Full record

ArticleBMC infectious diseases2017

Nasal carriage of methicillin resistant Staphylococcus aureus among health care workers at Al Shifa hospital in Gaza Strip.

Nabil Abdullah El Aila, Nahed Ali Al Laham, Basim Mohammad Ayesh

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
7.8field-weighted citation impact, top 2% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 109 citations in OpenAlex.

  1. Pooled it
  2. Article
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  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Colonisation by multidrug-resistant organisms in health workers in primary care: narrow spectrum oral antimicrobials are a risk factor.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
  12. Article
  13. Increased incidence of methicillin resistantIranian journal of microbiology · 2024
    Article
  14. Prevalence ofMicroorganisms · 2023
    Article
  15. Nasal Carriage Rate ofInfection and drug resistance · 2023
    Article
  16. Characteristics ofPathogens (Basel, Switzerland) · 2022
    Article
  17. Hand and nasal carriage ofJAC-antimicrobial resistance · 2022
    Article
  18. High Levels of Methicillin-ResistantInfection and drug resistance · 2022
    Article
  19. Article
  20. 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

3 authors at 1 institution in 1 country.

Nabil Abdullah El AilaMedical Laboratory Sciences department, Faculty of Applied Sciences, Al Aqsa University, P.O. box 4051, Gaza, Palestine, Israel. na.elaila@alaqsa.edu.ps.
Nahed Ali Al LahamDepartment of Laboratory Medicine, Faculty of Applied Medical Sciences, Al Azhar University, P.O. Box 1277, Gaza, Palestine, Israel.
Basim Mohammad AyeshMedical Laboratory Sciences department, Faculty of Applied Sciences, Al Aqsa University, P.O. box 4051, Gaza, Palestine, Israel.
Al-Aqsa University · PS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNasal carriage of Staphylococcus aureus among hospital personnel is a common cause of hospital acquired infections. Emergence of drug resistant strains especially methicillin resistant S. aureus (MRSA) is a serious problem in hospital environment. Therefore, the aim of this study was to determine the nasal carriage rate of S. aureus and MRSA among Health Care Workers (HCWs) at Al Shifa Hospital, the major hospital in Gaza Strip.

methodsA cross sectional study was conducted on 200 HCWs. Nasal swabs were collected during February - April 2015, and cultured on blood and mannitol salt agar. The isolates were identified as S. aureus based on morphology, coagulase test, DNase test and mannitol salt agar fermentation. Disk diffusion antibiotic susceptibility tests were performed according to the guidelines of the Clinical and Laboratory Standards Institute. MRSA were confirmed by detection of the mecA gene by PCR.

resultsOut of the 200 healthcare workers, 62 (31%) carried S. aureus, of which 51 (82.3%) were MRSA. Therefore, 25.5% of all HCWs were identified as MRSA carriers. MRSA carriage rate was highest among nurses (30.4%) whereas the carriage rate among doctors was (16%). The majority of MRSA carriers were workers of internal medicine department and surgical wards (41.3 and 35% respectively). Out of the 51 MRSA isolates identified by oxacillin disc resistance, 40 were confirmed by PCR targeting the mecA gene. Penicillin showed the highest rate of resistance among MRSA and MSSA isolates (100%).

conclusionsThe high rate of nasal MRSA carriage among healthcare workers found in this study is alarming and highlights the need for adjusted infection control measures to prevent MRSA transmission from HCWs to the vulnerable patient.

Indexed as

Personnel, HospitalAnti-Bacterial AgentsBacterial ProteinsCarrier StateCross InfectionCross-Sectional StudiesHospitalsHumansMethicillin-Resistant Staphylococcus aureusMicrobial Sensitivity TestsMiddle EastNoseOxacillinPenicillin-Binding ProteinsPolymerase Chain ReactionStaphylococcal InfectionsAnti-Bacterial AgentsBacterial ProteinsmecA protein, Staphylococcus aureusOxacillinPenicillin-Binding ProteinsGaza StripHealthcare workersMRSANasal carriage

Identifiers

PMID28056831
PMCPMC5217237
OpenAlexW2570267577

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.