title: Prevalence and risk factors for Staphylococcus aureus in health care workers at a university hospital of Recife-PE.
abstract: Staphylococcus aureus is the main human pathogen that colonizes individuals in general population. The objective of the study was evaluate the epidemiological and sensitivity profile of S. aureus lineage, isolated in health care workers (HCW) of a University Hospital in Pernambuco state, Brazil. Biological samples of hands and nasal cavities were sown in agar sheep blood. Colonies under suspicion of being S. aureus were identified using Gram staining, catalase test and coagulase, mannitol-salty agar fermentation and DNAse agar. The resistance to mupirocin was analyzed through the Kirby Bauer technique. In relation to methicillin and vancomycin the determination was by the minimum inhibitory concentration method (E-test). From the 202 HCW evaluated, 52 were colonized by S. aureus (25,7%). The factors associated to the colonization by S. aureus were: age-group, professional category, use of individual protection equipments (frequency and numbers). All S. aureus isolate lineages were sensitive to mupirocin and vancomycin, and three of them were identified as methicillin-resistant. The prevalence of MSSA and MRSA among HCW was considered low and was below the results described in the literature. The isolate S. aureus lineages have shown low resistance profile.
authors.affiliation: Department of Tropical Medicine, Federal University of Pernambuco, Recife, PE, Brazil. brandaoe@cpqam.fiocruz.br
authors.forename: Eduardo Caetano Brandão Ferreira da
authors.initials: EC
authors.lastname: Silva
authors.forename: Maria das Graças C
authors.initials: Md
authors.lastname: Antas
authors.forename: Armando
authors.initials: A
authors.lastname: Monteiro B Neto
authors.forename: Marcelle Aquino
authors.initials: MA
authors.lastname: Rabelo
authors.forename: Fábio Lopes de
authors.initials: FL
authors.lastname: Melo
authors.forename: Maria Amélia Vieira
authors.initials: MA
authors.lastname: Maciel
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006225:Hand / Q000382:microbiology*; D006785:Hospitals, University; D006801:Humans; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification; D008826:Microbial Sensitivity Tests; D009296:Nasal Cavity / Q000382:microbiology*; D010564:Personnel, Hospital; D015995:Prevalence; D012307:Risk Factors; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification*; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents