الحمل الأنفي للعنقوديات الذهبية و دورها في الإنتان عند مرضى التحال الدموي و طرق الوقاية في قسم الكلية الصناعية في مشفى الأسد الجامعي

الملخص EN

Our study aimed to investigate the nasal carriage of Staphylococcus aureus and evaluated its role as a risk factor in the occurrence of infections epically bacteremia in hemodialysis patients in kidney department in Al-assad Hospital.

This study included 110 patients, with mean age of (50.77 ±15) years, containing 60 male and 50 female , all patients had undergone 3-4 hours hemodialysis secessions twice weekly, with mean hemodialysis duration of (25.50 ± 21) months, the study was established from June 2010 till May 2011, and three nasal screen per patients where gathered.

The rate of three screen was respectively (38.7%, 40.3%, 46.8%), the Permanent carriage recorded the highest ratio compared to the negative and intermittent witch rate were respectively (43.5%,38.7%, 17.7%), (P.

C.

A.) showed that the Permanent nasal carriage of Staphylococcus aureus and center catheter infection has a major role in the occurrence of bacteremia in these patients, followed by arterio venal bypass infection.

This study allowed us to identify hemodialyzed patients who carry S.aureus as a high risk group to bacteremia, that appears to begin from endogenous origin in the nasal mucosa.

Thus its necessary to implement individual and collective hygiene guidelines, and to extend mupirocin antibiotic prophylaxis in our hemodialysis unit, and wide spread this to the important centers in Syrian hospitals.