Epidemiology and clinical features of methicillin-resistant Staphylococcus aureus (MRSA) at the University Hospital, Jeddah, Saudi Arabia
Other Title(s)
الخصائص الوبائية و السريرية لجرثومة ستافيلوكوكس أوريوس ذات المناعة للميثيسيلين في مستشفى جامعة الملك عبد العزيز بجدة في المملكة العربية السعودية
Author
Source
Journal of King Abdulaziz University : Medical Sciences
Issue
Vol. 10, Issue 1 (31 Dec. 2002), pp.3-12, 10 p.
Publisher
King Abdulaziz University Scientific Publishing Center
Publication Date
2002-12-31
Country of Publication
Saudi Arabia
No. of Pages
10
Main Subjects
Topics
Abstract AR
يهدف البحث إلى وصف النمط الوبائي و الخصائص السريرية للمرضى المصابون بجرثومة ستاف أوريوس ذات المناعة للميثيسلين لسنة ١٩٩٨ قي مستشفى جامعة الملك عبد العزيز بجدة قي السعودية.
تم استخراج نتائج العينات التي ثبت إيجابيتها لجرثومة ستاف أوريوس ذات المناعة للميشيسلين من قسم مكافحة العدوى و من ثم تم مراجعة ملفات جميع المرضى الإيجابيين لهذه الجرثومة.
Abstract EN
This retrospective chart review describes the prevalence, demography, and clinical characteristics of patients colonized or infected with methicillin-resistant Staphylococcus aureus (MRSA) for the year 1998 at King Abdulaziz University Hospital (KAUH), Jeddah, Saudi Arabia.
Results of MRSA positive cultures of clinical specimens obtained as part of investigations for suspected infections were retrieved from the Infection Control Department’s records.
Charts of patients were reviewed.
Of 292 S.
aureus identified, 111 (38 %) were MRSA or 6.0 MRSA isolate per 1,000 admissions which represented a marked increase over MRSA prevalence in 1988 (<2 %).
Nosocomial acquisition occurred in 74.8 % All age groups were affected, but 45.9 % of patients were in the “extremes of age” group < 1 or > 60 years).
The prevalence was highest in the medical ward (27 %), followed by the pediatrics combined medical and surgical ward (20.7 %), Out-patient Department (18 %), the adult surgical ward (17.1 %), and the intensive care unites (17.1 %).
Two thirds (66.7 %) of cases represented infection and the rest represented colonization.
Surgical wounds (31.1 %), chest (27 %), and endovascular catheters (20.3 %) were the most common sites of infection.
Bacteraemia occurred in 27 % of patients.
Local signs (68.9 %), and fever (60.8 %) were the most common clinical manifestations.
Respiratory distress and septic shock occurred in 28.4 % and 6.8 % of cases, respectively.
Of 74 patients with MRSA infection, and 37 patients with MRSA colonization, 91.9 % and 56.8 % received antibiotics in the preceding 6 weeks, respectively (P < 0.0001).
The total mortality of patients with MRSA infection was 60.8 % (45/74).
Mortality attributable to MRSA infection was 37.8 % (28/74).
The prevalence of MRSA is high and rapidly increasing at KAUH, as it is worldwide.
Control measures to prevent the spread of MRSA in hospitals should continue with reinforcement of hygienic precautions and development of policies to restrict the use of antibiotics.
American Psychological Association (APA)
Madani, Tariq Ahmad. 2002. Epidemiology and clinical features of methicillin-resistant Staphylococcus aureus (MRSA) at the University Hospital, Jeddah, Saudi Arabia. Journal of King Abdulaziz University : Medical Sciences،Vol. 10, no. 1, pp.3-12.
https://search.emarefa.net/detail/BIM-369932
Modern Language Association (MLA)
Madani, Tariq Ahmad. Epidemiology and clinical features of methicillin-resistant Staphylococcus aureus (MRSA) at the University Hospital, Jeddah, Saudi Arabia. Journal of King Abdulaziz University : Medical Sciences Vol. 10, no. 1 (2002), pp.3-12.
https://search.emarefa.net/detail/BIM-369932
American Medical Association (AMA)
Madani, Tariq Ahmad. Epidemiology and clinical features of methicillin-resistant Staphylococcus aureus (MRSA) at the University Hospital, Jeddah, Saudi Arabia. Journal of King Abdulaziz University : Medical Sciences. 2002. Vol. 10, no. 1, pp.3-12.
https://search.emarefa.net/detail/BIM-369932
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 9-11
Record ID
BIM-369932