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首页> 外文期刊>Prehospital emergency care >Methicillin-resistant Staphylococcus aureus in Ohio EMS Providers: A Statewide Cross-sectional Study
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Methicillin-resistant Staphylococcus aureus in Ohio EMS Providers: A Statewide Cross-sectional Study

机译：俄亥俄州EMS提供商中耐甲氧西林的金黄色葡萄球菌：一项全州性横断面研究

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The objective was to determine the nasal carriage prevalence of methicillin-resistant Staphylococcus aureus (MRSA) among emergency medical service (EMS) personnel and the associated risk factors. A cross-sectional study was conducted among Ohio EMS personnel randomly sampled from 84 urban and rural agencies. Surveys assessing demographics, occupational history, health, cohabitation status, and hygiene practice were collected with nasal swabs from those who enrolled. Survey weight adjusted analysis was performed (1) to estimate MRSA nasal carriage prevalence of Ohio EMS providers, and (2) to identify variables associated with MRSA. MRSA was detected in 4.6% (13/280) EMS personnel sampled. After employing a survey-weighted analysis the following risk factors associated with MRSA carriage were identified: those who did not practice frequent hand hygiene after glove use (OR, 10.51; 95% CI, 2.54-43.45; P = 0.0012), living with someone with a recent staphylococcal infection (OR, 9.02; 95% CI, 1.03-78.98; P = 0.0470), and individuals with low frequency of hand washing (< 8times per shift) (OR, 4.20; 95% CI 1.02-17.27; P = 0.0468). An additional risk factor identified through the logistic regression analysis on the study population was EMS workers with an open wound or skin infection (OR, 6.75; 95% CI, 1.25-36.36; P = 0.0262). However, this was not significant in the survey-weighted analysis. The high prevalence of MRSA in Ohio EMS personnel is both an occupational hazard and patient safety concern. Implementing methods to reinforce CDC guidelines for proper hygiene could decrease MRSA found in the EMS setting. Previous literature suggests that a reduction in MRSA colonization can lead to decreases in transmission and improved health for both patients and personnel.
机译：目的是确定急诊服务人员（EMS）人员中耐甲氧西林金黄色葡萄球菌（MRSA）的鼻运输患病率及其相关危险因素。俄亥俄州的EMS人员从84个城市和农村机构中随机抽样，进行了一项横断面研究。参加调查的人使用鼻拭子收集了有关人口统计学，职业病史，健康状况，同居状况和卫生习惯的评估调查。进行了调查权重调整分析（1）估计俄亥俄州EMS提供者的MRSA鼻支架患病率，以及（2）识别与MRSA相关的变量。在4.6％（13/280）的EMS人员中检测到MRSA。在采用调查加权分析后，确定了与MRSA搬运有关的以下危险因素：那些在戴手套后未进行频繁手部卫生训练的人（OR，10.51; 95％CI，2.54-43.45; P = 0.0012），与某人同住近期有葡萄球菌感染（OR，9.02; 95％CI，1.03-78.98; P = 0.0470），洗手频率低（每班次少于8次）（OR，4.20; 95％CI 1.02-17.27; P = 0.0468）。通过逻辑回归分析对研究人群确定的另一个危险因素是具有开放性伤口或皮肤感染的EMS工人（OR，6.75; 95％CI，1.25-36.36; P = 0.0262）。但是，这在调查加权分析中并不重要。俄亥俄州EMS人员中MRSA的高流行既是职业危害，也是患者安全问题。实施加强CDC适当卫生指南的方法可以减少EMS环境中发现的MRSA。先前的文献表明，MRSA菌落的减少可导致患者和人员的传播减少并改善健康状况。

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