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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Epidemiology of Staphylococcus aureus harboring the mecA or Panton-Valentine leukocidin genes in hospitals in Java and Bali, Indonesia
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Epidemiology of Staphylococcus aureus harboring the mecA or Panton-Valentine leukocidin genes in hospitals in Java and Bali, Indonesia

机译：印度尼西亚爪哇和巴厘岛的医院中含有mecA或Panton-Valentine leukocidin基因的金黄色葡萄球菌的流行病学

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摘要

Data of Staphylococcus aureus carriage in Indonesian hospitals are scarce. Therefore, the epidemiology of S. aureus among surgery patients in three academic hospitals in Indonesia was studied. In total, 366 of 1,502 (24.4%) patients carried S. aureus. The methicillin-resistant S. aureus (MRSA) carriage rate was 4.3%, whereas 1.5% of the patients carried Panton-Valentine leukocidin (PVL)-positive methicillin-sensitive S. aureus (MSSA). Semarang and Malang city (odds ratio [OR] 9.4 and OR 9.0), being male (OR 2.4), hospitalization for more than 5 days (OR 11.708), and antibiotic therapy during hospitalization (OR 2.6) were independent determinants for MRSA carriage, whereas prior hospitalization (OR 2.5) was the only one risk factor for PVL-positive MSSA carriage. Typing of MRSA strains by Raman spectroscopy showed three large clusters assigned type 21, 24, and 38, all corresponding to ST239-MRSA-SCCmec type III. In conclusion, MRSA and PVL-positive MSSA are present among patients in surgical wards in Indonesian academic hospitals.
机译：印度尼西亚医院中缺乏金黄色葡萄球菌运输的数据。因此，研究了印度尼西亚三所学术医院手术患者中金黄色葡萄球菌的流行病学。在1,502名患者中，有366名（24.4％）携带金黄色葡萄球菌。耐甲氧西林的金黄色葡萄球菌（MRSA）携带率为4.3％，而1.5％的患者携带Panton-Valentine leukocidin（PVL）阳性的耐甲氧西林的金黄色葡萄球菌（MSSA）。三宝垄和玛琅市（优势比[OR] 9.4和OR 9.0），男性（OR 2.4），住院超过5天（OR 11.708）和住院期间的抗生素治疗（OR 2.6）是MRSA携带的独立决定因素，而先前住院（OR 2.5）是PVL阳性MSSA携带的唯一危险因素。用拉曼光谱法对MRSA菌株进行分型显示三个大簇，分别为21、24和38型，均对应于ST239-MRSA-SCCmec III型。总之，印度尼西亚学术医院外科病房的患者中存在MRSA和PVL阳性MSSA。

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