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首页> 外文期刊>The Southeast Asian journal of tropical medicine and public health >COMMUNITY-ACQUIRED METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS AND GENOTYPES AMONG UNIVERSITY STUDENTS IN TURKEY
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COMMUNITY-ACQUIRED METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS AND GENOTYPES AMONG UNIVERSITY STUDENTS IN TURKEY

机译：土耳其大学学生中社区获得的耐甲氧西林金黄色葡萄球菌和基因型

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摘要

Nasal carriage of Staphylococcus aureus is an important risk factor for nosocomial and community-acquired staphylococcal infections. We investigate the prevalence of community-acquired methicillin-sensitive (CA-MSSA) and -resistant (CA-MRSA), including inducible dormant (ID)-MRSA S. aureus, and genotypes of MRSA strains of nasal cultures from 1,108 university students attending Selcuk University, Turkey. Risk factors were based on replies to a questionnaire. S. aureus was identified using conventional culture methods and a Stapyloslide (R) latex test. Antibiotic susceptibility and methicillin resistance were determined by a disk diffusion method, and vancomycin susceptibility was performed using an E-test. Identification of mecA and SCCmec types were conducted by PCR and genotypes by pulse field gel-electrophoresis (PFGE). Prevalence of S. aureus was 17%, with 9% being MRSA. Two isolates were SCCmec type III, 11 were SCCmec variant IIIA and one SCCmec type IV. No ID-MRSA was detected. The majority of the isolates were resistant to penicillin and no strain was resistant to vancomycin. Two MRSA strains were PFGE pulsotype A, 9 pulsotype B, 2 pulsotype C,1 pulsotype D and 3 pulsotype E. Presence of permanent catheter and use of antibiotics in the previous month were risk factors for MSSA colonization and association with medical facilities were risk factors for MRSA carriers. There is a need for multicenter studies in Turkey to investigate CA- and ID-MRSA prevalence and nosocomial infections.
机译：鼻运送金黄色葡萄球菌是医院和社区获得性葡萄球菌感染的重要危险因素。我们调查了社区获得性甲氧西林敏感（CA-MSSA）和耐药（CA-MRSA）的患病率，包括诱导性休眠（ID）-MRSA金黄色葡萄球菌和来自1108名就读大学生的鼻培养MRSA菌株的基因型土耳其塞尔柱克大学。危险因素基于对问卷的答复。使用常规培养方法和Stapyloslide（R）乳胶测试鉴定金黄色葡萄球菌。通过盘扩散法测定抗生素敏感性和甲氧西林抗性，并使用E检验进行万古霉素敏感性。通过PCR鉴定mecA和SCCmec类型，通过脉冲场凝胶电泳（PFGE）鉴定基因型。金黄色葡萄球菌的患病率为17％，其中9％为MRSA。 2株为SCCmec III型，11株为SCCmec IIIA变体，1株为SCCmec IV型。未检测到ID-MRSA。大多数分离株对青霉素有抗性，没有菌株对万古霉素有抗性。两种MRSA菌株为PFGE脉冲型A，9脉冲型B，2脉冲型C，1脉冲型D和3脉冲型E。上个月存在永久性导管和使用抗生素是MSSA定植的危险因素，并且与医疗机构的联系是危险因素适用于MRSA运营商。土耳其需要进行多中心研究，以调查CA和ID-MRSA的患病率和医院感染。

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