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Objective: To determine the nasal carriage of staphylococcus aureus and methicillin-resistant staphylococcus
aureus among healthcare workers in a tertiary care setting.
Methods: The cross-sectional study was conducted at the Pakistan Institute of Medical Sciences, Islamabad,
Pakistan, from April to July 2018, and comprised healthcare workers at the institution. Nasal swabs were collected
and cultured on Mannitol salt agar. Mannitol fermenting colonies which were gram-positive cocci, catalase-positive
and coagulase-positive were identified as staphylococcus aureus. Antibiotic susceptibility test was performed by
modified Kirby-Bauer disc diffusion method. Methicillin resistance was detected using cefoxitin disc diffusion
method. Data was analysed using SPSS 23.
Results: Of the 210 nasal swabs, 52(24.76%) had a staphylococcus aureus growth, and of them, 15(7.1%) were
methicillin-resistant. No association could be established with either any single category of healthcare worker or an
inter-department variation (p>0.05). Likewise, there was no association with age, gender, duration of service,
smoking, co-morbidities, use of antibiotics in the preceding six months, treating a patient with methicillin-resistant
staphylococcus aureus in the preceding six months and hospitalisation in the preceding year (p>0.05).
Conclusion: The frequency of nasal carriage of methicillin resistant staphylococcus aureus amongst healthcare
workers was regardless of the nature of their professional engagement.
Fibhaa Syed , Nasim Akhtar, Mohammad Ali Arif, Adil Ramzan Ramzan, Sana Asghar, Rauf Niazi, Syed ubaid Hasnain, Muhammad Danish Hanif, Aamna Naheed. (2021) A cross sectional study to assess nasal carriage of methicillin resistant Staphylococcus aureus in healthcare professionals in a tertiary care hospital , Journal of the Pakistan Medical Association, Volume 71, Issue 1.
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