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Intestinal carriage of methicillin resistant Staphylococcus aureus and extended-spectrum β-lactamase-producing Enterobacteriacae in hospitalized and nonhospitalized patients and their clinical implications

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Asian Pacific Journal of Tropical Medicine 2009年第3期2卷 41-45页

作者： Hanan Ahmed Habib Babay Ali Mohammed Somily Department of Pathology Microbiology Unit King Khalid University HospitalRiyadhSaudi Arabia

Objective:To determine the clinical implication of and intestinal carriage with methicillin resistant Staphylococcus aureus(MRSA) and extended spectrumβ-lactamase(ESBL)-producing ***: A total of 180 stool specimens were screened for MRSA and ESBL-producing *** of ESBL- producing Enterobacteriacae was done by MicroScan Walk Away 96 system(Dade Behring Inc.,West Sacramento,CA 95691,USA ) and confirmation by double-disc synergy *** was identified by disc diffusion using 30μg cefoxitin disc and the ***:The rate of fecal MRSA carriage was 7.8% (14/180),35.7%(5 /14) were recovered from surgical *** patients(21,4%) had MRSA recovered from other body sites,and 2(14.2%) had in addition ESBL -producing Escherichia coli(***) and Klebsiella pneumoniae(***) ***(28.5%) patients with MRSA fical carriage died. MRSA fecal carriage was recovered from both inpatients and ***(2.2%) cases carried ESBL-producing Enterobacteriacae in ***(75%) were from intensive care unit(ICU).One patient had both ESBL-producing *** and *** from stool as well as *** from tracheal *** ICU patients with fecal ESBL ***:Fecal screening for MRSA and ESBL of all patients at high risk admitted to different hospital wards and ICUs and implementing infection control measures were recommended.

关键词： Intestinal carriage Methicillin resistant Staphylococcus aureus Extended spectrumβ-lactamase Enterobacteriacae

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