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Prevalence of nasal Staphylococcus aureus carriage in the patients undergoing hemodialysis and evaluation of risk factors and laboratory parameters.
Celik, Gülperi; Gülcan, Aynur; Dikici, Nebahat; Gülcan, Erim.
Afiliação
  • Celik G; Department of Internal Medicine, Selçuklu School of Medicine, Selçuk University, Konya, Turkey.
Ren Fail ; 33(5): 494-8, 2011.
Article em En | MEDLINE | ID: mdl-21545312
ABSTRACT

BACKGROUND:

In this study, we aimed to determine the nasal carriage rate of Staphylococcus aureus and risk factors in hemodialysis (HD) patients.

METHODS:

One hundred eighty-four HD patients were evaluated. A second sample was taken from the subjects, the wipe samples of whom were isolated as S. aureus. And subjects whose second samples' results were the same were deemed as S. aureus carriers.

RESULTS:

Fifty-two (28.3%) patients were identified as S. aureus carriers. In the control group, S. aureus carriage has been found out as 14.9% in 116 healthy subjects. The isolation rate of S. aureus has been found statistically significantly high in the age group of 41-61 years. But, methicillin-resistant S. aureus (MRSA) isolation ratio has been statistically high in the group over the age of 61 years. Sepsis history and gastrointestinal system disease development is closely related to bacterial isolation. MRSA isolation ratios have been found high in chronic lung disease patients, diabetic patients, patients with infection history, and patients with impaired general state of health. The carriage ratios have been found higher in the patients who are settled in urban areas, are subjected to dialysis for more than 10 years, and are hospitalized in the past year. However, the difference between the other groups is not statistically significant.

CONCLUSIONS:

S. aureus carriage must be screened on regular intervals in HD patients. Nasal S. aureus carriage follow-up and treatment is a process that will protect patients from more severe clinical pictures.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Portador Sadio / Nariz / Farmacorresistência Bacteriana / Staphylococcus aureus Resistente à Meticilina / Falência Renal Crônica Tipo de estudo: Etiology_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Asia Idioma: En Revista: Ren Fail Assunto da revista: NEFROLOGIA Ano de publicação: 2011 Tipo de documento: Article País de afiliação: Turquia

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Portador Sadio / Nariz / Farmacorresistência Bacteriana / Staphylococcus aureus Resistente à Meticilina / Falência Renal Crônica Tipo de estudo: Etiology_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Asia Idioma: En Revista: Ren Fail Assunto da revista: NEFROLOGIA Ano de publicação: 2011 Tipo de documento: Article País de afiliação: Turquia