Evaluation of Some Selected Medical Equipment in Olabisi Onabanjo University Teaching Hospital for Staphylococcus aureus of Nosocomial Threat

O. Lionel, Ade-Adekunle Olusegun Ayo, Kotun Bunmi Comfort, O. T. Oyedemi, Oyinloye O. Elijah, Caroline Olufunke Babalola, Kolade Titilayo Teniola, O. Adeleye
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Abstract

Hospital is an establishment where patients that are diseased, infected, ill or injured receive medical care. A medical staff and equipment are required for the task of medical care delivery. The equipment that are employed in hospital could be classified as critical, semi-critical and non-critical depending on their design and tasks. A total of Eighty-five (85) samples of hospital equipment swab were obtained from Olabisi Onabanjo Teaching Hospital of which 40 samples of Staphylococcus aureus were isolated. The isolates were Gram stained followed by conventional biochemical test for the identification of Staphylococcus aureus. Antibiogram of the isolates was determined. The isolates exhibited resistance to ampiclox (87.5%), zinnacef (92.5%), amoxicillin (92.5%), rocephin (80%), and septrin (55%), while susceptible to pefloxacin (77.5%), gentamicin (80%), streptomycin (72.5%), and ciprofloxacin (52.5%). Some of the resistant isolates were exposed to plasmid DNA analysis and were found to be plasmid borne of varied molecular weight, which could be responsible for resistance to the antibiotics observed. There is therefore a need for regular disinfection, properly sterilization and preservation of medical equipment before and after use, which could curtailed or reduce the spread of equipment borne nosocomial infection.
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对奥拉比西-奥纳班霍大学教学医院的部分选定医疗设备进行评估,以确定是否存在对医院造成威胁的金黄色葡萄球菌
医院是为患病、受感染、生病或受伤的病人提供医疗服务的机构。提供医疗服务需要医务人员和设备。根据设计和任务的不同,医院使用的设备可分为关键设备、半关键设备和非关键设备。从奥拉比西-奥纳班乔教学医院共获得 85 份医院设备拭子样本,其中分离出 40 份金黄色葡萄球菌样本。对分离物进行革兰氏染色,然后进行常规生化检验,以鉴定金黄色葡萄球菌。确定了分离菌的抗生素图谱。这些分离物对氨苄西林(87.5%)、齐那夫(92.5%)、阿莫西林(92.5%)、罗红霉素(80%)和七氯霉素(55%)具有耐药性,而对培氟沙星(77.5%)、庆大霉素(80%)、链霉素(72.5%)和环丙沙星(52.5%)则敏感。对一些耐药分离物进行了质粒 DNA 分析,发现它们带有不同分子量的质粒,这可能是对所观察到的抗生素产生耐药性的原因。因此,有必要在医疗设备使用前后对其进行定期消毒、适当灭菌和保存,从而遏制或减少由设备引起的非医院感染的传播。
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