贝尼苏夫大学医院新生儿重症监护病房的金黄色葡萄球菌鼻腔定植

M. Abdel-Aziz, S. Fahmey, N. Ibrahim, A. Mabrouk
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摘要

金黄色葡萄球菌(金黄色葡萄球菌)仍然是最常见的社区获得性和医院获得性病原体之一,具有很高的医院获得性感染率。金黄色葡萄球菌是一种重要的致病菌。它主要发生在鼻腔前部和鼻外部位,包括皮肤、会阴和咽,较少发生在胃肠道和阴道。大约30%的普通人群是这种细菌的鼻腔携带者。由这种微生物引起的感染可能是外源性或内源性的,包括脓疱疮、蜂窝组织炎、骨髓炎、心内膜炎、中毒性休克综合征(TSS)、败血症和肺炎。全球医疗保健相关的金黄色葡萄球菌感染约占20%。金黄色葡萄球菌感染在新生儿重症监护室仍然是一个主要的健康挑战,因为定殖的卫生保健工作者、患者和被污染的表面是感染的储存库。由金黄色葡萄球菌引起的卫生保健相关感染的发生率在世界范围内继续增加。本研究的目的是评估贝尼苏夫大学医院新生儿重症监护病房中分离的新生儿和卫生保健工作者(HCWs)的金黄色葡萄球菌鼻腔携带情况。此外,我们的研究提供了有价值的见解,记录了影响新生儿败血症易感性和结果的重要因素,这是一个全球性的公共卫生问题。
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Staphylococcus Aureus Nasal Colonization in the Neonatal Intensive Care Unit of Beni-Suef University Hospital
Staphylococcus aureus (S. aureus) remains one of the most frequently occurring community-acquired as well as hospital-acquired pathogens with high rates of hospital-acquired infections. S.aureus is an important pathogenic bacterium. It resides predominantly in the anterior nares, and extra-nasal sites including the skin, perineum, and pharynx, and less frequent in the gastrointestinal tract and the vagina. About 30% of the general population is nasal carriers of the bacterium. Infections caused by this organism could be exogenous or endogenous in origin, and they include impetigo, cellulitis, osteomyelitis, endocarditis, toxic shock syndrome (TSS), septicemia, and pneumonia. Healthcare-associated infections by S. aureus are about 20% worldwide. S. aureus infection at NICU remains a major health challenge as colonized healthcare workers, patients, and contaminated surfaces serve as reservoir for infection. The incidence of healthcare-associated infections caused by S. aureus continues to increase worldwide. The goal of this study is to assess the nasal carriage of S. aureus isolated from neonates and health care workers (HCWs) in the NICU of Beni Suef University Hospital. Also, our study provides valuable insights documenting important factors that affect susceptibility and outcomes of neonatal sepsis which is a global public health issue.
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