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Colonización nasal por Staphylococcus aureus en estudiantes de medicina: importancia en la transmisión hospitalaria. [artículo]

Por: Barrado Blanco, Laura [Microbiología y Parasitología] | González-Rodríguez-Salinas, Mª del Carmen [Medicina Preventiva] | Chaves Sánchez, Fernando [Microbiología y Parasitología] | Goñi Yeste, María del Mar [Microbiología y Parasitología] | López Aguilera, Sara [Microbiología y Parasitología] | Rodríguez Otero, Joaquín [Microbiología y Parasitología].
Colaborador(es): Servicio de Microbiología y Parasitología | Unidad de Calidad Asistencial.
Editor: Enfermedades infecciosas y microbiología clínica, 2013; 2013Descripción: 31(8):500-5.Recursos en línea: Solicitar documento Resumen: Background: Staphylococcus aureus is the main pathogen causing nosocomial infections. Health professionals, including medical students, could be a source of transmission. The aims of the study were to determine the rate of nasal carriage of S. aureus susceptible and resistant to methicillin (MRSA) and evaluate the knowledge and adherence that students had about hand hygiene. Methods: The study included medical students attached to the Hospital Universitario 12 de Octubre (Madrid, Spain). We collected samples from both nasal vestibules, and the antimicrobial susceptibility was determined on all isolates. Data collection was performed using a self-administered questionnaire that included risk factors for colonization, hygiene habits and knowledge of hand hygiene protocols. Results: Of the 140 students included, 55 (393%) were colonized by S. aureus, and 3 (2,1%) by MRSA. The exposure to antibiotics in the last 3 months was lower in colonized students (12.3% vs. 25.9%, P=.03). Self-assessment showed that 56.4% of students almost never washed their hands before to attending to the first patient, and only 38.6% always washed after examining patients. More than a third (35.7%) ignored the hand hygiene protocol, and 38.6% had not received specific formation. Conclusions: Medical students should be included in hospital infection control programs. Hand hygiene training should be given to students before they begin their practices in the hospital.
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Formato Vancouver:
López-Aguilera S, Goñi-Yeste Mdel M, Barrado L, González-Rodríguez-Salinas MC, Otero JR, Chaves F. Colonización nasal por Staphylococcus aureus en estudiantes de medicina: importancia en la transmisión hospitalaria. Enferm Infecc Microbiol Clin. 2013 Oct;31(8):500-5.

PMID: 23352260

Contiene 30 referencias

Background: Staphylococcus aureus is the main pathogen causing nosocomial infections. Health professionals, including medical students, could be a source of transmission. The aims of the study were to determine the rate of nasal carriage of S. aureus susceptible and resistant to methicillin (MRSA) and evaluate the knowledge and adherence that students had about hand hygiene. Methods: The study included medical students attached to the Hospital Universitario 12 de Octubre (Madrid, Spain). We collected samples from both nasal vestibules, and the antimicrobial susceptibility was determined on all isolates. Data collection was performed using a self-administered questionnaire that included risk factors for colonization, hygiene habits and knowledge of hand hygiene protocols. Results: Of the 140 students included, 55 (393%) were colonized by S. aureus, and 3 (2,1%) by MRSA. The exposure to antibiotics in the last 3 months was lower in colonized students (12.3% vs. 25.9%, P=.03). Self-assessment showed that 56.4% of students almost never washed their hands before to attending to the first patient, and only 38.6% always washed after examining patients. More than a third (35.7%) ignored the hand hygiene protocol, and 38.6% had not received specific formation. Conclusions: Medical students should be included in hospital infection control programs. Hand hygiene training should be given to students before they begin their practices in the hospital.

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