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Methisilin Dirençli Staphylococcus Aureus (MRSA) Taşıyıcısı Hamile Kadınlardaki Risk Durumu

Amaç: Çalışmamızda MRSA taşıyıcısı hamile kadınlarda nazofaringeal durumunu belirlemek hedeflendi. MRSA için taradığımız 100 hamile kadından yalnızca 20 ‘sinde pozitif MRSA olduğu bulundu. Materyal ve Method: Nasal sürüntü örnekleri (her iki anterior burun deliğine ait) toplandı. Kanlı agar üzerine yayma yöntemi ile uygulandı. Agarda S. aureus ve MRSA varlığı ; oksasiline (oxacillin) hassas disk difüzyon methodu ile belirlendi. Bulgular: Bulgularımıza gore hamilelerin yaklaşık %30’ unda literatürde yer alan yetişkinlerde görülen S. aureus koloni oranı ile tutarlı olarak S. aureus kolonileri gözlemlendi. Hindistan’ ın Karnataka bölgesindeki hamilelerde MRSA kolonisi görülme oranı Ulusal sağlık ve beslenme inceleme ve araştırmalarının son dataları ile uyumlu olarak düşüktür. Sonuç: Hastaların 1 yıllık hastaneye alınma, cerrahi müdahale, dializ ve uzun sureli bakım hizmetleri, kalıcı kateter, deri altına yapılan tedavi müdahaleleri (trakeostomi tüpü, gastronomi tüpü, foley kateter ) gibi bilgiler kaydedildi. Bu problemin dışında pozitif MRSA’ lı gebeler için geniş bir kontrol taraması da gerekir. Anahtar kelimeler: Methisilin Dirençli Staphylococcus aureus (MRSA), toplum ilişkili MRSA (CA-MRSA).

Anahtar Kelimeler:

Methisilin Dirençli Staphylococcus aureus (MRSA), toplum ilişkili MRSA (CA-MRSA)

Methicillin-Resistant Staphylococcus Aureus (MRSA) Carriage Certainly Poses a Risk in Pregnant Women

Purpose: The present study was aim to determine the incidence of nasopharyngeal carriage of MRSA in pregnant women. In this study 100 pregnant women screened for MRSA and only 20 of them found to be positive for MRSA. Material and Methods: Nasal swab samples were collected with sterile swabs from both anterior nares Swabs then were plated by streak plate method on Blood Agar Plate Isolates of S. aureus and MRSA identification by oxacillin susceptibility with the disc diffusion methods. Results: In our finding approximately 30% of pregnant women are colonized with S aureus is consistent with previous literature on the rate of S aureus colonization in adults. MRSA colonization among pregnant women in Karnataka state, India, remains low, which is consistent with recent data from the National Health and Nutrition Examination Survey. Conclusion: Patients with a history of hospitalization, surgery, dialysis, or residence in a long-term care facility within 1 year of enrollment, a permanent indwelling catheter or percutaneous medical device (eg, tracheostomy tube, gastrostomy tube, or Foley catheter) as well as pregnancy are known positive culture for MRSA and require an extensive check up to role out this problem. Key words: Methicillin-resistant Staphylococcus aureus (MRSA), community-associated MRSA (CA-MRSA).

Keywords:

Methicillin-resistant Staphylococcus aureus (MRSA), community-associated MRSA (CA-MRSA),

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