Methicillin Resistant Staphylococcus Aureus Carrier Status among Indian Healthcare Workers: A Systematic Review and Meta-Analysis

Latha, T and Hebbar, Saraswathi and Nayak, Baby S and Ravishanker, N and Bhat, Anil K (2021) Methicillin Resistant Staphylococcus Aureus Carrier Status among Indian Healthcare Workers: A Systematic Review and Meta-Analysis. Indian Journal of Forensic Medicine & Toxicology, 15 (2). pp. 312-321. ISSN 0973-9122

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Abstract

Infection with Methicillin Resistant Staphylococcus aureus (MRSA) is a threat to quality care in the hospital.Asymptomatic colonization of MRSA escalates the burden of infection. The rate of MRSA colonization among healthcare workers (HCW) is not homogenous across the globe. Even though there are individual study reports on MRSA colonization, no pooled data is available in India. Therefore, it is important to evaluate the problem of MRSA colonization to develop a policy on preventive measures. We performed a systematic review and meta-analysis of MRSA carrier status among Indian HCWs using five databases (Scopus, PubMed-Medline, IndMed, CINAHL and Google- Scholar) from the articles published from 2008 to 2017 (10 years). STATA 13.0 with metaprop package in STATA was used to find the rate of colonization.Among 2,349 HCWs, the pooled prevalence of MRSA colonization in throat, nose, axilla, palm, fingertips and web-spaces was nine percent (CI 6% - 13%; p=0.001, I2 91.68%). Further, the forest plot of MRSA colonization in nasal cavity alone was performed, and the prevalence of nasal colonization of MRSA among 1,251 Indian HCWs was found to be 11% (CI 5-17%, p=0.001, I2 93.3%). The colonization rate is not very high nor negligible. Therefore, the hospital administrator along with the hospital infection control committee needs to formulate a policy on periodic screening and decolonization of HCWs in high-risk areas

Item Type: Article
Uncontrolled Keywords: MRSA; Colonization; Nasal carriage; Healthcare workers; Systematic review
Subjects: Departments at MU > Public Health
Nursing > MCON Manipal > Child Health
Nursing > MCON Manipal > Medical Surgical
Medicine > KMC Manipal > Orthopaedics
Depositing User: KMC Library
Date Deposited: 29 Jan 2022 03:54
Last Modified: 29 Jan 2022 03:54
URI: http://eprints.manipal.edu/id/eprint/158216

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