Local Epidemiology of Nosocomial Staphylococcus aureus Infection in a Nigerian University Teaching Hospital

Bibliographic Details
Title: Local Epidemiology of Nosocomial Staphylococcus aureus Infection in a Nigerian University Teaching Hospital
Authors: Adeniran Adeyanju, Frieder Schaumburg, Adedeji Onayade, Akinyele Akinyoola, Taofeeq Adeyemi, Osaretin Ugbo, Robin Köck, Yemisi Amusa, Oladejo Lawal, Temilade Adeyanju, Nkem Torimiro, David Akinpelu, Deboye Kolawole, Christian Kohler, Karsten Becker
Source: Antibiotics, Vol 11, Iss 10, p 1372 (2022)
Publisher Information: MDPI AG, 2022.
Publication Year: 2022
Collection: LCC:Therapeutics. Pharmacology
Subject Terms: Staphylococcus aureus, MRSA, nosocomial infection, surgical patients, skin and soft-tissue infections, Panton-Valentine leukocidin, Therapeutics. Pharmacology, RM1-950
More Details: Population-based studies of Staphylococcus aureus contribute to understanding the epidemiology of S. aureus infection. We enrolled surgical inpatients admitted to an African tertiary-care hospital in order to prospectively analyze the nosocomial impact of S. aureus. Data collection included an active sampling of the anterior nares and infectious foci within 48 h after admission and subsequently when clinically indicated. All S. aureus isolates were spa and agr genotyped. Possession of Panton-Valentine leukocidin (PVL) and other toxin genes was determined. We analyzed antibiotic susceptibility profiles by VITEK 2 systems and verified methicillin-resistant S. aureus (MRSA) by mecA/C PCR. Among 325 patients, 15.4% carried methicillin-susceptible S. aureus (MSSA) at admission, while 3.7% carried MRSA. The incidence densities of nosocomial infections due to MSSA and MRSA were 35.4 and 6.2 infections per 10,000 patient-days, respectively. Among all 47 nosocomial infections, skin and soft-tissue (40.4%) and bones or joints’ (25.5%) infections predominated. Six (12.7%) infection-related S. aureus isolates harbored PVL genes including two (4.2%) MRSA: overall, seventeen (36.2%) isolates carried pyrogenic toxin superantigens or other toxin genes. This study illustrates the considerable nosocomial impact of S. aureus in a Nigerian University hospital. Furthermore, they indicate a need for effective approaches to curtail nosocomial acquisition of multidrug-resistant S. aureus.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2079-6382
Relation: https://www.mdpi.com/2079-6382/11/10/1372; https://doaj.org/toc/2079-6382
DOI: 10.3390/antibiotics11101372
Access URL: https://doaj.org/article/c22f21b66a904cf3b14a18e015096c87
Accession Number: edsdoj.22f21b66a904cf3b14a18e015096c87
Database: Directory of Open Access Journals
More Details
ISSN:20796382
DOI:10.3390/antibiotics11101372
Published in:Antibiotics
Language:English