Inanimate Surfaces and Air Contamination with Multidrug Resistant Species of Staphylococcus in the Neonatal Intensive Care Unit Environment.

Autor: Menezes RP; Technical Course in Clinical Analysis, Technical School of Health (ESTES), Federal University of Uberlândia (UFU), Uberlândia 38400-320, MG, Brazil., Marques LA; Postgraduate Program in Health Sciences, Faculty of Medicine, Federal University of Uberlândia (UFU), Uberlândia 38400-320, MG, Brazil., Silva FF; Postgraduate Program in Health Sciences, Faculty of Medicine, Federal University of Uberlândia (UFU), Uberlândia 38400-320, MG, Brazil., Silva NBS; Postgraduate Program in Health Sciences, Faculty of Medicine, Federal University of Uberlândia (UFU), Uberlândia 38400-320, MG, Brazil., Alves PGV; Postgraduate Program in Health Sciences, Faculty of Medicine, Federal University of Uberlândia (UFU), Uberlândia 38400-320, MG, Brazil., Bessa MAS; Institute of Biology, Federal University of Uberlândia (UFU), Uberlândia 38400-320, MG, Brazil., Araújo LB; Faculty of Medicine, Federal University of Uberlândia (UFU), Uberlândia 38400-320, MG, Brazil.; Faculty of Mathematics, Federal University of Uberlândia (UFU), Uberlândia 38400-320, MG, Brazil., Penatti MPA; Technical Course in Clinical Analysis, Technical School of Health (ESTES), Federal University of Uberlândia (UFU), Uberlândia 38400-320, MG, Brazil., Pedroso RDS; Technical Course in Clinical Analysis, Technical School of Health (ESTES), Federal University of Uberlândia (UFU), Uberlândia 38400-320, MG, Brazil., Brito Röder DVD; Institute of Biomedical Sciences, Federal University of Uberlândia (UFU), Uberlândia 38400-320, MG, Brazil.
Jazyk: angličtina
Zdroj: Microorganisms [Microorganisms] 2022 Mar 05; Vol. 10 (3). Date of Electronic Publication: 2022 Mar 05.
DOI: 10.3390/microorganisms10030567
Abstrakt: Background: Contamination of the hospital environment with multi-resistant (MDR) Staphylococcus increases the risk of infection. The aim of this study is to identify the MDR species of Staphylococcus on inanimate surfaces, in air, and in clinical samples, and analyze the risk factors that correlate with the occurrence of infections in a Neonatal Intensive Care Unit.
Methods: Samples of inanimate surfaces and air were taken using a premoistened swab (0.9% sodium chloride) and spontaneous air sedimentation, respectively. The clinical isolates were recovered from infected neonates. The isolates (environmental and clinical) were identified by matrix-assisted laser desorption ionization-time of flight and the resistance profile was calculated using the disk diffusion agar technique.
Results: In total, 181 isolates were obtained, 93 from (surfaces), 18 from the air, and 70 clinical samples. S. epidermidis was the most frequent species (66.8%), and the failure rate in air cleaning was 100%. More than 60% of the isolates were MDR, and the majority of clinical isolates (60.4%) had a resistance profile identical to that of the environmental isolates.
Conclusion: Staphylococcus spp. were found in most of the analyzed samples, with a high frequency of MDR isolates, demonstrating the importance of the hospital environment as a reservoir, and the need for infection control measures, and rational use of antimicrobials.
Databáze: MEDLINE