Higher nasal carriage rate of methicillin-resistant Staphylococcus aureus among dental students who have clinical experience
Abstract Background Methicillin-resistant Staphylococcus aureus (MRSA) has been isolated from dental clinical surfaces, dental patients, and dental health care professionals. The authors conducted a study to determine the prevalence rate of nasal MRSA colonization among dental school students and to...
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Published in | The Journal of the American Dental Association (1939) Vol. 147; no. 5; pp. 348 - 353 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
England
Elsevier Inc
01.05.2016
American Dental Association |
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Abstract | Abstract Background Methicillin-resistant Staphylococcus aureus (MRSA) has been isolated from dental clinical surfaces, dental patients, and dental health care professionals. The authors conducted a study to determine the prevalence rate of nasal MRSA colonization among dental school students and to identify the characteristics of the isolated strains. Methods The authors collected nasal samples from 159 dental students. The authors performed mec A gene detection, staphylococcal cassette chromosome mec (SCC mec ) typing, and antimicrobial susceptibility tests on each sample. The authors compared the results of 2 groups (students who had clinical experience and students who did not have clinical experience). Results Five (3.1%) dental students had MRSA colonization, as confirmed by the presence of the mec A gene in the nasal cavity. Prior clinical experience was associated significantly with nasal MRSA carriage ( P < .05). Four of the strains were SCC mec type IV, and 1 strain was SCC mec type I. All isolates were resistant to amoxicillin and clavulanic acid, imipenem, and oxacillin, but were susceptible to several antimicrobial agents including mupirocin, trimethoprim and sulfamethoxazole, and rifampin. The nasal MRSA colonization was eradicated with the use of mupirocin ointment. Conclusions Nasal MRSA colonization occurs in some dental students, especially those who have clinical experience. Practical Implications Education about MRSA colonization and transmission, as well as infection prevention and control measures is necessary for dental students, especially when they participate in clinical practice. |
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AbstractList | BACKGROUNDMethicillin-resistant Staphylococcus aureus (MRSA) has been isolated from dental clinical surfaces, dental patients, and dental health care professionals. The authors conducted a study to determine the prevalence rate of nasal MRSA colonization among dental school students and to identify the characteristics of the isolated strains.METHODSThe authors collected nasal samples from 159 dental students. The authors performed mecA gene detection, staphylococcal cassette chromosome mec (SCCmec) typing, and antimicrobial susceptibility tests on each sample. The authors compared the results of 2 groups (students who had clinical experience and students who did not have clinical experience).RESULTSFive (3.1%) dental students had MRSA colonization, as confirmed by the presence of the mecA gene in the nasal cavity. Prior clinical experience was associated significantly with nasal MRSA carriage (P < .05). Four of the strains were SCCmec type IV, and 1 strain was SCCmec type I. All isolates were resistant to amoxicillin and clavulanic acid, imipenem, and oxacillin, but were susceptible to several antimicrobial agents including mupirocin, trimethoprim and sulfamethoxazole, and rifampin. The nasal MRSA colonization was eradicated with the use of mupirocin ointment.CONCLUSIONSNasal MRSA colonization occurs in some dental students, especially those who have clinical experience.PRACTICAL IMPLICATIONSEducation about MRSA colonization and transmission, as well as infection prevention and control measures is necessary for dental students, especially when they participate in clinical practice. Methicillin-resistant Staphylococcus aureus (MRSA) has been isolated from dental clinical surfaces, dental patients, and dental health care professionals. The authors conducted a study to determine the prevalence rate of nasal MRSA colonization among dental school students and to identify the characteristics of the isolated strains. The authors collected nasal samples from 159 dental students. The authors performed mecA gene detection, staphylococcal cassette chromosome mec (SCCmec) typing, and antimicrobial susceptibility tests on each sample. The authors compared the results of 2 groups (students who had clinical experience and students who did not have clinical experience). Five (3.1%) dental students had MRSA colonization, as confirmed by the presence of the mecA gene in the nasal cavity. Prior clinical experience was associated significantly with nasal MRSA carriage (P < .05). Four of the strains were SCCmec type IV, and 1 strain was SCCmec type I. All isolates were resistant to amoxicillin and clavulanic acid, imipenem, and oxacillin, but were susceptible to several antimicrobial agents including mupirocin, trimethoprim and sulfamethoxazole, and rifampin. The nasal MRSA colonization was eradicated with the use of mupirocin ointment. Nasal MRSA colonization occurs in some dental students, especially those who have clinical experience. Education about MRSA colonization and transmission, as well as infection prevention and control measures is necessary for dental students, especially when they participate in clinical practice. Methicillin-resistant Staphylococcus aureus (MRSA) has been isolated from dental clinical surfaces, dental patients, and dental health care professionals. Here, Baek et al determine the prevalence rate of nasal MRSA colonization among dental school students and to identify the characteristics of the isolated strains. Nasal MRSA colonization occurs in some dental students, especially those who have clinical experience. Practical Implications. Education about MRSA colonization and transmission, as well as infection prevention and control measures is necessary for dental students, especially when they participate in clinical practice. Abstract Background Methicillin-resistant Staphylococcus aureus (MRSA) has been isolated from dental clinical surfaces, dental patients, and dental health care professionals. The authors conducted a study to determine the prevalence rate of nasal MRSA colonization among dental school students and to identify the characteristics of the isolated strains. Methods The authors collected nasal samples from 159 dental students. The authors performed mec A gene detection, staphylococcal cassette chromosome mec (SCC mec ) typing, and antimicrobial susceptibility tests on each sample. The authors compared the results of 2 groups (students who had clinical experience and students who did not have clinical experience). Results Five (3.1%) dental students had MRSA colonization, as confirmed by the presence of the mec A gene in the nasal cavity. Prior clinical experience was associated significantly with nasal MRSA carriage ( P < .05). Four of the strains were SCC mec type IV, and 1 strain was SCC mec type I. All isolates were resistant to amoxicillin and clavulanic acid, imipenem, and oxacillin, but were susceptible to several antimicrobial agents including mupirocin, trimethoprim and sulfamethoxazole, and rifampin. The nasal MRSA colonization was eradicated with the use of mupirocin ointment. Conclusions Nasal MRSA colonization occurs in some dental students, especially those who have clinical experience. Practical Implications Education about MRSA colonization and transmission, as well as infection prevention and control measures is necessary for dental students, especially when they participate in clinical practice. |
Author | Baek, Seung-Ho, DDS, PhD Baek, Yoo Sang, MD Yoo, Yeon-Jee, DDS, PhD |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26778005$$D View this record in MEDLINE/PubMed |
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Keywords | Personal protective equipment Health care professional CDC Not applicable PPE TMP-SMX nasal carriage CA-MRSA Trimethoprim and sulfamethoxazole HA-MRSA R S Centers for Disease Control and Prevention colonization MRSA SCC mec Staphylococcal cassette chromosome mec Hospital-associated methicillin-resistant Staphylococcus aureus dental student Community-associated methicillin-resistant Staphylococcus aureus DHCP Polymerase chain reaction NA HCP Dental health care professional Methicillin-resistant Staphylococcus aureus Susceptible Resistant PCR SCCmec |
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Snippet | Abstract Background Methicillin-resistant Staphylococcus aureus (MRSA) has been isolated from dental clinical surfaces, dental patients, and dental health care... Methicillin-resistant Staphylococcus aureus (MRSA) has been isolated from dental clinical surfaces, dental patients, and dental health care professionals. The... Methicillin-resistant Staphylococcus aureus (MRSA) has been isolated from dental clinical surfaces, dental patients, and dental health care professionals.... BACKGROUNDMethicillin-resistant Staphylococcus aureus (MRSA) has been isolated from dental clinical surfaces, dental patients, and dental health care... |
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SubjectTerms | College students colonization Dental care Dental health Dental research dental student Dentistry Methicillin-resistant Staphylococcus aureus MRSA nasal carriage Staphylococcus aureus Staphylococcus infections |
Title | Higher nasal carriage rate of methicillin-resistant Staphylococcus aureus among dental students who have clinical experience |
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