Avtor/Urednik		Kolman, Jana; Seme, Katja; Škerl, Marjeta; Lužnik-Bufon, Tatjana; Dolinšek, Mojca
Naslov		Izolati MRSA iz nadzornih kužnih bolnikov iz Kliničnega centra Ljubljana
Prevedeni naslov		MRSA isolates from surveillance specimens of patients hospitalized in University medical centre Ljubljana
Tip		članek
Vir		In: Lužnik-Bufon T, Gubina M, editors. Zbornik predavanj Bolnišnične okužbe 2003; 2003; Ljubljana. Ljubljana: Sekcija za klinično mikrobiologijo in hospitalne infekcije,
Leto izdaje		2003
Obseg		str. 123-33
Jezik		slo
Abstrakt		University Medical Centre Ljubljana, the biggest hospital in Slovenia, with 2678 beds and 84476 admissions in 2002, represents a tertiary, university-affiliated hospital. Severely ill patients and problems related to the prevention and control of hospital-acquired infection are not rare events. Active surveillance cultures are important to prevent colonisation or infections in patients. The results of the retrospective analysis of data from surveillance cultures of patients hospitalised in University Medical Centre Ljubljana in year 2002 are as follows: a total of 10734 surveillance specimens were cultured and 1196 MRSA isolates detected in 391 patients with average of 3,1 isolates per patient (median 2; range 1 to 24); the most prevalent specimens were skin swabs which were positive for MRSA in 8,5% (379 out of 4470 specimen), anterior nares in 9% (373 out of 4155 specimens) and throat swabs positive for MRSA in 21,7% (172 out of 793 specimens). At the same time methicillin-resistant S. aureus was isolated from anterior nares in 21,7% (902 isolates). MRSA isolates were all resistante to oxacillin and majority of strains also to erythromycin (98,8%), clindamycin (98,6%), gentamicin (99,2%) and ciprofloxacin (99,8%). Consecutive isolates were not excluded. In 2002, the rate of mupirocin resistant MRSA isolates from the first isolate from each patient was rather high - 10,7% (in 31 out of 287 patients). But in the same year, turther isolates were resistant in 14 patients, and the resistant rate for mupirocin was 15,7% (45 out of 287). These rather rough data collected from laboratory information system would be more useful after further analysis and integration with the data being collecfed in the hospital.
Deskriptorji		STAPHYLOCOCCAL INFECTIONS STAPHYLOCOCCUS AUREUS METHICILLIN RESISTANCE CROSS INFECTION