Staphylococcus aureus resistente à meticilina colonizando pacientes em tratamento de hemodiálise
Staphylococcus aureus, mainly the methicillin-resistant Staphylococcus aureus (MRSA) strain, has been recognized as an important human pathogen, and highlighted its pathogenicity as well its high ability to acquire resistance to most antimicrobials used for staphylococcal infections treatment. This...
| Autor: | |
|---|---|
| Tipo de recurso: | tesis de maestría |
| Estado: | Versión publicada |
| Fecha de publicación: | 2018 |
| País: | Brasil |
| Institución: | Universidade Federal do Rio Grande do Norte (UFRN) |
| Repositorio: | Repositório Institucional da UFRN |
| Idioma: | portugués |
| OAI Identifier: | oai:repositorio.ufrn.br:123456789/25208 |
| Acceso en línea: | https://repositorio.ufrn.br/jspui/handle/123456789/25208 |
| Access Level: | acceso abierto |
| Palabra clave: | MRSA Colonização nasal Hemodiálise Gene lukF CNPQ::CIENCIAS BIOLOGICAS: |
| Sumario: | Staphylococcus aureus, mainly the methicillin-resistant Staphylococcus aureus (MRSA) strain, has been recognized as an important human pathogen, and highlighted its pathogenicity as well its high ability to acquire resistance to most antimicrobials used for staphylococcal infections treatment. This bacterium integrates the microbiota of the skin and mucosal surfaces, and anterior nasal mucosa is the primary site of healthy individuals colonization. The presence of this species in certain populations, as individuals on hemodialysis treatment, represents a risk factor for infections development. The aim of the study was to describe the prevalence of S. aureus and MRSA colonizing patients submitted to hemodialysis treatment in a clinic reference in the city of Natal-RN. Nasal samples were collected with using a of sterile swab, which were inoculated in BHI broth and sent to Laboratório de Bacteriologia Médica at Universidade Federal do Rio Grande do Norte, where they were incubated for 24 hours at 37°C. Bacterial isolates were identified by conventional techniques such as Gram staining and the tests for catalase and coagulase enzymes. The MRSA identification and antimicrobial susceptibility were performed using the disk diffusion technique. The mecA and lukF genes were screened using Polymerase Chain Reaction technique. Patient data were collected through a structured interview with 15 questions. A total of 375 patients, of whom 90 (24%) carried on S. aureus in their nose and 9 (2,4%) methicillin-resistant Staphylococcus aureus. All MRSA have showed mecA gene, and eight had lukF gene encoding Panton Valentine Leucocidin (PVL). None of the variables studied was statistically associated with the prevalence of S. aureus and MRSA. However, the presence of this microorganism is important, especially the MRSA strain, since its virulence and antimicrobial resistance is well established and, moreover, colonizing hemodialytic patients, which are more susceptible to infections. |
|---|