ObjectiveTo investigate the infection of methicillinresistant Staphylococcus aureus (MRSA) in patients in a hospital and environmental contamination of MRSA,and study the possible sources and transmission routes with homology analysis of MRSA isolates collected from patients and environment. MethodsStaphylococcus aureus were identified by Vitek2 system,MRSA were identified by cefoxitin disk diffusion method and mecA PCR, homology of MRSA isolates was analysed with randomly amplified polymorphic DNA (RAPD) analysis.ResultsAmong all isolates of Staphylococcus aureus, the isolation rate of MRSA from clinical and environmental samples was 58.54% (24/41)and 38.10%(16/24) respectively. The numbers of amplified DNA fragments by RAPD were 4~6, typing rate was 100%. Based on clustering analysis, 24 clinical strains were divided into 4 types,and the main type was type Ⅰ(14 strains); 16 environmental strains were divided into 3 types,and the main type was also type Ⅰ(13 strains).4 patients in burn unit and 4 patients in neurosurgical department and environment isolated homologous strains.ConclusionThe isolated rate of MRSA in patients and environment in this hospital was high,the dominant epidemic strain of MRSA was type Ⅰ and clone spread might exist. Extrinsic route was the main source for nosocomial infection caused by MRSA.
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杨长顺,刘文恩,廖经忠,等.耐甲氧西林金黄色葡萄球菌感染的流行病学研究[J]. 中国感染控制杂志,2009,8(2):77-81. YANG Changshun, LIU Wenen, LIAO Jingzhong, et al. Epidemiological study on infection of methicillinresistant Staphylococcus aureus[J]. Chin J Infect Control, 2009,8(2):77-81.