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The evaluation of MRSA surveillance cultures by the number and combinations of anatomical sites Cover

The evaluation of MRSA surveillance cultures by the number and combinations of anatomical sites

Open Access
|Jul 2016

Figures & Tables

The type and number of SC for MRSA analysis_

MariborCeljeKranjTotal
The number of received SC32,38921,50011,36265,251
The number of positive SC4304923111,233
The % of positive SC1.3%2.3%2.7%1.9%
The number of SSSno data

- the data management in Maribor did not allow to group the swabs of MRSA negative patients into “Surveillance sample set (SSS)”.

7,1053,565/
The number of positive SSS231260170661
The % of positive SSSno data

- the data management in Maribor did not allow to group the swabs of MRSA negative patients into “Surveillance sample set (SSS)”.

3.7%4.8%/
The number of examined persons

- if repeated surveillance swabs were received from a single patient, such patient was counted once only

6,1415,0502,08313,274
The number of positive persons

- each MRSA positive patient was counted once only

152203135490
The % of positive persons2.5%4.0%6.5%3.7%
Positive SC in one anatomic site10110683290
Positive SC in two anatomic sites658045190
Positive SC in three anatomic sites587234164
Positive SC in four or more anatomic sites72817

NOSE (the original questionnaire)_

 CategoryAnatomic sites
NoseNoseNaso-pharynx
PerineumPerineumAnusPerianalRectum
SkinSkinGroinAxillaEarSwabs of stoma (tracheostoma, gastrostoma, ileostoma and colostoma), cannula and tubus
WoundWoundPressure soreLesion
Tracheal aspirateTrachea aspirateTrachea swabs
UrineUrine
FaecesExcreta

The sensitivty of surveillance cultures regarding the anatomical location and combination of swabs_A MRSA positive locations in the nose, throat, perineum (NTP) set_

 A combination of locationsTotal(%)
The number of MRSA positive patients with the nose, throat, perineum set189 (100)
The number of patients with the MRSA in all three swabs59 (31.2)
The number of patients with the MRSA in the nose and perineum23 (12.2)
The number of patients with the MRSA in the nose and throat18 (9.5)
The number of patients with the MRSA in the throat and perineum8 (4.2)
The number of patients with the MRSA in the nose only28 (14.8)
The number of patients with the MRSA in the perineum only29 (15.3)
The number of patients with the MRSA in the throat only24 (12.7)

The sensitivity of different combinations of surveillance swabs included in the NTP SSS_

SSSSensitivity
NTS100
NT75.0
NS87.0
TP75.0
N66.7
T59.1
S34.0

MRSA positive locations in the SSS NTS_

 A combination of locationsTotal (%)
The number of MRSA positive patients with the NTS set276 (100)
The number of patients with the MRSA in all three swabs74 (26.8)
The number of patients with the MRSA in the nose and skin35 (12.7)
The number of patients with the MRSA in the nose and throat40 (14.5)
The number of patients with the MRSA in the throat and skin13 (4.7)
The number of patients with the MRSA in the nose only35 (12.7)
The number of patients with the MRSA in the skin only43 (15.6)
The number of patients with the MRSA in the throat only36 (13.0 )

The type and number of surveillance cultures (SC) sent for the MRSA detection, and the proportion of positive results_

SAMPLETotal(%)Positive (%)% of positive swabs taken form this location
Nasal swab20,378 (31.2)418 (33.9)2.1
Throat swab20,426 (31.3)363 (29.4)1.8
Skin swab12,319 (18.9) %228 (18.5)1.9
Perineum swab10,707 (16.4)161 (13.1)1.5
Wound swab894 (1.4)52 (4.2)5.8
Tracheal aspirate/sputum200 (0.3)3 (0.2)1.5
Vaginal swab13 (0.0)0 (0.0)0.0
Urine289 (0.4)4 (0.3)1.4
Stool25 (0.0)4 (0.3)16.0
TOTAL65,251 (100)1233 (100)1.9
DOI: https://doi.org/10.1515/sjph-2017-0004 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 24 - 30
Submitted on: Nov 27, 2015
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Accepted on: May 31, 2016
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Published on: Jul 28, 2016
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2016 Irena Grmek Kosnik, Alenka Storman, Ziva Petrovic, Slavica Robnik, Urska Dermota, Tjasa Zohar Cretnik, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.