Risk Factors Association for MRSA Nasal Colonization in Preoperative Patients in Azadi Teaching Hospital-Duhok, Kurdistan Region, Iraq

  • Warveen L. Abdulkareem Azadi Teaching hospital, Duhok, Kurdistan Region, Iraq
  • Nawfal R. Hussein Dept. of Biomedical Sciences, College of Medicine, University of Zakho, Zakho, Kurdistan Region, Iraq
  • Ayad A. Mohammed Dept. of Surgery, College of Medicine University of Duhok, Duhok, Kurdistan Region, Iraq.
  • Sardar H. Arif Dept. of Surgery, College of Medicine University of Duhok, Duhok, Kurdistan Region, Iraq.
  • Ibrahim A. Naqid Dept. of Biomedical Sciences, College of Medicine, University of Zakho - Kurdistan, Iraq https://orcid.org/0000-0002-7223-2690
Keywords: Risk factors, MRSA, Nasal Colonization, Preoperative patients, Duhok

Abstract

Background: Nasal colonization with Methicillin-resistant Staphylococcus aureus (MRSA) can predispose to subsequent infections in surgical and non-surgical patients, making the management challenging with increased rates of morbidity, mortality and cost burden.

Objectives: The present study was carried out to evaluate the risk factors of MRSA nasal colonization in preoperative patients in Azadi Teaching Hospital in Duhok Province - Kurdistan Region-Iraq.

Methods: Nasal swabs were obtained from 150 patients after completing a questionnaire. Conventional laboratory methods were carried out to identify Staphylococcus aureus (S. aureus) and antimicrobial susceptibility test was conducted for recognizing MRSA isolates.

Results: A total of 41 (27.3%) of 150 patients were MRSA carriers. The mean age of participants MRSA carriers was 35.27±20.40 years old. The highest prevalence rate of nasal colonization with MRSA was in males (27.94%) than females (26.82%). In logistic regression analysis, no significant differences was detected between MRSA carriage and the associated risk factors including age [OR: 0.99 (95 % CI: 0.97- 1.01); P = 0.45], gender [OR: 1.05 (95 % CI: 0.51- 2.17); P = 0.87] and medical comorbidities [OR: 1.11 (95 % CI: 0.42- 2.92); P = 0.82].

Conclusions: Age, gender and medical comorbidities were not associated common risk factors for nasal colonization of MRSA in preoperative patients. This study should be considered preliminary and studies with larger sample sizes and with using advance molecular tools are needed in the future.

Author Biographies

Warveen L. Abdulkareem, Azadi Teaching hospital, Duhok, Kurdistan Region, Iraq

Azadi Teaching hospital, Duhok, Kurdistan Region, Iraq (warveen.l.abdulkareem@gmail.com)

Nawfal R. Hussein, Dept. of Biomedical Sciences, College of Medicine, University of Zakho, Zakho, Kurdistan Region, Iraq

Dept. of Biomedical Sciences, College of Medicine, University of Zakho, Zakho, Kurdistan Region, Iraq (nawfal.hussein@uoz.edu.krd)

Ayad A. Mohammed, Dept. of Surgery, College of Medicine University of Duhok, Duhok, Kurdistan Region, Iraq.

Dept. of Surgery, College of Medicine University of Duhok, Duhok, Kurdistan Region, Iraq (ayad.mohammed@uod.ac)

Sardar H. Arif, Dept. of Surgery, College of Medicine University of Duhok, Duhok, Kurdistan Region, Iraq.

Dept. of Surgery, College of Medicine University of Duhok, Duhok, Kurdistan Region, Iraq (sardar.arif@uod.ac)

Ibrahim A. Naqid, Dept. of Biomedical Sciences, College of Medicine, University of Zakho - Kurdistan, Iraq

Dept. of Biomedical Sciences, College of Medicine, University of Zakho - Kurdistan, Iraq (ibrahim.naqid@uoz.edu.krd)

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Published
2020-09-30
How to Cite
Abdulkareem, W., Hussein, N., Mohammed, A., Arif, S., & Naqid, I. (2020). Risk Factors Association for MRSA Nasal Colonization in Preoperative Patients in Azadi Teaching Hospital-Duhok, Kurdistan Region, Iraq. Science Journal of University of Zakho, 8(3), 88-91. https://doi.org/10.25271/sjuoz.2020.8.3.712
Section
Science Journal of University of Zakho