Surveillance and Prophylactic Intervention ofStaphylococcus aureusNasal Colonization in a Hemodialysis Unit
作者:
Shannon Glowacki,
Anthony B. Hodsman,
Ole Hammerberg,
Judy Meraw,
Vivian McNeill,
Mary Lou Card,
Harriet Potters,
Katherine McGhie,
Lawrence W. Stitt,
期刊:
American Journal of Nephrology
(Karger Available online 1994)
卷期:
Volume 14,
issue 1
页码: 9-13
ISSN:0250-8095
年代: 1994
DOI:10.1159/000168679
出版商: S. Karger AG
关键词: Bacteremia;Hemodialysis;Staphylococcus aureus, nasal colonization
数据来源: Karger
摘要:
Surveillance of 101 hemodialysis patients for Staphylococcus aureus positive nasal cultures was performed by monthly nasal swabs over a 27-month period. All positive cultures were treated with a prophylactic antibiotic regimen. Forty-seven (46.5%) patients had one or more positive cultures. The surveillance period was longer in the S. aureus nasal carriers (p = 0.004). The frequency of positive cultures correlated with the duration of surveillance (p = 0.029). The incidence of S. aureus bacteremia was greater in patients with two or more positive cultures (p = 0.030). This study suggests that continuous surveillance for S. aureus nasal colonization is essential to properly identify all patients at risk of developing S. aureus bacteremias.
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