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All Journal Indian Journal of Forensic Medicine & Toxicology
Saraswathi Hebbar
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Public Health

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Methicillin Resistant Staphylococcus Aureus Carrier Status among Indian Healthcare Workers: A Systematic Review and Meta-Analysis Latha T; Saraswathi Hebbar; Baby S Nayak; Ravishanker N; Anil K Bhat
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14327

Abstract

Infection with Methicillin Resistant Staphylococcus aureus (MRSA) is a threat to quality care in the hospital.Asymptomatic colonization of MRSA escalates the burden of infection. The rate of MRSA colonizationamong healthcare workers (HCW) is not homogenous across the globe. Even though there are individualstudy reports on MRSA colonization, no pooled data is available in India. Therefore, it is important toevaluate the problem of MRSA colonization to develop a policy on preventive measures. We performeda systematic review and meta-analysis of MRSA carrier status among Indian HCWs using five databases(Scopus, PubMed-Medline, IndMed, CINAHL and Google-Scholar) from the articles published from 2008to 2017 (10 years). STATA 13.0 with metaprop package in STATA was used to find the rate of colonization.Among 2,349 HCWs, the pooled prevalence of MRSA colonization in throat, nose, axilla, palm, fingertipsand web-spaces was nine percent (CI 6% - 13%; p=0.001, I291.68%). Further, the forest plot of MRSAcolonization in nasal cavity alone was performed, and the prevalence of nasal colonization of MRSA among1,251 Indian HCWs was found to be 11% (CI 5-17%, p=0.001, I2 93.3%). The colonization rate is not veryhigh nor negligible. Therefore, the hospital administrator along with the hospital infection control committeeneeds to formulate a policy on periodic screening and decolonization of HCWs in high-risk areas.
Co-Authors Anil K Bhat Baby S Nayak Latha T Ravishanker N