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Prevalence of Nasal Carriage of Methicillin-Resistant Staphylococcus Aureus in Healthcare Workers at Aga Khan University Hospital, Nairobi

Thesis Info

Author

Omuse, Geoffrey A.

Department

Pathology (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2011

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728062361

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Objective: To establish the prevalence of nasal carriage of methicillin-resistant Staphylococcus aureus (MRSA) in healthcare workers (HCW) at Aga Khan University Hospital, Nairobi (AKUHN). Background: Healthcare workers are a major reservoir of MRSA and may play a role in the spread of nosocomial MRSA infections. MRSA can cause significant morbidity and mortality. There is both molecular and epidemiological evidence linking HCW to MRSA outbreaks. Method: A cross sectional study conducted between July and December 2010. Nasal swabs were taken from 246 randomly selected HCW from various departments.MRSA was identified using both phenotypic and genotypic methods. Antibiotic susceptibility testing of all Staphylococcus aureus isolates was done using the broth dilution MIC technique. Results: The prevalence of nasal carriage of MRSA was 0% (95% CI:0.0%-1.5%) while that of methicillin sensitive Staphylococcus aureus (MSSA) was 18.3% (95% CI: 14.0%-23.6%). Carriage of MSSA was significantly higher in males (p=0.001, OR 5.74:2.09-15.77). Carriage was highest among HCW in the intensive care/high dependency units at 37%. Resistance to more than one class of antibiotics was seen in 37.7% of isolates. Prevalence of Panton Valentine Leukocidin (PVL) was 24.4%. Conclusion: The absence of nasal carriage of MRSA by HCW working in AKUHN suggests that they are unlikely to be the source of infections caused by MRSA in patients attending AKUHN. Screening of HCW for nasal carriage of MRSA at AKUHN should be limited to an outbreak setting. The presence of the exotoxin PVL as well as the presence of multidrug resistant strains of Staphylococcus aureus shows that HCW can still be a potential source of infections caused by MSSA.
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مولانا محمد عرفان خان

مولانا محمد عرفان خاں
ایک مجاہد کا ماتم
مولانا محمد عرفان خاں صاحب معتمد خلافت بمبئی کی ناگہانی وفات کی خبر اخباروں کے ذریعہ آپ تک پہنچی ہوگی، مرحوم ہزارہ سرحد کے رہنے والے تھے، اور سلسلہ خیرآباد کے عالمِ معقولات اور مدرس تھے، ۱۹۲۰؁ء کی قومی تحریکات نے درس و تدریس کی مسند سے اٹھاکر قوم و ملت کے عملی کا موں سے ان کو وابستہ کردیا، ان کی سب سے مخلصانہ خدمت ۱۹۲۳؁ء اور ۱۹۲۴؁ء میں ملکانوں کے فتنہ ارتداد کے موقع پر ان کی جانبازی، ایثار اور محنت ہے، ان کے علاقوں میں بیسیوں میل پیادہ اور بھوکے پیاسے سفر کرنا اور ایک گاؤں سے دوسرے گاؤں میں مارے مارے پھرنا ان کی زندگی کا اہم کارنامہ ہے، اس کے بعد انھوں نے جمعیۃ العلماء دہلی سے وابستہ ہوکر جمعیۃ کے کاموں کو کچھ زمانہ تک انجام دیا، اور شریف حجاز اور ابن سعود کی لڑائی کے زمانہ میں حجاز جاکر معاملات کی تحقیقات کے لیے نامزد ہوئے، پھر ۱۹۲۶؁ء میں موتمر اسلامی کی شرکت کے لیے گئے اور وہاں سے واپسی پر وہ بمبئی کی مجلس خلافت کے کاموں میں مصروف ہوگئے، اور اسی مصروفیت میں ان کی زندگی کے آخری سال بسر ہوئے، ان کی عمر اس وقت پچاس سے زیادہ نہ ہوگی، بلند و بالامضبوط اور قومی تھے، ایک دفعہ وہ قومی تحریکوں کے سلسلہ میں قید بھی ہوئے تھے، اور اسی قید میں انھوں نے یہ سعادت پائی کہ حافظ قرآن ہوئے۔
مرحوم نہایت دوست پرور ہنس مکھ، ظریف اور فیاض تھے، صوبہ سرحد سے وہ مدتوں جلا وطن رہے، جلاوطنی کا دور ختم ہوا تب بھی وطن جاکر اپنی خدمات کی وسعت کو انھوں نے محدود کرنا پسند نہیں کیا، تمام عمر مجرد رہے، اور اسی طرح پوری عمر گذاردی، ایک طرف وہ فقیر بے نوا تھے، دوسری طرف...

Educational Stratification and Nation Building Process in Pakistan

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Expression Studies of Viral Vector System Against Sugarcane Mosaic Virus in Sugarcane

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