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Open AccessArticle

Colonization of Methicillin-Resistant Staphylococcus aureus (MRSA) among Medical Students in Tertiary Institution in Central Malaysia

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Department of Orthopedic and Traumatology, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor Darul Ehsan, Malaysia
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Medical Programme, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor Darul Ehsan, Malaysia
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Department of Medical Microbiology and Parasitology, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor Darul Ehsan, Malaysia
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Department of Human Anatomy, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor Darul Ehsan, Malaysia
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Genetics and Regenerative Medicine Research Centre, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor Darul Ehsan, Malaysia
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UPM-MAKNA Cancer Research Laboratory, Institute of Bioscience, Universiti Putra Malaysia, Serdang 43400, Selangor Darul Ehsan, Malaysia
*
Author to whom correspondence should be addressed.
Antibiotics 2020, 9(7), 382; https://doi.org/10.3390/antibiotics9070382
Received: 5 May 2020 / Revised: 13 June 2020 / Accepted: 15 June 2020 / Published: 6 July 2020
(This article belongs to the Section The Global Need for Effective Antibiotics)
Methicillin-resistant Staphylococcus aureus or MRSA infection is virulent and presents with a broad spectrum of severity. Limited regional reports that specifically outlined the potential risk of medical students being part of the dissemination of MRSA in healthcare settings were noted. This study aims to assess the prevalence and contributory factors of colonization of MRSA on neckties, headscarves, and ID badges among medical students in a local medical university in Malaysia. A cross-sectional study was conducted involving 256 medical students. A validated questionnaire was used to collect the data, and sample swabs were collected between July and August 2013 by swabbing neckties, headscarves, or identification badges. The swabs were then streaked onto mannitol salt agar (MSA) and incubated at 37 °C overnight. Out of 433 samples taken, 40 swabs (9.24%) were positive for Staphylococcus aureus. Out of the 40 swabs, five (12.5%) isolates were MRSA (one culture was isolated from the headscarf of a preclinical student, one culture was isolated from the necktie of clinical students, while the remaining three were isolated from identification badges of clinical students. There was no significant association between age, gender, ethnicity, and phase of medical students with the colonization of MRSA (p > 0.05). There was a significant association between knowledge score on hand hygiene practice and phase of medical students. MRSA colonies were present on neckties, headscarves, and identification badges of medical students of all phases. The findings from this study suggest the need for improvement of hand hygiene knowledge and discontinuity of mandatory use of physical ID badges and neckties among medical students. View Full-Text
Keywords: Staphylococcus aureus; MRSA colonization; neckties; headscarves; identification badges; medical students Staphylococcus aureus; MRSA colonization; neckties; headscarves; identification badges; medical students
MDPI and ACS Style

Rampal, S.; Zainuddin, N.H.; Elias, N.A.; Tengku Jamaluddin, T.Z.M.; Maniam, S.; Teh, S.W.; Subbiah, S.K. Colonization of Methicillin-Resistant Staphylococcus aureus (MRSA) among Medical Students in Tertiary Institution in Central Malaysia. Antibiotics 2020, 9, 382. https://doi.org/10.3390/antibiotics9070382

AMA Style

Rampal S, Zainuddin NH, Elias NA, Tengku Jamaluddin TZM, Maniam S, Teh SW, Subbiah SK. Colonization of Methicillin-Resistant Staphylococcus aureus (MRSA) among Medical Students in Tertiary Institution in Central Malaysia. Antibiotics. 2020; 9(7):382. https://doi.org/10.3390/antibiotics9070382

Chicago/Turabian Style

Rampal, Sanjiv; Zainuddin, Nur H.; Elias, Nur A.; Tengku Jamaluddin, Tengku Z.M.; Maniam, Sandra; Teh, Seoh W.; Subbiah, Suresh K. 2020. "Colonization of Methicillin-Resistant Staphylococcus aureus (MRSA) among Medical Students in Tertiary Institution in Central Malaysia" Antibiotics 9, no. 7: 382. https://doi.org/10.3390/antibiotics9070382

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