臨床実習前医学科学生のブドウ球菌保菌状況と検出ブドウ球菌の性状(学生実習レポート)
スポンサーリンク
概要
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Nasal staphylococcal colonization was examined in 109 third-year medical students of Niigata University prior to clinical practice. Staphylococcus spp were isolated from 101 of the 109 students (92.7%). Of those, S. aureus was isolated in 44 (43.6%), and coagulase-negative staphylococci (CNS) in 57 (56.4%). Of the 44 S. aureus carriers, 24 were also CNS-positive. All S. aureus isolates were susceptible to methicillin and vancomycin. In contrast, 21.1% of the CNS was resistant to methicillin, although some isolates with lower MICs were negative for mecA. All S. aureus and CNS isolates were negative for Panton-Valentine leucocidin, which is associated with community-acquired methicillin-resistant S. aureus (MRSA). These data suggest that MRSA as well as PVL-positive staphylococcal colonization is rare among medical students prior to clinical practice, while colonization of MRCNS is already present in some students.
- 2006-05-10