Research Article

Nasal Carriage of Methicillin-Resistant Staphylococcus aureus among Healthcare Workers in a Tertiary Care Hospital, Kathmandu, Nepal

Table 5

Analysis of potential risk factors associated with MRSA colonization.

VariableCategoriesTotal sample (n = 232)MSSA (n = 22)MRSA (n = 12) value

Age (years)<25795 (6.3%)4 (5.1%)0.845
25–3511113 (11.7%)6 (5.4%)
35–45313 (9.7%)1 (3.2%)
≥45111 (9.1%)1 (9.1%)

SexMale469 (19.6%)4 (8.7%)0.664
Female18613 (6.9%)8 (4.3%)

Associated wardLaboratory265 (19.2%)1 (3.8%)0.885
Medical241 (4.2%)1 (4.2%)
Cabin131 (7.7%)1 (7.7%)
Gynaecology141 (7.1%)1 (7.1%)
ICU2201 (4.5%)
OT152 (13.8%)1 (6.7%)
Postoperative112 (18.2%)2 (18.2%)
Emergency322 (6.3%)1 (3.1%)
Surgical271 (3.7%)0
OPD437 (16.3%)3 (6.9%)
Laundry/CSSD500

OccupationDoctor447 (15.9%)5 (11.4%)0.326
Lab technicians205 (25%)0
Nurse1064 (3.8%)5 (4.7%)
Attender294 (13.8%)1 (3.4%)
Cleaner201 (5.1%)1 (5.0%)
ANM200
HA61 (16.7%)0
CMA500

Years of service (years)<1652 (4.5%)4 (9.1%)0.523
1–51138 (7.5%)3 (2.8%)
6–10317 (13.2%)3 (5.7%)
11–15133 (20%)1 (6.7%)
>15102 (14.3%)1 (7.1%)

History of recurrent URTI (3 months before)Yes636 (9.5%)6 (9.5%)0.185
No16916 (9.5%)6 (3.6%)

Nasal medicationYes141 (7.14%)00.453
No21821 (9.6%)12 (5.5%)

Nasal abnormalitiesYes111 (9.1%)00.453
No22121 (9.5%)12 (5.4%)

Patient contactYes18516 (8.6%)11 (5.9%)0.192
No476 (12.8%)1 (2.1%)

Infection control trainingYes71 (14.3%)1 (14.3%)0.645
No22521 (9.3%)11 (4.9%)

Level of educationIlliterate151 (6.7%)1 (6.7%)0.744
Undergraduate14112 (8.5%)5 (3.5%)
Graduate739 (12.3%)6 (8.2%)
Postgraduate300

History of hospitalization for >24 hYes806 (7.5%)3 (3.8%)0.886
No15216 (10.5%)9 (5.9%)

Intake of antibiotics within 3 monthsYes385 (13.2%)1 (2.6%)0.293
No19417 (8.8%)11 (5.7%)

Smoking habitsYes1104 (36.4%)0.004
No22122 (9.9%)8 (3.6%)

MSSA, methicillin-sensitive Staphylococcus aureus; MRSA, methicillin-resistant Staphylococcus aureus; OR, odds ratio; CI, confidence interval; ICU, intensive care unit; OT, operation theatre; ER, emergency; OPD, outpatient department; CSSD, central sterile services department; ANM, auxiliary nurse midwifery; HA, health assistant; CMA, certified medical assistant; URTI, upper respiratory tract infectionBold face indicates p value <0.05.