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Whereas  Staphylococcus aureus  is a pathogen, it colonizes healthy people as normal flora without causing any symptoms or illness. Probably because of greater exposure, healthcare workers (HCWs) are more colonized, serving as reservoir for endogenous infections as well as dissemination. In developing countries including Uganda, there is scarcity of the literature on  S. aureus  carriage among HCWs, making infection control difficult. This study aimed at determining the nasal carriage rate and comparing the antimicrobial susceptibility profiles of methicillin-resistant  Staphylococcus aureus  (MRSA) and methicillin-susceptible  Staphylococcus aureus  (MSSA) isolates from HCWs of Kampala International University Teaching Hospital. Nasal swab specimens from HCWs were screened for MRSA using both phenotypic and genotypic methods. Antimicrobial susceptibility testing of the MRSA and MSSA isolates was performed using the Kirby–Bauer disc diffusion method. Out of the 97 participants, 28 (28.8%) participants were nasal carriers of  S. aureus  of which 13 (46.4%) were phenotypically MRSA (resistant to cefoxitin) and 8 (28.6%) were genotypically MRSA (had  mecA  gene). Only 6 isolates of the 13 isolates (46%) which showed resistance to cefoxitin had  mecA  gene detectable while 2 (13.3%) of the 15 cefoxitin susceptible isolates were found to carry  mecA  gene. The study thus shows that methicillin resistance in  S. aureus  may not only be determined by  mecA  gene.

the canadian journal of infectious diseases and medical microbiology/canadian journal of infectious diseases and medical microbiology

Methicillin-Resistant <i>Staphylococcus aureus</i> Nasal Colonization among Healthcare Workers at Kampala International University Teaching Hospital, Southwestern Uganda

Methicillin-Resistant Staphylococcus aureus Nasal Colonization among Healthcare Workers at Kampala International University Teaching Hospital, Southwestern Uganda