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lüll Inducible clindamycin resistance and nasal carriage rates of Staphylococcus aureus among healthcare workers and community members Mahmoud AM; Albadawy HS; Bolis SM; Bilal NE; Ahmed AO; Ibrahim MEAfr Health Sci 2015[Sep]; 15 (3): 861-7BACKGROUND: Nasal carriage of Staphylococcus aureus is becoming an increasing problem among healthcare workers and community individuals. OBJECTIVES: To determine the prevalence of methicillin-resistant S. aureus (MRSA) nasal colonization and inducible clindamycin resistance (ICR) of S. aureus among healthcare workers at Soba University Hospital and community members in Khartoum State, Sudan. METHODS: Five hundred nasal swabs samples were collected during March 2009 to April 2010. Isolates were identified using conventional laboratory assays and MRSA determined by the disk diffusion method. The D-test was performed for detection of ICR isolates with Clinical Laboratory Standard Institute guidelines. RESULTS: Of the 114 S. aureus isolated, 20.2% represented MRSA. The occurrence of MRSA was significantly higher among healthcare worker than community individuals [32.7% (18/55) vs. 6.9% (5/59)] (p=0.001). Overall the 114 S. aureus isolates tested for ICR by D-test, 29 (25.4%) yielded inducible resistance. Significantly higher (p=0.026) ICR was detected among MRSA (43.5%) than methicillin-susceptible S. aureus (MSSA) (20.9%). CONCLUSION: MRSA nasal carriage among healthcare workers needs infection control practice in hospitals to prevent transmission of MRSA. The occurrence of ICR in S. aureus is of a great concern, D- test should be carried out routinely in our hospitals to avoid therapeutic failure.|Anti-Bacterial Agents/*pharmacology[MESH]|Carrier State/*epidemiology[MESH]|Clindamycin/*pharmacology[MESH]|Health Personnel/*statistics & numerical data[MESH]|Humans[MESH]|Infectious Disease Transmission, Professional-to-Patient/*prevention & control[MESH]|Methicillin Resistance[MESH]|Methicillin-Resistant Staphylococcus aureus/*drug effects/*isolation & purification[MESH]|Microbial Sensitivity Tests[MESH]|Nose/microbiology[MESH]|Prevalence[MESH]|Staphylococcal Infections/drug therapy/epidemiology/microbiology[MESH]|Staphylococcus aureus/*drug effects/isolation & purification[MESH]|Sudan/epidemiology[MESH] |