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10.1371/journal.pone.0140045 http://scihub22266oqcxt.onion/10.1371/journal.pone.0140045 C4601797!4601797 !26458264     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26458264 &cmd=llinks): Failed to open stream: HTTP request failed! 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Staphylococcus aureus, Including Meticillin-Resistant Staphylococcus aureus, among General Practitioners and Their Patients: A Cross-Sectional Study |pdf=|usr=}}{{26458264 }} gab.com Text Staphylococcus aureus, Including Meticillin-Resistant Staphylococcus aureus, among General Practitioners and Their Patients: A Cross-Sectional Study JO: PLoS One http://www.kidney.de/pget.php?&tw=1&pmid=26458264 #FOAvip BACKGROUND: The role of general practitioners (GPs) as reservoir and potential source for Staphylococcus aureus (SA) transmission is unknown. Our primary objective was to evaluate the prevalence of SA and community-acquired methicillin resistant SA (CA-MRSA) carrier status (including spa typing) among GPs and their patients in Belgium. The secondary objective was to determine the association between SA/CA-MRSA carriage in patients and their characteristics, SA carriage in GPs, GP and practice characteristics. METHODS: The Belgian GPs, who swabbed their patients in the APRES study (which assessed the prevalence of SA nasal carriage in nine European countries; November 2010 -June 2011), were asked to swab themselves as well (May-June 2011). GPs and their patients had to complete a questionnaire on factors related to SA carriage and transmission. SA isolation including CA-MRSA and spa typing was performed on the swabs. RESULTS: In eighteen practices 34 GPs swabbed patients of which 25 GPs provided personal swabs. The analysis was performed on 3008 patient records. Among GPs SA carriage (28%) was more prevalent than among their patients (19.2%), but CA-MRSA carriage was not present. SA was more prevalent among younger patients and those living with cattle. Spa typing SA and MRSA strains did not suggest correlation within practices or between patients and GPs, but chronic skin conditions of GPs and always handshaking patients by SA positive GPs were associated with more SA among patients, and hand washing after every patient contact with less SA among patients in practices with high antibiotic prescribing rates. CONCLUSION: No MRSA was found among GPs, although their SA carriership was higher compared to their patients'. Spa types did not cluster within practices, possibly due to difference in timing of swabbing. To minimise SA transmission to their patients GPs should consider taking appropriate care of their chronic skin diseases, antibiotic prescribing behaviour, handshaking and hand washing habits. Twit Text FOAVip Staphylococcus aureus, Including Meticillin-Resistant Staphylococcus aureus, among General Practitioners and Their Patients: A Cross-Sectional Study ????PLoS One http://www.kidney.de/pget.php?&tw=1&pmid=26458264 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26458264 #FOAvip English Wikipedia <ref>{{Cite pmid|26458264 }}</ref> Staphylococcus aureus, Including Meticillin-Resistant Staphylococcus aureus, among General Practitioners and Their Patients: A Cross-Sectional Study #MMPMID26458264 Michiels B ; Appelen L ; Franck B ; den Heijer CD ; Bartholomeeusen S ; Coenen S PLoS One 2015[]; 10 (10 ): e0140045 PMID26458264 show ga BACKGROUND: The role of general practitioners (GPs) as reservoir and potential source for Staphylococcus aureus (SA) transmission is unknown. Our primary objective was to evaluate the prevalence of SA and community-acquired methicillin resistant SA (CA-MRSA) carrier status (including spa typing) among GPs and their patients in Belgium. The secondary objective was to determine the association between SA/CA-MRSA carriage in patients and their characteristics, SA carriage in GPs, GP and practice characteristics. METHODS: The Belgian GPs, who swabbed their patients in the APRES study (which assessed the prevalence of SA nasal carriage in nine European countries; November 2010 -June 2011), were asked to swab themselves as well (May-June 2011). GPs and their patients had to complete a questionnaire on factors related to SA carriage and transmission. SA isolation including CA-MRSA and spa typing was performed on the swabs. RESULTS: In eighteen practices 34 GPs swabbed patients of which 25 GPs provided personal swabs. The analysis was performed on 3008 patient records. Among GPs SA carriage (28%) was more prevalent than among their patients (19.2%), but CA-MRSA carriage was not present. SA was more prevalent among younger patients and those living with cattle. Spa typing SA and MRSA strains did not suggest correlation within practices or between patients and GPs, but chronic skin conditions of GPs and always handshaking patients by SA positive GPs were associated with more SA among patients, and hand washing after every patient contact with less SA among patients in practices with high antibiotic prescribing rates. CONCLUSION: No MRSA was found among GPs, although their SA carriership was higher compared to their patients'. Spa types did not cluster within practices, possibly due to difference in timing of swabbing. To minimise SA transmission to their patients GPs should consider taking appropriate care of their chronic skin diseases, antibiotic prescribing behaviour, handshaking and hand washing habits. |Adult [MESH] |Aged [MESH] |Aged, 80 and over [MESH] |Animals [MESH] |Anti-Bacterial Agents/therapeutic use [MESH] |Belgium/epidemiology [MESH] |Cattle [MESH] |Cross-Sectional Studies/methods [MESH] |Female [MESH] |General Practitioners/statistics & numerical data [MESH] |Hand Disinfection [MESH] |Humans [MESH] |Male [MESH] |Methicillin-Resistant Staphylococcus aureus/*physiology [MESH] |Middle Aged [MESH] |Prevalence [MESH] |Skin Diseases, Bacterial/drug therapy/epidemiology/*microbiology [MESH] |Staphylococcal Infections/drug therapy/epidemiology/*microbiology [MESH]Staphylococcus aureus, Including Meticillin-Resistant Staphylococcus a(epmc).pdf DeepDyve Pubget Overpricing