The prevalence of methicillin-resistant Staphylococcus aureus among out-of-hospital care providers and emergency medical technician students

Charles Miramonti, James A. Rinkle, Samuel Iden, Jutieh Lincoln, Gretchen Huffman, Elizabeth Riddell, Mary Ann Kozak

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Objective. We compared the methicillin-resistant Staphylococcus aureus (MRSA) carrier rate among out-of-hospital care providers with greater than six months' experience in emergency medical services (EMS) care with that of emergency medical technician (EMT) students with two months or less of observation time as part of their clinical training. Methods. We conducted a prospective study utilizing a convenience sample of out-of-hospital care providers and EMT students in an urban EMS system operating in the Midwest during October and November 2006. One hundred thirty-four out-of-hospital care providers and 152 EMT students were tested for MRSA susceptibility using the cefoxitin disk diffusion method. Results. Contrary to our hypothesis, we did not find a statistically significant difference in MRSA nasal colonization between out-of-hospital care providers (4.5%; 95% confidence interval [CI] 1.0, 8.0) and EMT students (5.3%; 95% CI 1.7, 8.8). A subgroup analysis showed that among out-of-hospital care providers, paramedics had a higher rate of nasal colonization than EMTs (5.6% vs. 2.2%). Conclusion. We found that out-of-hospital care providers and EMT students had higher nasal colonization rates than the reported rate for the U.S. population (0.084% at the time the study was conducted and 1.5% currently). It is imperative that both groups adhere to infection control practices.

Original languageEnglish
Pages (from-to)73-77
Number of pages5
JournalPrehospital Emergency Care
Volume17
Issue number1
DOIs
StatePublished - Jan 2012

Fingerprint

Emergency Medical Technicians
Methicillin-Resistant Staphylococcus aureus
Medical Students
Nose
Emergency Medical Services
Confidence Intervals
Cefoxitin
Allied Health Personnel
Time and Motion Studies
Infection Control
Observation
Prospective Studies
Population

Keywords

  • colonization
  • EMS
  • EMT students
  • MRSA
  • prehospital care

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency

Cite this

The prevalence of methicillin-resistant Staphylococcus aureus among out-of-hospital care providers and emergency medical technician students. / Miramonti, Charles; Rinkle, James A.; Iden, Samuel; Lincoln, Jutieh; Huffman, Gretchen; Riddell, Elizabeth; Kozak, Mary Ann.

In: Prehospital Emergency Care, Vol. 17, No. 1, 01.2012, p. 73-77.

Research output: Contribution to journalArticle

Miramonti, Charles ; Rinkle, James A. ; Iden, Samuel ; Lincoln, Jutieh ; Huffman, Gretchen ; Riddell, Elizabeth ; Kozak, Mary Ann. / The prevalence of methicillin-resistant Staphylococcus aureus among out-of-hospital care providers and emergency medical technician students. In: Prehospital Emergency Care. 2012 ; Vol. 17, No. 1. pp. 73-77.
@article{757659b7b6084f52be3d0e6c533ebb93,
title = "The prevalence of methicillin-resistant Staphylococcus aureus among out-of-hospital care providers and emergency medical technician students",
abstract = "Objective. We compared the methicillin-resistant Staphylococcus aureus (MRSA) carrier rate among out-of-hospital care providers with greater than six months' experience in emergency medical services (EMS) care with that of emergency medical technician (EMT) students with two months or less of observation time as part of their clinical training. Methods. We conducted a prospective study utilizing a convenience sample of out-of-hospital care providers and EMT students in an urban EMS system operating in the Midwest during October and November 2006. One hundred thirty-four out-of-hospital care providers and 152 EMT students were tested for MRSA susceptibility using the cefoxitin disk diffusion method. Results. Contrary to our hypothesis, we did not find a statistically significant difference in MRSA nasal colonization between out-of-hospital care providers (4.5{\%}; 95{\%} confidence interval [CI] 1.0, 8.0) and EMT students (5.3{\%}; 95{\%} CI 1.7, 8.8). A subgroup analysis showed that among out-of-hospital care providers, paramedics had a higher rate of nasal colonization than EMTs (5.6{\%} vs. 2.2{\%}). Conclusion. We found that out-of-hospital care providers and EMT students had higher nasal colonization rates than the reported rate for the U.S. population (0.084{\%} at the time the study was conducted and 1.5{\%} currently). It is imperative that both groups adhere to infection control practices.",
keywords = "colonization, EMS, EMT students, MRSA, prehospital care",
author = "Charles Miramonti and Rinkle, {James A.} and Samuel Iden and Jutieh Lincoln and Gretchen Huffman and Elizabeth Riddell and Kozak, {Mary Ann}",
year = "2012",
month = "1",
doi = "10.3109/10903127.2012.717169",
language = "English",
volume = "17",
pages = "73--77",
journal = "Prehospital Emergency Care",
issn = "1090-3127",
publisher = "Informa Healthcare",
number = "1",

}

TY - JOUR

T1 - The prevalence of methicillin-resistant Staphylococcus aureus among out-of-hospital care providers and emergency medical technician students

AU - Miramonti, Charles

AU - Rinkle, James A.

AU - Iden, Samuel

AU - Lincoln, Jutieh

AU - Huffman, Gretchen

AU - Riddell, Elizabeth

AU - Kozak, Mary Ann

PY - 2012/1

Y1 - 2012/1

N2 - Objective. We compared the methicillin-resistant Staphylococcus aureus (MRSA) carrier rate among out-of-hospital care providers with greater than six months' experience in emergency medical services (EMS) care with that of emergency medical technician (EMT) students with two months or less of observation time as part of their clinical training. Methods. We conducted a prospective study utilizing a convenience sample of out-of-hospital care providers and EMT students in an urban EMS system operating in the Midwest during October and November 2006. One hundred thirty-four out-of-hospital care providers and 152 EMT students were tested for MRSA susceptibility using the cefoxitin disk diffusion method. Results. Contrary to our hypothesis, we did not find a statistically significant difference in MRSA nasal colonization between out-of-hospital care providers (4.5%; 95% confidence interval [CI] 1.0, 8.0) and EMT students (5.3%; 95% CI 1.7, 8.8). A subgroup analysis showed that among out-of-hospital care providers, paramedics had a higher rate of nasal colonization than EMTs (5.6% vs. 2.2%). Conclusion. We found that out-of-hospital care providers and EMT students had higher nasal colonization rates than the reported rate for the U.S. population (0.084% at the time the study was conducted and 1.5% currently). It is imperative that both groups adhere to infection control practices.

AB - Objective. We compared the methicillin-resistant Staphylococcus aureus (MRSA) carrier rate among out-of-hospital care providers with greater than six months' experience in emergency medical services (EMS) care with that of emergency medical technician (EMT) students with two months or less of observation time as part of their clinical training. Methods. We conducted a prospective study utilizing a convenience sample of out-of-hospital care providers and EMT students in an urban EMS system operating in the Midwest during October and November 2006. One hundred thirty-four out-of-hospital care providers and 152 EMT students were tested for MRSA susceptibility using the cefoxitin disk diffusion method. Results. Contrary to our hypothesis, we did not find a statistically significant difference in MRSA nasal colonization between out-of-hospital care providers (4.5%; 95% confidence interval [CI] 1.0, 8.0) and EMT students (5.3%; 95% CI 1.7, 8.8). A subgroup analysis showed that among out-of-hospital care providers, paramedics had a higher rate of nasal colonization than EMTs (5.6% vs. 2.2%). Conclusion. We found that out-of-hospital care providers and EMT students had higher nasal colonization rates than the reported rate for the U.S. population (0.084% at the time the study was conducted and 1.5% currently). It is imperative that both groups adhere to infection control practices.

KW - colonization

KW - EMS

KW - EMT students

KW - MRSA

KW - prehospital care

UR - http://www.scopus.com/inward/record.url?scp=84870526102&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84870526102&partnerID=8YFLogxK

U2 - 10.3109/10903127.2012.717169

DO - 10.3109/10903127.2012.717169

M3 - Article

C2 - 23098136

AN - SCOPUS:84870526102

VL - 17

SP - 73

EP - 77

JO - Prehospital Emergency Care

JF - Prehospital Emergency Care

SN - 1090-3127

IS - 1

ER -