scholarly journals Prevalencia de portación nasal de Staphylococcus aureus en niños con discapacidad

2016 ◽  
Vol 3 (1) ◽  
pp. 35
Author(s):  
Clotilde Molin ◽  
Elvira Del Valle Ortíz ◽  
Patricia Barrios Lezcano ◽  
Sonia Hermosa Sánchez ◽  
María González Santander ◽  
...  

Introduction: Colonization of the nasal mucosa by Staphylococcus aureus set a carrier state. Which is recognized as a potential source of infection and a high risk factor for subsequent invasive infections. The prevalence of nasal carriage of this germ in disabled children in Paraguay is not known, thus contributing to the knowledge of their frequency and evaluate the profile of sensitivity to common antimicrobials was conducted this study, from May to July 2015.  Objective: to determine the prevalence of Staphylococcus aureus nasal carriage and profile of antimicrobial resistance in disabled children. Materials and Methods: A descriptive cross-sectional study in which 80 nasal swabs of children, who attended the service laboratory of SENADIS (Secretaria Nacional por los Derechos Humanos de las Personas con Discapacidad). The identification and sensitivity of germ was accomplished by conventional testing.  Results: 80 pediatric patients, 46 boys and 34 girls. 18 isolates of Staphylococcus aureus were obtained, corresponding to a prevalence of 22,5%. Susceptibility testing indicated that 14 strains were MSSA (Methicillin – Sensitive Staphylococcus aureus) and 4 RMSA ( Methicillin- resistant Staphylococcus aureus). Conclusion: The prevalence of Staphylococcus aureus in a population with its own characteristics provides valuable data for the epidemiology, reflecting the need for continued vigilance and take steps to reduce associated infections. The detection of RMAR evidences their progress; it is important to evaluate the empirical treatment to primary care.

Author(s):  
Fibhaa Syed ◽  
Nasim Akhtar ◽  
Mohammad Ali Arif ◽  
Adil Ramzan ◽  
Rauf Niazi ◽  
...  

Abstract Objective: To determine the nasal carriage of staphylococcus aureus and methicillin-resistant staphylococcus aureus among healthcare workers in a tertiary care setting. Methods: The cross-sectional study was conducted at the Pakistan Institute of Medical Sciences, Islamabad, Pakistan, from April to July 2018, and comprised healthcare workers at the institution. Nasal swabs were collected and cultured on Mannitol salt agar. Mannitol fermenting colonies which were gram-positive cocci, catalase-positive and coagulase-positive were identified as staphylococcus aureus. Antibiotic susceptibility test was performed by modified Kirby-Bauer disc diffusion method. Methicillin resistance was detected using cefoxitin disc diffusion method. Data was analysed using SPSS 23. Results: Of the 210 nasal swabs, 52(24.76%) had a staphylococcus aureus growth, and, of them, 15(7.1%) were methicillin-resistant. No association could be established with either any single category of healthcare worker or an inter-department variation (p>0.05). Likewise, there was no association with age, gender, duration of service, smoking, co-morbidities, use of antibiotics in the preceding six months, treating a patient with methicillin-resistant staphylococcus aureus in the preceding six months and hospitalisation in the preceding year (p>0.05). Conclusion: The frequency of nasal carriage of methicillin resistant staphylococcus aureus amongst healthcare workers was regardless of the nature of their professional engagement. Key Words: Methicillin resistant staphylococcus aureus, Nasal carriage, Continuous...


2020 ◽  
Author(s):  
Arwa Mohammed Othman ◽  
Belques Sharaf Al-Huraibi ◽  
Rowa Mohammed Assayaghi ◽  
Huda Zaid Al-Shami

Abstract Background: Staphylococcus aureus (S. aureus) is a frequent cause of serious health problems with high morbidity and mortality. The risk of S. aureus infections is increased with the emergence of methicillin-resistant S. aureus (MRSA). The aim of this study is to determine the nasal carriage rate of both S. aureus and MRSA among schoolchildren in Sana’a city.Methods: This is a cross-sectional study conducted from January 2018 to May 2020. Five hundred and eighty eight students were enrolled. Nasal swabs were collected from each student for culturing and methicillin susceptibility testing. Results: Out 588 nasal swab, 536 yielded bacterial growth. Students with positive culture were 271(51%) males and 265(49%) females. Their age ranged from 5 to 19 years old with mean age and standard deviation equaled to 13.3±3.5 years. S. aureus was isolated from 129 (24%) students whereas the overall prevalence of MRSA was 8(1.5%). S. aureus was significantly recovered from students at age group 10-14 years (χ2 = 7.02, p = 0.03), females than males (OR= 1.96, χ2 = 10.75, p = 0.001), and students who were admitted into hospitals (OR= 1.6, χ2 = 4.89, p = 0.03). Nevertheless, there were no significant differences between MRSA carriage and students’ age (χ2 = 2.3, p = 0.32), gender (OR= 1.02, χ2 = 0.001, p = 0.63), and hospital admission (OR= 1.4, χ2 = 0.25, p = 0.62). Conclusions: The prevalence of MRSA is low among schoolchildren in Sana’a city. Age, gender and previous hospital admission were statistically associated with nasal carriage of S. aureus but not MRSA nasal carriage.


2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Arwa Mohammed Othman ◽  
Belques Sharaf Al-Huraibi ◽  
Rowa Mohammed Assayaghi ◽  
Huda Zaid Al-Shami

Background. Staphylococcus aureus (S. aureus) is a frequent cause of serious health problems with high morbidity and mortality. The risk of S. aureus infections is increased with the emergence of methicillin-resistant S. aureus (MRSA). This study aims to determine the nasal carriage rate of both S. aureus and MRSA among schoolchildren in Sana’a city. Methods. This is a cross-sectional study conducted from January 2018 to May 2020. Five hundred and thirty-six students were enrolled. Their age ranged from 5 to 19 years with the mean age and standard deviation equal to 13.3 ± 3.5 years. Nasal swabs were collected from each student for culturing and methicillin susceptibility testing. Results. Students with positive culture were 271 (51%) males and 265 (49%) females. S. aureus was isolated from 129 (24%) students whereas the overall prevalence of MRSA was 8 (1.5%). S. aureus was significantly recovered from students at the age group of 10–14 years (χ2 = 7.02; p = 0.03 ), females than males (OR = 1.96; χ2 = 10.75; p = 0.001 ), and students who were admitted into hospitals (OR = 1.6; χ2 = 4.89; p = 0.03 ). Nevertheless, there were no significant differences between MRSA carriage and students’ age (χ2 = 2.3; p = 0.32 ), gender (OR = 1.02; χ2 = 0.001; p = 0.63 ), and hospital admission (OR = 1.4; χ2 = 0.25; p = 0.62 ). Conclusions. The prevalence of MRSA is low among schoolchildren in Sana’a city. Age, gender, and previous hospital admission were statistically associated with nasal carriage of S. aureus but not MRSA nasal carriage.


2017 ◽  
Vol 5 (1) ◽  
pp. 14-19 ◽  
Author(s):  
Rubén Arturo Silvero Isidre, ◽  
Fátima Rodríguez Acosta ◽  
César Rodrigo Cristaldo Vargas ◽  
Genaro Américo Velázquez Romero ◽  
José Félix Plans Perrota ◽  
...  

Background: Patients undergoing hemodialysis are susceptible to the nasal carriage of Staphylococcus aureus, increasing the risk of developing infections associated with higher morbidity and mortality. The objective of this study was to describe the frequency of S. aureus carriage in hemodialysis patients and to perform molecular analysis of isolates by applying multiple-locus variable analysis. Methods: We conducted a descriptive cross sectional study with non-probabilistic sampling that included 28 hemodialysis patients attending the Nephrology Department of Hospital de Clínicas in Asunción, Paraguay. We obtained clinical data from medical records and interviews with patients. Nasal swabs were collected and analyzed by microbiological and molecular methods. Results: The frequency of S. aureus carriage was 50% (14/28), 93% of which (13/14) were methicillin resistant, 57% (6/14) were gentamicin resistant and 36% (5/14) were resistant to more than 4 antibiotic classes. S. aureus carriers showed higher frequency of rhinitis (p=0.02 odds ratio [OR]=6.6 (1.2- 34.4)). Seven methicillin-resistant S. aureus isolates had been analyzed by multiple-locus variable analysis, two of them showed identical pattern bands. Conclusion: We found a high frequency of methicillin-resistant Staphylococcus aureus colonization and the presence of two isolates with identical profile in the multiple-locus variable analysis indicating the possibility of transmission between patients.


2020 ◽  
Author(s):  
Yingying Wang ◽  
Jialing Lin ◽  
Junli Zhou ◽  
Zhigang Han ◽  
Zhenjiang Yao

Abstract Background: Staphylococcus aureus ( S. aureus ), particularly methicillin-resistant Staphylococcus aureus (MRSA), remains the predominant cause of infections in drug users. This cross-sectional study aims to elucidate the prevalence, risk factors, phenotypic and molecular characteristics of S. aureus carriage among community-based drug users. Methods: All eligible drug users, with both injection and non-injection route of drug administration , were asked to complete questionnaires and collect nasal swabs by trained personal during the period between May and December 2017 in Guangzhou, China. Swabs were processed for identification of S. aureus . Antimicrobial susceptibility test and polymerase chain reaction assays were used to detect phenotypic and molecular characteristics for identified isolates. Univariate and multivariate logistic regression analyses were used to assess risk factors for S. aureus carriage. Results: Overall, 353 drug users were included in the study and the prevalence of S. aureus carriage was 15.01% (53/353). The prevalence of MRSA carriage was 6.80% (24/353). Cohabitation was a risk factor for S. aureus (adjusted OR=8.80, 95% CI: 1.89-40.99). The proportion of multidrug resistance was 54.72% for S. aureus isolates and most of these isolates were resistant to penicillin, erythromycin and clindamycin. Seventeen MRSA isolates were multidrug resistant. The results of clonal complexes (CCs) and sequence types (STs) for S. aureus were diverse. The three predominant types for CCs were CC5 (64.15%, 34/53), CC59 (11.32%, 6/53), and CC7 (7.55%, 4/53); and for STs were ST188 (20.75%, 11/53), ST5 (11.32%, 6/53), and ST59 (11.32%, 6/53). Conclusion: The prevalence of S. aureus nasal carriage was lower while the prevalence of MRSA carriage was moderate compared to previous studies. Phenotypic and molecular characteristics of S. aureus isolates, particularly MRSA isolates, revealed high proportions of antibiotic resistance, indicating the existence of cross-circulation, and implying high opportunity of virulence-related diseases. Decolonization and antibiotic stewardship might be implemented for drug users with MRSA carriage.


2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Letícia Pimenta Lopes ◽  
Daiana Patrícia Marchetti Pio ◽  
Lílian Andreia Fleck Reinato ◽  
Gilberto Gambero Gaspar ◽  
Marinésia Aparecida do Prado ◽  
...  

ABSTRACT Objective: to identify the carrier’s state and the susceptibility profile of Staphylococcus aureus isolated from saliva and nasal secretion of nursing professionals to antibiotics. Method: cross-sectional study that used saliva and nasal secretion samples of 100 nursing professionals who provide care for patients with HIV/Aids. Results: forty-three percent of the participants presented positive saliva or nasal secretion samples for Staphylococcus aureus. Of the 74 nasal secretion samples with Staphylococcus aureus, 14.9% presented oxacillin resistance; 91.9% presented penicillin resistance; 44.6% presented erythromycin resistance, and 41.9% presented clindamycin resistance. Of the 12 positive saliva samples, 16.7% presented oxacillin resistance; 100.0% presented penicillin resistance; 33.4% presented erythromycin resistance, and 25.0% presented clindamycin resistance. Conclusion: nursing professionals, once aware of their carrier state of multi-resistant microorganisms, will supervise their care practices and more efficiently adopt measures for prevention and control of the epidemiological chain of these bacteria in their work environment.


2014 ◽  
Vol 81 (4) ◽  
pp. 1251-1256 ◽  
Author(s):  
Carmen Espinosa-Gongora ◽  
Jan Dahl ◽  
Anders Elvstrøm ◽  
Willem J. van Wamel ◽  
Luca Guardabassi

ABSTRACTPrevious research onStaphylococcus aureusin pigs focused on livestock-associated methicillin-resistantS. aureus(MRSA) and had a qualitative cross-sectional design. This study aimed to elucidate the frequency, load, and stability ofS. aureusnasal carriage in pigs over time and investigated possible associations between carriage and immune response. Nasal swabs were collected three times weekly from 480 tagged adult pigs in 20 Danish production farms.S. aureusand MRSA were quantified on selective media by the most-probable-number method. The levels of IgG against 10S. aureusantigens in serum were quantified in selected pigs by a Luminex assay. All the farms were positive forS. aureusand 15 for MRSA, leading to overall prevalences of persistent and intermittent carriers and noncarriers of 24, 52, and 23%, respectively. Carriage frequency and nasal loads were significantly higher on MRSA-positive farms. Logistic-regression modeling revealed the presence of individual pigs characterized by high nasal loads (≥10,000 CFU per swab) and stable carriage regardless of farm- and pen-associated factors. On the other hand, the humoral response was strongly influenced by these environmental factors. The existence of a minority of shedders contributing to maintenance ofS. aureuswithin farms opens up new perspectives on the control of MRSA in pig farming.


2018 ◽  
Vol 14 (4) ◽  
pp. 172-177 ◽  
Author(s):  
Sanjib Adhikari ◽  
Sujan Khadka ◽  
Ashish Parajuli ◽  
Anjana KC ◽  
Rajani Mishra ◽  
...  

Background: Nasal carriage of Staphylococcus aureus has been linked to several community-acquired and nosocomial infections. The present study was undertaken to determine the prevalence and antibiotic susceptibility patterns of S.aureus colonizing the anterior nares of school children in Bharatpur, Nepal. Materials and Methods: In a cross-sectional study, 206 school children aged 3-15 years from fourteen different government schools in Bharatpur, Nepal were enrolled from January to May 2017. Prior to collecting sample, permission was sought from the administration of each school. All the participants were informed about the purposes of the study and the method of sample collection. Isolation of S.aureus and their antimicrobial susceptibility testing were performed by standard microbiological procedures. Results: S. aureus was isolated in 35(16.9%) cases of which 6 (17.1%) were methicillin-resistant S.aureus (MRSA) and 7 (20.0%) were multi-drug resistant (MDR). Prevalence of S. aureus and MRSA was higher in the age group 10-15 years (24.1% and 3.6%) compared to the age group 3-9 years (8.5% and 2.1%) (p=0.003).All the isolates were sensitive towards vancomycin and amikacin. Conclusions: Promotion of good hygienic practices among school going children can be suggested to abate the risk of spread and infections by S.aureus.Keywords: antibiotic resistance; MRSA; nasal carriage; S. aureus; school children.


2016 ◽  
Vol 23 (07) ◽  
pp. 795-801
Author(s):  
Muhammad Saeed ◽  
Farhan Rasheed ◽  
Shahida Hussain ◽  
Maqsood Ahmad ◽  
Mizna Arif ◽  
...  

Objectives: An alarming rise in Methicillin resistant Staphylococcus aureus(MRSA) associated hospital based infections has been reported in recent decades.Prolongedhospital stay, unhygienic health services are confined to this challenging serious problem.Anterior nares of humans are a natural reservoir for Staphylococcus aureus with asymptomaticcolonization. This study was designed to determine the prevalence of nasal carriage rate ofMRSA among hospitalized patients. Study Design: Cross sectional study. Setting: PunjabInstitute of Cardiology, Lahore, Pakistan. Period: January 2013- 2014. Materials & Methods:Nasal swabs were collected from hospitalized patients. Total 2,440 patients were screened forthe nasal carriage of MRSA. Microbiologically, identification of S. aureus was done on the basisof colony morphology, Gram staining and biochemical tests. Identified isolates of S. aureus werefurther tested for cefoxitin susceptibility testing, following the technique of modified Kirby Bauer discdiffusion using Mueller-Hinton agar as per Clinical Laboratory Standards Institute (CLSI) guidelines2013. Results: Out of total 2,440 nasal swabs, 60.45% (1475/2440) were Staphylococcusspecies. Among Staphylococcus group, 86.10% (1270/1475) were Staphylococcus aureus.The frequency of MRSA and MSSA (Methicillin sensitive Staphylococcus aureus) was 5.20%(66/1270) and 94.8% (1204/1270) respectively. Overall nasal carriage of MRSA is 2.70%(66/2440). The coagulase negative Staphylococcus were found in 205 (13.90%) cases whileMRSE (Methicillin resistance Staphylococcus epidermdis) were found in only 7 (3.41%) cases.Conclusion: Overall nasal carriage rate of MRSA was 2.70%.


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