MRSA: Rare in the Vagina

Huppert, Jill S.; Bennett, Kelly L.; Kollar, Linda M.; Pattullo, Lucia; Mortensen, Joel E.

doi:10.1016/j.jpag.2011.06.001

Cited by 4 publications

(6 citation statements)

References 12 publications

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“…However, vaginal carriage of methicillin-resistant S. aureus (MRSA) has not been well documented. The prevalence of MRSA was low in our population and similar to previous reports in ambulatory, nonhospitalized, and asymptomatic sample [16, 21]. …”

Section: Discussionsupporting

confidence: 92%

Inflammation on the Cervical Papanicolaou Smear: Evidence for Infection in Asymptomatic Women?

Baka

Tsirmpa

Chasiakou

et al. 2013

Infectious Diseases in Obstetrics and Gynecology

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Background. The significance of the possible presence of infection on the Pap smear of asymptomatic women based on cytological criteria is practically unknown. Materials and Methods. A total of 1117 asymptomatic nonpregnant women had Pap smear tests and vaginal as well as cervical cultures completed (622 with and 495 without inflammation on the Pap smear). Results. Out of the 622 women with inflammation on Pap test, 251 (40.4%) had negative cultures (normal flora present), while 371 (59.6%) women had positive cultures with different pathogens. In contrast, the group of women without inflammation on Pap test displayed significantly increased percentage of negative cultures (67.1%, P < 0.001) and decreased percentage of positive cultures (32.9%, P < 0.001). Bacterial vaginosis was diagnosed more frequently in both groups and significantly more in the group with inflammation on Pap smear compared to the group without inflammation (P < 0.02). Conclusions. A report of inflammatory changes on the cervical Pap smear cannot be used to reliably predict the presence of a genital tract infection, especially in asymptomatic women. Nevertheless, the isolation of different pathogens in about 60% of the women with inflammation on the Pap smear cannot be overlooked and must be regarded with concern.

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Section: Discussionsupporting

confidence: 92%

Inflammation on the Cervical Papanicolaou Smear: Evidence for Infection in Asymptomatic Women?

Baka

Tsirmpa

Chasiakou

et al. 2013

Infectious Diseases in Obstetrics and Gynecology

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“…Some studies also examined differences in MSSA or non-resistant S. aureus among races, with mixed results. Two studies reported no significant difference in infection between Black and White participants, 40,60 two reported no difference between Black persons and other races in infection or colonization rates, 28,45 and one reported a lower risk of colonization in mixed-age Black participants compared to White participants. 37,47,51…”

Section: Resultsmentioning

confidence: 94%

“…Among the 54 included studies, 3,12–69 42 (78%) described infections and 12 (22%) described colonization with at least one of the pathogens of interest ( Table 1 ). 13,18,26,33,37,43,45,47,50,51,53–55,57 Most studies were from the USA (n=42), 3,14–17,20,21,21,23–28,30–33,37,38,40–42,44–51,53–63,67–69 although studies from Israel (n=5), 13,29,34,36,39,52 New Zealand (n=4), 12,43,64–66 Australia (n=2), 19,35 and Brazil (n=1) 18 were also identified ( Figure 1 ). Studies of infection most often included patients with skin and soft tissue infection (SSTI) caused by S. aureus or urinary tract infection (UTI) caused by E. coli or other Enterobacterales, while other infections like community-acquired pneumonia (CAP) were described more rarely.…”

Section: Resultsmentioning

confidence: 99%

“…24,30,37,57 Some studies also examined differences in MSSA or non-resistant S. aureus among races, with mixed results. Two studies reported no significant difference in infection between Black and White participants, 40,60 two reported no difference between Black persons and other races in infection or colonization rates, 28,45 and one reported a lower risk of colonization in mixed-age Black participants compared to White participants. 37,47,51 Ray 2013 also reported a lower risk of SSTI vs no SSTI in a mixed-age population of Black than the White population, 60 while Casey 2013 did not find a difference between Black and White patients with SSTI compared to matched controls.…”

Section: Black Vs White Personsmentioning

confidence: 96%

“…Among the 54 included studies, 3,12-69 42 (78%) described infections and 12 (22%) described colonization with at least one of the pathogens of interest (Table 1). 13,18,26,33,37,43,45,47,50,51,[53][54][55]57 Most studies were from the USA (n=42), 3,[14][15][16][17]20,21,21,[23][24][25][26][27][28][30][31][32][33]37,38,[40][41][42][44][45][46][47][48][49][50][51][53][54][55][56][57]…”

Section: Study Characteristicsmentioning

confidence: 99%

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Race, ethnicity, and risk for colonization and infection with key bacterial pathogens: a scoping review

Avendano,

Blackmon,

Nirmala

et al. 2024

Preprint

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Background: Racial and ethnic disparities in infectious disease burden have been reported in the USA and globally, most recently for COVID-19. It remains unclear whether such disparities also exist for priority bacterial pathogens that are increasingly antibiotic-resistant. We conducted a scoping review to summarize published studies that report on colonization or community-acquired infection with pathogens among different races and ethnicities. Methods: We conducted an electronic literature search of MEDLINE, Daily, Global Health, Embase, Cochrane Central, and Web of Science from inception to January 2022 for eligible observational studies. Abstracts and full-text publications were screened in duplicate for studies that reported data for race or ethnicity for at least one of the pathogens of interest. Results: Fifty-four observational studies in 59 publications met our inclusion criteria. Studies reported results for Enterobacterales,Enterococcus faecium,Escherichia coli,Klebsiella pneumoniae,Pseudomonas aeruginosa, andStaphylococcus aureus, and were conducted in Australia, Brazil, Israel, New Zealand, and USA. USA studies most often examined Black and Hispanic minority groups with studies regularly reporting a higher risk of these pathogens in Black persons and mixed results for Hispanic persons. Ethnic minority groups (e.g.Bedouins in Israel, Aboriginals in Australia) were often reported to be at a higher risk in other countries. Conclusion: Sufficient evidence was identified in this scoping review justifying future systematic reviews and meta-analyses evaluating the relationship between community-acquired pathogens and race and ethnicity. However, we noted that only a fraction of studies reported data stratified by race and ethnicity, highlighting a substantial gap in the literature.

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MRSA as a rare cause of vaginitis

et al. 2015

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We describe a 26-year-old otherwise healthy woman with MRSA vaginitis. Traditional MRSA risk factors were absent and additional screening sites were negative. Patient was treated successfully with oral antibiotics combined with topical lactic acid emulsion. Because her partner appeared to have solitary MRSA carriage on the glans, a suggestion of sexual transmission was made. He was treated successfully with topical mupirocin ointment. Although solitary vaginal MRSA carriage and infection seems to be rare and its clinical impact is yet undefined, clinicians should consider adding the genitourinary tract to traditional screening sites in case of recurrent MRSA infections.

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MRSA: Rare in the Vagina

Cited by 4 publications

References 12 publications

Inflammation on the Cervical Papanicolaou Smear: Evidence for Infection in Asymptomatic Women?

Inflammation on the Cervical Papanicolaou Smear: Evidence for Infection in Asymptomatic Women?

Race, ethnicity, and risk for colonization and infection with key bacterial pathogens: a scoping review

MRSA as a rare cause of vaginitis

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