Nasal carriage of <i>Staphylococcus aureus</i> in 4–6 age groups in healthy children in Afyonkarahisar, Turkey

Çiftçi, İhsan Hakkı; Köken, Reşit; Bükülmez, Ayşegül; Özdemir, Mehmet; Şafak, Birol; Çetınkaya, Zafer

doi:10.1111/j.1651-2227.2007.00315.x

Cited by 35 publications

(42 citation statements)

References 20 publications

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“…The low prevalence of MRSA isolates, 4 (3%) was found to be consistent with studies from the U.S., India, Turkey and Taiwan, reporting low rates of MRSA colonization among healthy children in the community ranging from 0.3% to 7.8% [12,17,18]. In contrast, other studies from India and other countries have documented higher rates of MRSA colonization ranging from 13.2% to 22% [13,[19][20][21].…”

Section: Discussionmentioning

confidence: 43%

Prevalence of Community-Acquired Methicillin-Resistant Staphylococcus aureus Nasal Colonization Among Children

Shetty

Trumbull

Hegde

et al. 2014

JCDR

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Section: Discussionmentioning

confidence: 43%

Prevalence of Community-Acquired Methicillin-Resistant Staphylococcus aureus Nasal Colonization Among Children

Shetty

Trumbull

Hegde

et al. 2014

JCDR

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“…In the literature, the nasal colonization rate with S. aureus changes between 20 and 40% in healthy children. In a study conducted in Turkey, 28.4% of healthy children between 4 and 6 years of age were found to be colonized with S. aureus (11). In our study, nasal colonization with S. aureus was seen in 41.3% of children with epistaxis and was the most common microorganism isolated, followed by coagulase-negative Staphylococcus.…”

Section: Discussionmentioning

confidence: 72%

Nasal Bacterial Colonization in Pediatric Epistaxis: The Role of Topical Antibacterial Treatment

et al. 2016

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Background: Epistaxis is a common problem in childhood. It has been shown that children with recurrent epistaxis are more likely to have nasal colonization with Staphylococcus aureus. It has been suggested that lowgrade inflammation, crusting and increased vascularity due to bacterial colonization contributes to the development of epistaxis in children. Aims: This study aimed to investigate the nasal colonization and treatment outcome in pediatric epistaxis patients. Study Design: Retrospective cross-sectional study. Methods: Charts of the pediatric patients referred to our university hospital otolaryngology outpatient clinics for the evaluation of epistaxis were reviewed. The patients whose nasal cultures had been taken at the first clinical visit comprised the study group. Results: Staphylococcus aureus was the most common bacteria grown. The presence of crusting and hypervascularity was not dependent on the type of bacterial growth and there was no relation between hypervascularity and crusting of the nasal mucosa. Thirty-six patients were evaluated for the outcome analysis. Resolution of bleeding was not dependent on nasal colonization; in patients with colonization, there was no difference between topical antibacterial and non-antibacterial treatments. Conclusion: Despite the high colonization rates, topical antibacterial treatment was not found superior to nonantibacterial treatment. Our study does not support the belief that bacterial colonization results in hypervascularity of the septal mucosa causing epistaxis since no relation was found between nasal colonization, hypervascularity and crusting. The role of bacterial colonization in pediatric epistaxis need to be further investigated and treatment protocols must be determined accordingly.

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“…Further advantage of eradicating MRSA carried by the hospital staff and institution of effective hospital control policies is in prevention of its transmission to their family members and others in the community. This phenomenon has already been documented elsewhere (Halablab et al, 2009;Ciftci et al, 2007). In addition, the financial implication of handling such hospital and community spread of MRSA is huge for which reason MRSA has been described as a public health issue with economic consequences (Mireille et al, 2007).…”

Section: Discussionmentioning

confidence: 86%

Methicilin Resistant <i>Staphylococcus aureus</i> Carriage amongst Healthcare Workers of the Critical Care Units in a Nigerian Hospital

Fadeyi¹

2010

American Journal of Infectious Diseases

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Problem statement: Methicilin Resistant Staphylococcus Aureus (MRSA) Nosocomial Infection (NI) outbreaks and prevalence among various populations are well reported in literature particularly for developed countries. NI due to MRSA is a known cause of increased hospital stay, cost, morbidity and mortality especially among the critically ill. There is paucity of information on MRSA in developing nations including the carriage by critical healthcare givers who are potential transmitters. In most hospital in developing countries like Nigeria, there is neither surveillance system or control policy for MRSA. Approach: We screened healthcare workers in the critical care units of the University of Ilorin Teaching Hospital (UITH), Ilorin, Nigeria for MRSA and determined vancomycin susceptibility of the isolates. Swabs of both anterior nares and web spaces of the hands were taken, transported and incubated in Tween 80 at 35°C overnight aerobically before inoculation onto Mannitol Salt Agar (MSA). Inoculated MSA were incubated aerobically at 35°C for 18-24 h. Staphylococcus aureus was identified as Gram positive cocci with positive catalase, coagulase and DNAse test. MRSA were identified by combined oxacillin and cefoxitin discs diffusion method. Sensitivity to vancomycin was by vancomycin discs diffusion and vancomycin agar screen plating. Results: Of the 198 healthcare workers screened, 104 had MRSA either in the nose, hand or both giving a carriage rate of 52.5%. Nasal carriage (38.9%) was higher than hand (25.3%). Doctors (22.7%) and Nurses (16.7%) were the predominant carriers. MRSA isolates were resistant to commonly available antibiotics. Only 1 (1.3%) of the nasal isolates was vancomycin resistant. Conclusion: MRSA carriage among healthcare workers in the critical care units of the Nigerian hospital is high with doctors and nurses being the major carriers. The MRSA isolates were multi-drug resistant which may lead to increased morbidity and mortality if transmitted to the critically-ill. There is need for MRSA control policies in hospitals with settings of our type.

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Nasal carriage of Staphylococcus aureus in 4–6 age groups in healthy children in Afyonkarahisar, Turkey

Cited by 35 publications

References 20 publications

Prevalence of Community-Acquired Methicillin-Resistant Staphylococcus aureus Nasal Colonization Among Children

Prevalence of Community-Acquired Methicillin-Resistant Staphylococcus aureus Nasal Colonization Among Children

Nasal Bacterial Colonization in Pediatric Epistaxis: The Role of Topical Antibacterial Treatment

Methicilin Resistant <i>Staphylococcus aureus</i> Carriage amongst Healthcare Workers of the Critical Care Units in a Nigerian Hospital

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