scholarly journals Acquisition of Staphylococcus aureus by patients undergoing cytotoxic therapy in an ultra-clean isolation unit

1966 ◽  
Vol 64 (4) ◽  
pp. 501-511 ◽  
Author(s):  
H. J. Andrews ◽  
K. D. Bagshawe
Keyword(s):  
Nasal Carriage ◽  
Staphylococcal Infection ◽  
Host Susceptibility ◽  
Cytotoxic Therapy ◽  
Carriage Rate ◽  
Staph Aureus ◽  
Clean Environment ◽  
Resistant Strains ◽  
Low Incidence ◽  
Isolation Ward

The twenty-four young women and one man treated in an ultra-clean isolation ward should have had a low incidence of staphylococcal infection on grounds of age, sex and clean environment alone. However, they apparently acquired new strains of Staph. aureus at the rate of 4·7/100 patient weeks (3·9 multiple resistant strains/100 patient weeks) from the sixth week after admission onwards.Environmental factors contributing to infection included introduction of resistant strains by the patients on admission, contact between patients in the unit, and failure to eliminate nasal carriage in staff and patients.Host susceptibility was increased by malignancy, and by antibiotic and cytotoxic therapy. The nasal carriage rate of Staph. aureus was significantly greater for patients with repeated episodes of leucopenia induced by cytotoxic drugs.

scholarly journals Sources of staphylococcal infection in surgical wound sepsis

1963 ◽  
Vol 61 (1) ◽  
pp. 83-94 ◽  
Author(s):  
H. F. M. Bassett ◽  
W. G. Ferguson ◽  
E. Hoffman ◽  
M. Walton ◽  
Robert Blowers ◽  
...  
Keyword(s):  
Operating Room ◽  
Nasal Carriage ◽  
Staphylococcal Infection ◽  
Surgical Team ◽  
Equal Frequency ◽  
Hospital Workers ◽  
Wound Sepsis ◽  
Skin Preparation ◽  
Staph Aureus ◽  
Different Types

1. In two hospitals, post-operative staphylococcal wound sepsis occurred with equal frequency in patients who were and in those who were not nasal carriers of Staph. aureus.2. Nasal carriage of Staph. aureus was not always associated with skin carriage at the site of operation, but even patients who were skin carriers suffered no more sepsis than non-carriers.3. Self-infection was a less frequent cause of sepsis than was cross-infection. Other investigations of this type have revealed conflicting findings on the frequency of self-infection. These may be due to differences in the epidemiological properties of staphylococci infesting the hospitals; to different methods of preoperative skin preparation; and to the different types of operation concerned.4. In one of the hospitals, 31% of probable operating-room infections were with organisms similar to those carried by some member of the surgical team. In infections thought to have occurred in the ward, only 10% showed this similarity. In 11 of 35 presumed operating-room infections, the source may have been a member of the surgical team.For help and co-operation we are grateful to Mr G. A. Mason, Senior Surgeon, Newcastle Regional Thoracic Surgery Service; and Dr Joan Millar, Miss G. Jones, Miss E. Smith, Mrs Jean Best, Miss Winifred Mahon, Dr K. Hodgkin, Dr W. Stewart, Mr S. Griffin, Mr W. C. Barnsley, Mr R. Dobson, Mr W. H. Bound, and many nurses and other hospital workers. Our especial thanks are due to Professor R. E. O. Williams, who phage-typed many of the staphylococci, and then taught us to do this for ourselves.

scholarly journals Clinical and Bacteriological Aspects of Impetigo Contagiosa

1955 ◽  
Vol 53 (4) ◽  
pp. 495-508 ◽  
Author(s):  
George I. Barrow
Keyword(s):  
Staphylococcus Aureus ◽  
Special Reference ◽  
Streptococcus Pyogenes ◽  
Phage Type ◽  
Nasal Carriage ◽  
Control Groups ◽  
Staph Aureus ◽  
Impetigo Contagiosa ◽  
Resistant Strains

Summary1. The results of an investigation into the clinical, epidemiological and bacteriological features of impetigo contagiosa, with special reference to the type identification of staphylococci and streptococci, are reported and discussed.2. Of 106 impetigo cases studied, Staphylococcus aureus was isolated alone from 86 lesions (81 %), Streptococcus pyogenes alone from 6 (5·6 %), and a mixed growth of Staph. aureus and haemolytic streptococci in 14 instances (13·2 %).3. Of the 100 strains of Staph. aureus isolated from impetigo lesions, 63 were identical in phage type (‘type 71’), and a further 17 were closely related (‘weak 71’).4. Only one representative of ‘type 71’, and 9 of ‘weak 71’, were obtained from 164 strains of Staph. aureus from 200 persons in three control groups.5. Of 90 strains of Staph. aureus from impetigo lesions, 64 (71 %) were resistant to penicillin. Of these penicillin-resistant strains, 54 (84 %) were of ‘type 71’, or close variants.6. Strep, pyogenes was probably causative in at least 6 of the 18 patients yielding this organism from lesions; it was presumed to be a secondary invader in the remainder.7. It is doubtful if nasal carriage is of importance in the epidemiology of impetigo.8. It is concluded that there is a specific ‘type’ of staphylococcus associated with this form of impetigo.

scholarly journals Effect of Naseptin cream prophylaxis on staphylococcal infection in adult surgical wards and infant nurseries

1962 ◽  
Vol 60 (2) ◽  
pp. 209-215 ◽  
Author(s):  
E. Joan Stokes ◽  
Shelagh E. Milne
Keyword(s):  
Wound Infection ◽  
Marked Effect ◽  
Controlled Trial ◽  
Nasal Carriage ◽  
Staphylococcal Infection ◽  
Antibiotic Resistant ◽  
Resistant Strains ◽  
Made In

A controlled trial of Naseptin cream, as an anti-staphylococcaiprophylactic, made in two adult wards, showed the cream to be effective in reducing nasal carriage, including antibiotic resistant strains. There was no marked effect on wound infection.A controlled trial of Naseptin cream and Sterzac powder prophylactically in maternity nurseries was found to be effective in reducing nasal carriage and infection.These findings are discussed, and recommendations on the use of Naseptin cream as a prophylactic are made.

scholarly journals Staphylococcal disease and nasal carriage in the Royal Air Force

1962 ◽  
Vol 60 (4) ◽  
pp. 451-465 ◽  
Author(s):  
D. L. Miller ◽  
J. C. McDonald ◽  
M. P. Jevons ◽  
R. E. O. Williams
Keyword(s):  
Air Force ◽  
Phage Type ◽  
Nasal Carriage ◽  
Director General ◽  
Royal Air Force ◽  
Phage Group ◽  
Staph Aureus ◽  
Group I ◽  
Resistant Strains ◽  
New Recruits

1. The nasal carriage of Staph. aureus and its relation to disease was studied in new recruits, boy apprentices and trained men of the Royal Air Force.2. The proportions of Staph. aureus that were penicillin-resistant ranged from 15% in new recruits to 29% in trained men. In a school for apprentices the rate in new arrivals was 18%, and 23% for boys after the initial training. We were unable to find when these changes occurred.3. 31% of strains isolated from septic lesions were penicillin-resistant and the rate was similar in all types of unit. Resistant strains were not apparently more virulent than sensitive strains.4. About 1% of all strains isolated were resistant to tetracycline and streptomycin and much smaller proportions to chloramphenicol and erythromycin.5. The phage-group distribution was similar for nasal and lesion strains, but nearly half the penicillin-resistant lesion strains belonged to Group I, and types 52A and 3C/55/71 were much commoner in lesions than in the nose.6. Penicillin-resistant strains were more readily acquired and more rapidly lost than the sensitive strains.7. Nasal carriers suffered from septic lesions more frequently than non-carriers, and those with a lesion tended to suffer further lesions. There was no evidence of cross-infection among bedroom contacts.8. The proportion of penicillin-resistant strains rose from 30 to 40% between admission to and discharge from service hospitals. Resistant strains were not carried for long after discharge.9. Penicillin treatment resulted in a fall in the total carrier rate and a rise in the resistance rate. Phage type analysis showed that this was mainly due to elimination of sensitive strains and recolonization with resistant strains.We are greatly indebted to Miss Susan Green for the large amount of work that she did in the laboratory. We should like to thank also many Royal Air Force medical officers for their assistance, in particular Wing Commander E. S. Odbert, Wing Commander M. White, Squadron Leader M. Shearer and Flight Lieutenant A. J. Zuckerman; and the Director-General of the Royal Air Force Medical Services for permission to publish the results.

scholarly journals Dispersal and transfer ofStaphylococcus aureusin an isolation ward for burned patients

1973 ◽  
Vol 71 (4) ◽  
pp. 787-797 ◽  
Author(s):  
Anna Hambraeus
Keyword(s):  
Staphylococcus Aureus ◽  
Nasal Carriage ◽  
Burn Wound ◽  
Staph Aureus ◽  
Dispersed Particles ◽  
Air Movement ◽  
Isolation Ward ◽  
Hospital Wards

SummaryThe dispersal ofStaphylococcus aureusfrom burned patients, the relation between nasal carriage by the staff and exposure to airborneStaph. aureus, and the transfer ofStaph. aureus-carrying particles within the ward have been studied. The dispersal ofStaph. aureusfrom burned patients was correlated to the size of the burn wound. The median values varied from 21 c.f.u./m.2/hr. for patients with small burns to 453 c.f.u./m.2/hr. for extensively burned patients. The size of the dispersed particles appeared to be smaller than that usually found in hospital wards. Carriage of nasal strains by the staff was correlated to the air counts; the number of patient sources did not seem to be of great importance. The transfer ofStaph. aureuswithin the ward was at least 6 to 20 times that which would have been expected if transfer was due to air movement only.

scholarly journals Incidence and penicillin sensitivity ofStaphylococcus aureusin the nose in infants and their mothers

1953 ◽  
Vol 51 (1) ◽  
pp. 64-74 ◽  
Author(s):  
G. B. Ludlam
Keyword(s):  
Phage Type ◽  
Nasal Carriage ◽  
First Year ◽  
Staph Aureus ◽  
Maternity Hospitals ◽  
Different Types ◽  
Resistant Strains ◽  
First Year Of Life ◽  
Very High ◽  
At Home

1. Among infants attending Child Welfare Clinics there was a steady decline in the incidence of nasal carriage ofStaph. aureusover the first year of life.2. Infants born in hospital showed a much higher incidence ofStaph. aureusin the first 2 months of life than infants born at home. A similar difference was also very distinct in the later part of the first year of life.3. Mothers delivered 2 weeks to 2 months previously had a higher incidence of nasal carriage ofStaph. aureuswhen delivered in hospital than when delivered at home. After this interval the incidence was similar in all groups of mothers throughout the rest of the year.4. In the first few months of life there was a tendency for carriage in infants to be associated with carriage in the mother, but towards the end of the year there was no such relationship. This association appeared most clearly in infants born at home and in infants 2–5 months old born in hospital F.5. A very high proportion (25 out of 30) of the strains tested from infants born in hospital F less than 5 months previously were penicillin-resistant. Infants born at home had a much lower incidence of resistant strains.6. A high proportion of strains ofStaph. aureusisolated from mothers delivered in hospital F were resistant throughout the first year. Strains from mothers delivered in hospital C or at home showed a much lower proportion of resistant strains.7. Phage-typing showed a great variety of types, but those found among the penicillin-resistant strains were rather less varied than among the sensitive strains. WhenStaph. aureuswas found both in infant and mother, although the same phage type was commonly present in both, in 16 out of 35 couples different types were found.8. Investigation in maternity hospitals C and F showed a high proportion of penicillin-resistant strains ofStaph. aureusamong the nurses and infants and in the dust of the nurseries, but not among the mothers. There was no important difference between the two hospitals as regards the incidence of resistant strains isolated from nurses and infants in spite of the differences found in babies from the two hospitals when swabbed at the clinics.9. The significance of these results is discussed.

scholarly journals The Effect of Local Antibiotic on Nasal Carriage of Staphylococcus Pyogenes

1955 ◽  
Vol 53 (3) ◽  
pp. 379-385 ◽  
Author(s):  
J. C. Gould
Keyword(s):  
Nasal Carriage ◽  
Staphylococcal Infection ◽  
Control Group ◽  
Resistant Organism ◽  
Antibiotic Resistant ◽  
Resistant Strains ◽  
Local Antibiotic ◽  
Cessation Of Treatment

SummaryLanoline-water cream containing 1% of antibiotic was applied for 7–14 days to the anterior nares of 124 carriers of antibiotic sensitive staphylococci. Nose swab cultures, examined during the administration of the cream, were negative for Staph. pyogenes in all carriers who received oxytetracycline, and in 80, 75, 70 and 67% of those who received penicillin, chlortetracycline, streptomycin and chloramphenicol respectively.Seventy per cent of carriers gave nose-swab cultures negative for at least 2 weeks, 50% for at least 4 weeks and 25% for at least 20 weeks after the cessation of treatment. Over the same period only 1% of a control group ceased to be carriers.The nares of 20% of carriers receiving antibiotic were temporarily colonized with antibiotic-resistant strains, but in only one case (0·8%) did the resistant organism persist throughout the period of examination.The use of this method of controlling staphylococcal carriage in preventing staphylococcal infection is discussed.I wish to thank Prof. T. J. Mackie for his advice.

scholarly journals Nasal carriage of Staphylococcus aureus in farm animals and breeders in North of Morocco

2020 ◽  
Author(s):  
Nadira Mourabit ◽  
Abdelhay Arakrak ◽  
Mohammed Bakkali ◽  
Zeineb Zian ◽  
Joaira Bakkach ◽  
...  
Keyword(s):  
Antimicrobial Susceptibility ◽  
Virulence Genes ◽  
Close Contact ◽  
Nasal Carriage ◽  
High Rate ◽  
Farm Animals ◽  
Carriage Rate ◽  
Increased Risk ◽  
Significant Difference ◽  
Mrsa Strains

Abstract Background: The objectives of this study were to determine for the first time, in Morocco, the nasal carriage rate, antimicrobial susceptibility profiles and virulence genes of S.aureus isolated from animals and breeders in close contact.Methods: From 2015 to 2016, 421 nasal swab samples were collected from 26 different Livestock areas in Tangier. The antimicrobial susceptibility phenotypes were determined by disk diffusion according to EUCAST 2015. The presence of nuc, mecA, mecC, lukS/F-PV, and tst genes were determined by PCR for all isolates. Results: The overall S. aureus nasal carriage rate was low in animals (9.97%) and high in breeders (60%) with a statistically significant difference, (OR= 13.536; 95% CI = 7.070- 25.912; p< 0.001).In general, S. aureus strains were susceptible to the majority of antibiotics and the highest resistance rates were found against tetracycline (16.7% in animals and 10% in breeders). No MRSA was detected in animals and breeders. A high rate of tst and lukS/F-PV genes has been recovered only, from animals (11.9% and 16.7%, respectively).Conclusion: Despite the lower rate of nasal carriage of S. aureus and the absence of MRSA strains in our study, S. aureus strains harbored a higher frequency of tst and lukS/F-PV of virulence genes, which is associated to an increased risk of infection dissemination in humans. This highlights the need for implementing adequate approaches for prevention.Further larger and multi-center studies are needed to validate and confirm our findings.

scholarly journals Nasal carriage of Staphylococcus aureus in farm animals and breeders in North of Morocco

2020 ◽  
Author(s):  
Nadira Mourabit ◽  
Abdelhay Arakrak ◽  
Mohammed Bakkali ◽  
Zeineb Zian ◽  
Joaira Bakkach ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Antimicrobial Susceptibility ◽  
Virulence Genes ◽  
Nasal Carriage ◽  
High Rate ◽  
Farm Animals ◽  
Carriage Rate ◽  
Increased Risk ◽  
Significant Difference ◽  
Mrsa Strains

Abstract Background: The objectives of this study were to determine for the first time, in Morocco, the nasal carriage rate, antimicrobial susceptibility profiles and virulence genes of Staphylococcus. aureus isolated from animals and breeders in close contact.Methods: From 2015 to 2016, 421 nasal swab samples were collected from 26 different livestock areas in Tangier. Antimicrobial susceptibility phenotypes were determined by disk diffusion according to EUCAST 2015. The presence of nuc , mec A, mec C, lukS/F-PV, and tst genes were determined by Polymerase Chain Reaction (PCR) for all isolates.Results: The overall S. aureus nasal carriage rate was low in animals (9.97%) and high in breeders (60%) with a statistically significant difference, (OR= 13.536; 95% CI = 7.070- 25.912; p< 0.001). In general, S. aureus strains were susceptible to the majority of antibiotics and the highest resistance rates were found against tetracycline (16.7% in animals and 10% in breeders). No Methicillin-Resistant S. aureus (MRSA) was detected in animals and breeders. A high rate of tst and lukS/F-PV genes has been recovered only from animals (11.9% and 16.7%, respectively).Conclusion: Despite the lower rate of nasal carriage of S. aureus and the absence of MRSA strains in our study, S. aureus strains harbored a higher frequency of tst and lukS/F-PV virulence genes, which is associated to an increased risk of infection dissemination in humans. This highlights the need for further larger and multi-center studies to better define the transmission of the pathogenic S. aureus between livestock, environment, and humans.

scholarly journals Nasal carriage of Staphylococcus aureus in livestock in North of Morocco

2020 ◽  
Author(s):  
Nadira Mourabit ◽  
Abdelhay Arakrak ◽  
Mohammed Bakkali ◽  
Zeineb Zian ◽  
Joaira Bakkach ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Antimicrobial Susceptibility ◽  
Virulence Genes ◽  
Close Contact ◽  
Nasal Carriage ◽  
High Rate ◽  
Carriage Rate ◽  
Increased Risk ◽  
Significant Difference ◽  
Mrsa Strains

Abstract Background : In Morocco, data of LA-MRSA nasal carriage are still limited. The objectives of this study were to determine for the first time the nasal carriage rate, antimicrobial susceptibility profiles and virulence genes of S aureus isolated from animals and breeders in close contact. Methods : From 2015 to 2016, 480 nasal swab samples were collected from 27 different Livestock areas in Tangier. The antimicrobial susceptibility phenotypes were determined by disk diffusion according to EUCAST 2016. The presence of nuc , mec A and his homologue mec C, lukS/F-PV, and tst genes were determined by PCR for all isolates. Results : The overall S. aureus nasal carriage rate was low in animals (9.97%) and high in breeders (60%) with a statistically significant difference, (OR = 14.321; 95% CI = 7.484- 27.405; p< 0.0001). In general, S. aureus strains were susceptible to the majority of antibiotics and the higher resistance rates were found against tetracycline (16.7% in animals and 10% in breeders). No MRSA was detected in animals and breeders. A high rate of tst and lukS/F-PV genes has been found only in animals (11.9% and 16.7%, respectively). Conclusion : Despite the lower colonization rate of S. aureus and the absence of MRSA strains in our study, S. aureus strains harbored a higher frequency of tst and lukS/F-PV of virulence genes, which is associated to an increased risk of infection dissemination in humans. This highlights the need for implementing adequate approaches for prevention. Further larger and multi-center studies are needed to validate and confirm our findings. Keywords: Staphylococcus aureus , nasal carriage, animals, breeders, MRSA, Morocco

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