Details

Autor(en) / Beteiligte

• Del Rosal, Teresa
• Méndez-Echevarría, Ana
• Garcia-Vera, Cesar
• Escosa-Garcia, Luis
• Agud, Martin
• Chaves, Fernando
• Román, Federico
• Gutierrez-Fernandez, José
• Ruiz de Gopegui, Enrique
• Ruiz-Carrascoso, Guillermo
• Ruiz-Gallego, Maria Del Carmen
• Bernet, Albert
• Quevedo, Sara Maria
• Fernández-Verdugo, Ana Maria
• Díez-Sebastian, Jesús
• Calvo, Cristina

Titel

Staphylococcus aureus Nasal Colonization in Spanish Children. The COSACO Nationwide Surveillance Study

Ist Teil von

• Infection and drug resistance, 2020-01, Vol.13, p.4643-4651

Ort / Verlag

New Zealand: Dove Medical Press Limited

Erscheinungsjahr

2020

Quelle

EZB Free E-Journals

Beschreibungen/Notizen

• To assess the prevalence and risk factors for and methicillin-resistant (MRSA) nasal colonization in Spanish children. Cross-sectional study of patients <14 years from primary care centers all over Spain. Clinical data and nasal aspirates were collected from March to July 2018. A total of 1876 patients were enrolled. Prevalence of and MRSA colonization were 33% (95% CI 30.9-35.1) and 1.44% (95% CI 0.9-2), respectively. Thirty-three percent of the children (633/1876) presented chronic conditions, mainly atopic dermatitis, asthma and/or allergy (524/633). Factors associated with colonization were age ≥5 years (OR 1.10, 95% CI 1.07-1.12), male sex (OR 1.43, 95% CI 1.17-1.76), urban setting (OR 1.46, 95% CI 1.08-1.97) and the presence of asthma, atopic dermatitis or allergies (OR 1.25; 95% CI: 1.093-1.43). Rural residence was the only factor associated with MRSA colonization (OR 3.62, 95% CI 1.57-8.36). MRSA was more frequently resistant than methicillin-susceptible to ciprofloxacin [41.2% vs 2.6%; p<0.0001], clindamycin [26% vs 16.9%; p=0.39], and mupirocin [14.3% vs 6.7%; p=0.18]. None of the MRSA strains was resistant to tetracycline, fosfomycin, vancomycin or daptomycin. The main risk factors for colonization in Spanish children are being above five years of age, male gender, atopic dermatitis, asthma or allergy, and residence in urban areas. MRSA colonization is low, but higher than in other European countries and is associated with rural settings.