Evaluation of methicillin-resistant Staphylococcus aureus nasal carriage in Malagasy patients

Introduction: Methicillin-resistant Staphylococcus aureus (MRSA) is an important cause of infections. It is well recognized that nasal carriage of S. aureus represents a potent and increasingly prevalent risk factor for subsequent S. aureus infection. However, in Madagascar no data exist concerning...

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Main Authors: Tsiry Rasamiravaka, Saida Rasoanandrasana, Norosoa Julie Julie Zafindraibe, Aimee Olivat Rakoto Alson, Andry Rasamindrakotroka
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2013-04-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/2460
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author Tsiry Rasamiravaka
Saida Rasoanandrasana
Norosoa Julie Julie Zafindraibe
Aimee Olivat Rakoto Alson
Andry Rasamindrakotroka
author_facet Tsiry Rasamiravaka
Saida Rasoanandrasana
Norosoa Julie Julie Zafindraibe
Aimee Olivat Rakoto Alson
Andry Rasamindrakotroka
author_sort Tsiry Rasamiravaka
collection DOAJ
description Introduction: Methicillin-resistant Staphylococcus aureus (MRSA) is an important cause of infections. It is well recognized that nasal carriage of S. aureus represents a potent and increasingly prevalent risk factor for subsequent S. aureus infection. However, in Madagascar no data exist concerning this nasal carriage of S. aureus. Methodology: Nasal swabs from 304 different patients attending the Laboratory of Training and Research in Medical Biology of Madagascar were cultured for methicillin sensitive (MSSA) and MRSA. Results: One hundred and sixteen patients had S. aureus in their noses (38.16 ± 5.46%) of whom 45 (14.80 ± 3.99%) had MRSA.  A risk factor for MSSA nasal carriage included a history of hospitalization when antibiotics were administered (odds ratio [OR] 2.25, 1.09 - 4.64). Among MRSA nasal isolates, high rate of resistance to other antibiotics was observed, particularly for trimethoprim-sulfamethoxazole (68.89%), erythromycin (66.67%) and ofloxacin (53.33%). Conclusion: Our data showed a high rate of MRSA nasal carriage and a high rate of multidrug resistance. A strategic policy against the spread of multidrug resistant strains is desirable.
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language English
publishDate 2013-04-01
publisher The Journal of Infection in Developing Countries
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spelling doaj-art-ef05ec99767c489e923a0f7223c2a8892025-08-20T02:27:15ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802013-04-0170410.3855/jidc.2460Evaluation of methicillin-resistant Staphylococcus aureus nasal carriage in Malagasy patientsTsiry Rasamiravaka0Saida Rasoanandrasana1Norosoa Julie Julie Zafindraibe2Aimee Olivat Rakoto Alson3Andry Rasamindrakotroka4Faculty of Medicine, University of Antananarivo, Antananarivo, MadagascarFaculty of Medicine, University of Antananarivo, Antananarivo, MadagascarFaculty of Medicine, University of Antananarivo, Antananarivo, MadagascarFaculty of Medicine, University of Antananarivo, Antananarivo, MadagascarFaculty of Medicine, University of Antananarivo, Antananarivo, Madagascar Introduction: Methicillin-resistant Staphylococcus aureus (MRSA) is an important cause of infections. It is well recognized that nasal carriage of S. aureus represents a potent and increasingly prevalent risk factor for subsequent S. aureus infection. However, in Madagascar no data exist concerning this nasal carriage of S. aureus. Methodology: Nasal swabs from 304 different patients attending the Laboratory of Training and Research in Medical Biology of Madagascar were cultured for methicillin sensitive (MSSA) and MRSA. Results: One hundred and sixteen patients had S. aureus in their noses (38.16 ± 5.46%) of whom 45 (14.80 ± 3.99%) had MRSA.  A risk factor for MSSA nasal carriage included a history of hospitalization when antibiotics were administered (odds ratio [OR] 2.25, 1.09 - 4.64). Among MRSA nasal isolates, high rate of resistance to other antibiotics was observed, particularly for trimethoprim-sulfamethoxazole (68.89%), erythromycin (66.67%) and ofloxacin (53.33%). Conclusion: Our data showed a high rate of MRSA nasal carriage and a high rate of multidrug resistance. A strategic policy against the spread of multidrug resistant strains is desirable. https://jidc.org/index.php/journal/article/view/2460MRSAMalagasy labnasal carriagerisk factors
spellingShingle Tsiry Rasamiravaka
Saida Rasoanandrasana
Norosoa Julie Julie Zafindraibe
Aimee Olivat Rakoto Alson
Andry Rasamindrakotroka
Evaluation of methicillin-resistant Staphylococcus aureus nasal carriage in Malagasy patients
Journal of Infection in Developing Countries
MRSA
Malagasy lab
nasal carriage
risk factors
title Evaluation of methicillin-resistant Staphylococcus aureus nasal carriage in Malagasy patients
title_full Evaluation of methicillin-resistant Staphylococcus aureus nasal carriage in Malagasy patients
title_fullStr Evaluation of methicillin-resistant Staphylococcus aureus nasal carriage in Malagasy patients
title_full_unstemmed Evaluation of methicillin-resistant Staphylococcus aureus nasal carriage in Malagasy patients
title_short Evaluation of methicillin-resistant Staphylococcus aureus nasal carriage in Malagasy patients
title_sort evaluation of methicillin resistant staphylococcus aureus nasal carriage in malagasy patients
topic MRSA
Malagasy lab
nasal carriage
risk factors
url https://jidc.org/index.php/journal/article/view/2460
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