E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Prevalence and antibiotic susceptibility profile of MRSA isolated from the Anterior Nares of school going children in Gulbarga

Sagar M Arali, Vivek Kulkarni, Manjula N. G., Subhashchandra M. Gaddad, Y. M. Jayaraj, Channappa T. Shivannavar.

Abstract
Background: Emergence of methicillin resistant S. aureus (MRSA) infections among the healthy persons in the community settings has been noted recently. MRSA infections are now classified as health-care-associated MRSA (HA-MRSA) and community-associated MRSA (CA-MRSA) infections. Its colonization is an important risk factor for subsequent MRSA infection.

Objective: To determine the prevalence of Staphylococcus aureus in the school going children in Gulbarga and their antibiotic susceptibility pattern.

Materials and Methods: Nasal swabs from anterior nares were collected for the isolation of S. aureus from 131 healthy children aged between 5 and 15 years from university school, Gulbarga, Karnataka. The nasal swabs were inoculated in nutrient broth for enrichment of S. aureus then streaked on Mannitol Salt Agar (MSA) and incubated at 37 °C for 24 h. For characterization of the S. aureus, conventional methods such as growth characteristics on mannitol salt agar, Gram’s staining, and biochemical characteristics have been performed. Antibiotic sensitivity test was carried out for the isolated S. aureus using different antibiotics.

Results: A total of 131 nasal swabs were screened and the incidence of S. aureus was observed to be 77.86%. Of the total 102 S. aureus isolates, 4 (3.92%) isolates were found to be MRSA and 96.10% isolates were MSSA. A total of 26 (25.4%) isolates were found to be multi-drug resistant (MDR) in this study.

Conclusion: Our results suggest that healthy school going children below 16 years of age are potential carriers of S. aureus and in particular MRSA and MDR strains.

Key words: Methicillin resistant S. aureus (MRSA), antibiotic sensitivity test (AST), anterior nares, S. aureus, community-associated MRSA (CA-MRSA)


 
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REFERENCES
1. Lowy FD. Staphylococcus aureus infections. N Engl J Med 1998;339:520-32. [DOI via Crossref]    [Pubmed]   
2. Barrett FF, McGehee RF, Jr., Finland M. Methicillin-resistant Staphylococcus aureus at Boston City Hospital. Bacteriologic and epidemiologic observations. N Engl J Med 1968;279: 441-8. [DOI via Crossref]    [Pubmed]   
3. Herold BC, Immergluck LC, Maranan MC, Lauderdale DS, Gaskin RE, Boyle-Vavra S, et al. Community-acquired methicillinresistant Staphylococcus aureus in children with no identified predisposing risk. JAMA 1998;279:593-8. [DOI via Crossref]    [Pubmed]   
4. Otter JA, French GL. Molecular epidemiology of communityassociated meticillin-resistant Staphylococcus aureus in Europe. Lancet Infect Dis 2010;10:227-39. [DOI via Crossref]   
5. Adem PV, Montgomery CP, Husain AN, Koogler TK, Arangelovich V, Humilier M, et al. Staphylococcus aureus sepsis and the Waterhouse-Friderichsen syndrome in children. N Engl J Med 2005;353:1245-51. [DOI via Crossref]    [Pubmed]   
6. Mongkolrattanothai K, Boyle S, Kahana MD, Daum RS. Severe Staphylococcus aureus infections caused by clonally related community-acquired methicillin-susceptible and methicillin-resistant isolates. Clin Infect Dis 2003;37:1050-8. [DOI via Crossref]    [Pubmed]   
7. Miller LG, Perdreau-Remington F, Rieg G, Mehdi S, Perlroth J, Bayer AS, et al. Necrotizing fasciitis caused by communityassociated methicillin-resistant Staphylococcus aureus in Los Angeles. N Engl J Med 2005;352:1445-53. [DOI via Crossref]    [Pubmed]   
8. Centers for Disease Control and Prevention. Four pediatric deaths from community-acquired methicillin-resistant Staphylococcus aureus: Minnesota and North Dakota, 1997-1999. JAMA 1999;282:1123-5. [Pubmed]   
9. Kluytmans J, van Belkum A, Verbrugh H. Nasal carriage of Staphylococcus aureus: epidemiology, underlying mechanisms, and associated risks. Clin Microbiol Rev 1997;10:505-20. [Pubmed]    [PMC Free Fulltext]   
10. Lo WT, Wang CC, Lin WJ, Wang SR, Teng CS, Huang CF, et al. Changes in the nasal colonization with methicillin-resistant Staphylococcus aureus in children: 2004-2009. PLoS One 5(12):e15791. [DOI via Crossref]    [DOI via Crossref]   
11. Creech CB, 2nd, Talbot TR, Schaffner W. Community-associated methicillin-resistant Staphylococcus aureus: the way to the wound is through the nose. J Infect Dis 2006;193:169-71. [DOI via Crossref]    [Pubmed]   
12. Safdar N, Bradley EA. The risk of infection after nasal colonization with Staphylococcus aureus. Am J Med 2008;121:310-5. [DOI via Crossref]    [Pubmed]   
13. Teixeira LA, Resende CA, Ormonde LR, Rosenbaum R, Figueiredo AM, Lencastre H, et al. Geographic spread of epidemic multiresistant Staphylococcus aureus clone in Brazil. J Clin Microbiol 1995;33:2400-4. [Pubmed]    [PMC Free Fulltext]   
14. von Eiff C, Becker K, Machka K, Stammer H, Peters G. Nasal carriage as a source of Staphylococcus aureus bacteremia. Study Group. N Engl J Med 2001;344:11-6. [DOI via Crossref]    [Pubmed]   
15. Hisata K, Kuwahara-Arai K, Yamanoto M, Ito T, Nakatomi Y, et al. Dissemination of methicillin-resistant staphylococci among healthy Japanese children. J Clin Microbiol 2005;43:3364-72. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
16. Masuda K, Masuda R, Nishi J, Tokuda K, Yoshinaga M, Miyata K. Incidences of nasopharyngeal colonization of respiratory bacterial pathogens in Japanese children attending day-care centers. Pediatr Int 2002;44:376-80. [DOI via Crossref]    [Pubmed]   
17. Lo WT, Lin WJ, Tseng MH, Lu JJ, Lee SY, Chu M-L, et al. Nasal carriage of a single clone of community-acquired methicillinresistant Staphylococcus aureus among kindergarten attendees in northern Taiwan. BMC Infect Dis 2007;1:51. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
18. Kline MW, Mason EO Jr, Kaplan SL. Outcome of heteroresistant Staphylococcus aureus infections in children. J Infect Dis 1987;156:205-8. [DOI via Crossref]    [Pubmed]   
19. Collee JG, Miles RS, Watt B. Tests for identification of bacteria. In Mackie and McCartneyÂ’s Practical Medical Microbiology, Collee JG, Fraser AG, Marmion BP, Simmons A. (Eds.)
20. Sharma Y, Jain S, Singh H, Govil V. Staphylococcus aureus: screening for nasal carriers in a community setting with special reference to MRSA. Scientifica 2014;2014:479048. http://dx.doi.org/10.1155/2014/479048. 2014 [DOI via Crossref]   
21. Clinical and Laboratory Standards Institute. Methods for Disk Diffusion: Approved Standard M02-A10 and M07-A8: Performance Standards for Antimicrobial Disk Susceptibility Tests. Wayne, PA: The Committee, 2009.
22. Clinical and Laboratory Standards Institute. Performance Standards for Antimicrobial Susceptibility Testing: Nineteenth Informational Supplement M100-S19. Wayne PA: The Committee, 2009.
23. Chatterjee SS, Ray P, Aggarwal A, Das A, Sharma M. A communitybased study on nasal carriage of Staphylococcus aureus. Indian J Med Res 2009;130:742-8. [Pubmed]   
24. Ramana KV, Mohanty SK, Wilson CG. Staphylococcus aureus colonization of anterior nares of school going children. Indian J Pediatr 2009;76(8):813-6. [DOI via Crossref]    [Pubmed]   
25. Noble WC, Williams REO, Jevons MP, Shooter RA. Some aspects of nasal carriage of Staphylococci. J Clin Pathol 1964;17:79-83. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
26. Mainous AG 3rd, Hueston WJ, Everett CJ, Diaz VA. Nasal carriage of Staphylococcus aureus and methicillin-resistant S. aureus in the United States, 2001-2002. Ann Fam Med 2006;4:132-7. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
27. Jorgensen JH. Mechanisms of methicillin resistance in Staphylococcus aureus and methods for laboratory detection. Infect Control Hosp Epidemiol 1991;12:14-9. [DOI via Crossref]    [Pubmed]   
28. Moreillon P, Que YA, Glauser MP. Staphylococcus aureus (including staphylococcal toxic shock). In: Mandell, Douglas and BennettÂ’s Principles and Practice of Infectious Diseases, 6th ed, Mandell GL, Bennett JE, Dolin R, (Eds.). Philadelphia, PA: Elsevier Churchill Livingstone Publishers, 2005. pp. 2321-48.
29. Fomda BA, Thokar MA, Khan A, Bhat JA, Zahoor D, Bashir G, et al. Nasal carriage of methicillin-resistant Staphylococcus aureus among healthy population of Kashmir, India. Indian J Med Microbiol 2014;32(1):39-43. [DOI via Crossref]    [Pubmed]   
30. Wertheim HF, Melles DC, Vos MC, van Leeuwen W, van Belkum A, Verbrugh HA, et al. The role of nasal carriage in Staphylococcus aureus infections. Lancet Infect Dis 2005;5:751-62. [DOI via Crossref]   
31. Oguzkaya-Artan M, Baykan Z, Artan C. Nasal carriage of Staphylococcus aureus in healthy preschool children. Jpn J Infect Dis 2008;61:70-2. [Pubmed]   
32. Ciftci IH, Koken R, Bukulmez A, Ozdemir M, Safak B, Cetinkaya Z. Nasal carriage of Staphylococcus aureus in 4-6 age groups in healthy children in Afyonkarahisar, Turkey. Acta Paediatr 2007;96(7):1043-6. [DOI via Crossref]    [Pubmed]   
33. Creech CB 2nd1, Kernodle DS, Alsentzer A, Wilson C, Edwards KM. Increasing rates of nasal carriage of methicillin-resistant Staphylococcus aureus in healthy children. Pediatr Infect Dis J 2005; 24(7):617-21. [DOI via Crossref]   
34. Lo WT, Lin WJ, Tseng MH, Lu JJ, Lee SY, Chu ML, et al. Nasal carriage of a single clone of community-acquired methicillinresistant Staphylococcus aureus among kindergarten attendees in northern Taiwan. BMC Infect Dis 2007;7:51-6. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
35. Hussain FM, Boyle-Vavra S, Daum RS. Community strain of methicillin-resistant Staphylococcus aureus colonization in healthy children attending an outpatient paediatric clinic. Pediatr Infect Dis J 2001;20:763-7. [DOI via Crossref]    [Pubmed]   
36. Lo W-T, Wang C-C, Lin W-J, Wang S-R, Teng C-S, Huang CF, et al. Changes in the nasal colonization with methicillin-resistant Staphylococcus aureus in children: 2004-2009. PLoS One 2010;5(12):e15791. [DOI via Crossref]    [DOI via Crossref]   
37. Lee J, Sung JY, Kim YM, Oh CE, Kim HB, Choi EH, Lee HJ. Molecular characterization of methicillin-resistant Staphylococcus aureus obtained from the anterior nares of healthy Korean children attending daycare centers. Int J Infect Dis 2011;15:e558-63. [DOI via Crossref]    [Pubmed]   

How to Cite this Article
Pubmed Style

Arali SM, Kulkarni V, G. MN, Gaddad SM, Jayaraj YM, Shivannavar CT. Prevalence and antibiotic susceptibility profile of MRSA isolated from the Anterior Nares of school going children in Gulbarga. Int J Med Sci Public Health. 2016; 5(4): 620-626. doi:10.5455/ijmsph.2016.0805201592


Web Style

Arali SM, Kulkarni V, G. MN, Gaddad SM, Jayaraj YM, Shivannavar CT. Prevalence and antibiotic susceptibility profile of MRSA isolated from the Anterior Nares of school going children in Gulbarga. http://www.ijmsph.com/?mno=196405 [Access: October 16, 2018]. doi:10.5455/ijmsph.2016.0805201592


AMA (American Medical Association) Style

Arali SM, Kulkarni V, G. MN, Gaddad SM, Jayaraj YM, Shivannavar CT. Prevalence and antibiotic susceptibility profile of MRSA isolated from the Anterior Nares of school going children in Gulbarga. Int J Med Sci Public Health. 2016; 5(4): 620-626. doi:10.5455/ijmsph.2016.0805201592



Vancouver/ICMJE Style

Arali SM, Kulkarni V, G. MN, Gaddad SM, Jayaraj YM, Shivannavar CT. Prevalence and antibiotic susceptibility profile of MRSA isolated from the Anterior Nares of school going children in Gulbarga. Int J Med Sci Public Health. (2016), [cited October 16, 2018]; 5(4): 620-626. doi:10.5455/ijmsph.2016.0805201592



Harvard Style

Arali, S. M., Kulkarni, V., G., M. N., Gaddad, S. M., Jayaraj, Y. M. & Shivannavar, C. T. (2016) Prevalence and antibiotic susceptibility profile of MRSA isolated from the Anterior Nares of school going children in Gulbarga. Int J Med Sci Public Health, 5 (4), 620-626. doi:10.5455/ijmsph.2016.0805201592



Turabian Style

Arali, Sagar M, Vivek Kulkarni, Manjula N. G., Subhashchandra M. Gaddad, Y. M. Jayaraj, and Channappa T. Shivannavar. 2016. Prevalence and antibiotic susceptibility profile of MRSA isolated from the Anterior Nares of school going children in Gulbarga. International Journal of Medical Science and Public Health, 5 (4), 620-626. doi:10.5455/ijmsph.2016.0805201592



Chicago Style

Arali, Sagar M, Vivek Kulkarni, Manjula N. G., Subhashchandra M. Gaddad, Y. M. Jayaraj, and Channappa T. Shivannavar. "Prevalence and antibiotic susceptibility profile of MRSA isolated from the Anterior Nares of school going children in Gulbarga." International Journal of Medical Science and Public Health 5 (2016), 620-626. doi:10.5455/ijmsph.2016.0805201592



MLA (The Modern Language Association) Style

Arali, Sagar M, Vivek Kulkarni, Manjula N. G., Subhashchandra M. Gaddad, Y. M. Jayaraj, and Channappa T. Shivannavar. "Prevalence and antibiotic susceptibility profile of MRSA isolated from the Anterior Nares of school going children in Gulbarga." International Journal of Medical Science and Public Health 5.4 (2016), 620-626. Print. doi:10.5455/ijmsph.2016.0805201592



APA (American Psychological Association) Style

Arali, S. M., Kulkarni, V., G., M. N., Gaddad, S. M., Jayaraj, Y. M. & Shivannavar, C. T. (2016) Prevalence and antibiotic susceptibility profile of MRSA isolated from the Anterior Nares of school going children in Gulbarga. International Journal of Medical Science and Public Health, 5 (4), 620-626. doi:10.5455/ijmsph.2016.0805201592





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