Skin Colonization by Staphylococcus aureusPrecedes the Clinical Diagnosis of Atopic Dermatitis in Infancy

Autor: Meylan, Patrick, Lang, Caroline, Mermoud, Sophie, Johannsen, Alexandre, Norrenberg, Sarah, Hohl, Daniel, Vial, Yvan, Prod’hom, Guy, Greub, Gilbert, Kypriotou, Magdalini, Christen-Zaech, Stéphanie
Zdroj: Journal of Investigative Dermatology; December 2017, Vol. 137 Issue: 12 p2497-2504, 8p
Abstrakt: Atopic dermatitis (AD) has a well-established association with skin colonization or infection by Staphylococcus aureus, which can exacerbate the disease. However, a causal relationship between specific changes in skin colonization during the first years of life and AD development still remains unclear. In this prospective birth cohort study, we aimed to characterize the association between skin colonization and AD development in 149 white infants with or without a family history of atopy. We assessed infants clinically and collected axillary and antecubital fossa skin swabs for culture-based analysis at birth and at seven time points over the first 2 years of life. We found that at age 3 months, S. aureuswas more prevalent on the skin of infants who developed AD later on. S. aureusprevalence was increased on infants’ skin at the time of AD onset and also 2 months before it, when compared with age-matched, unaffected infants. Furthermore, at AD onset, infants testing positive for S. aureuswere younger than uncolonized subjects. In conclusion, our results suggest that specific changes in early-life skin colonization may actively contribute to clinical AD onset in infancy.
Databáze: Supplemental Index