Screening the nose, throat and the naso-pharynx for methicillin-resistant Staphylococcus aureus: a pilot study

Autor: Peter M. Kinnevey, Anna C. Shore, David C. Coleman, Joy Uwemedimo, T.T. Poovelikunnel, Deirdre Fitzgerald-Hughes, Hilary Humphreys
Rok vydání: 2020
Předmět:
Zdroj: Journal of Infection Prevention. 21:155-158
ISSN: 1757-1782
1757-1774
DOI: 10.1177/1757177420921915
Popis: Patients who carry nasal methicillin-resistant Staphylococcus aureus (MRSA) may also harbour MRSA in the oro-pharyngeal cavity. However, the naso-oro-pharyngeal co-carriage is infrequently assessed. The incidence of concurrent MRSA carriage of the naso-oro-pharynx was ascertained, and the sensitivity of two methods, a throat swab and a phosphate buffered saline (PBS) oral rinse, for MRSA detection was investigated. Among nasal MRSA carriers, 80% harboured MRSA in the oro-pharynx. Among these patients, 15% had MRSA detected in the oro-pharynx and not in the throat. Oro-pharyngeal colonisation represents a significant reservoir to persistence as well as nasal recolonisation. Decolonisation methods effective in reducing oro-pharyngeal MRSA in addition to nasal carriage should be investigated.
Databáze: OpenAIRE