Nasal mupirocin treatment of pharynx-colonized methicillin resistant Staphylococcus aureus: Preliminary study with 10 carrier infants
| Autor: | Tadashi Hayashidera, Sachiko Katsura, Takahiro Hayakawa, Takashi Kusunoki, Kozo Yoneda |
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| Rok vydání: | 2000 |
| Předmět: |
Male
Staphylococcus aureus medicine.medical_specialty Mupirocin macromolecular substances Nose medicine.disease_cause chemistry.chemical_compound stomatognathic system Internal medicine otorhinolaryngologic diseases medicine Humans Administration Intranasal Cross Infection Transmission (medicine) business.industry Pharynx Infant Newborn Pharyngeal Diseases Staphylococcal Infections biochemical phenomena metabolism and nutrition Methicillin-resistant Staphylococcus aureus Surgery medicine.anatomical_structure chemistry Carrier State Pediatrics Perinatology and Child Health Female Methicillin Resistance business |
| Zdroj: | Pediatrics International. 42:67-70 |
| ISSN: | 1442-200X 1328-8067 |
| DOI: | 10.1046/j.1442-200x.2000.01177.x |
| Popis: | Background: Nosocomial methicillin-resistant Staphylococcus aureus (MRSA) infection in infants has become a serious concern and a new means of preventing the transmission of MRSA in the community needs to be considered. Methods: We performed nasal mupirocin treatment on 10 infants who were MRSA-positive either in the nose or the pharynx and evaluated the effect of mupirocin on the eradication of MRSA. Results: Eradication of MRSA from the nose was successful in two cases and eradication from the pharynx in six (66.6%) of nine cases. The number of treatments required to achieve eradication varied; within three courses for nose carriers and from one to seven courses for pharynx carriers. Eradication was unsuccessful even after five to seven treatments in three pharynx-limited carriers. Conclusions: These data suggest that the effect of nasal mupirocin treatment on pharynx-colonized MRSA is limited and that repetitive treatment is necessary in some cases. However, in view of the possibility of preferential pharyngeal colonization of Staphylococcus aureus in infancy, nasal mupirocin treatment deserves further evaluation for eradication not only of nose- but also of pharynx-colonized MRSA. |
| Databáze: | OpenAIRE |
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