Methicillin-resistant Staphylococcus aureus (MRSA) nasal carriage among patients with diabetes at the Korle Bu Teaching Hospital.

<h4>Aim</h4>To investigate the epidemiology of S. aureus and MRSA nasal carriage among people with diabetes at the Korle Bu Teaching Hospital in Accra, including the prevalence, predictors of carriage, and antibiotic resistance.<h4>Methodology</h4>This study was cross-section...

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Autores principales: Ramzy B Anafo, Yacoba Atiase, Fleischer C N Kotey, Nicholas T K D Dayie, Patience B Tetteh-Quarcoo, Samuel Duodu, Mary-Magdalene Osei, Khalid J Alzahrani, Eric S Donkor
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spelling oai:doaj.org-article:7f6e2f2c483a43c28c1a13c44a137b932021-12-02T20:14:33ZMethicillin-resistant Staphylococcus aureus (MRSA) nasal carriage among patients with diabetes at the Korle Bu Teaching Hospital.1932-620310.1371/journal.pone.0257004https://doaj.org/article/7f6e2f2c483a43c28c1a13c44a137b932021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257004https://doaj.org/toc/1932-6203<h4>Aim</h4>To investigate the epidemiology of S. aureus and MRSA nasal carriage among people with diabetes at the Korle Bu Teaching Hospital in Accra, including the prevalence, predictors of carriage, and antibiotic resistance.<h4>Methodology</h4>This study was cross-sectional, involving 300 diabetes patients and 106 non-diabetic individuals. Swab specimens of the nares were obtained from the participants and bacteriologically-cultured. Identification and characterization of S. aureus and MRSA were based on standard bacteriological methods; antimicrobial susceptibility testing was by the Kirby-Bauer method.<h4>Results</h4>The prevalence of staphylococcal carriage, the diabetes group relative to the non-diabetes group, were 31.0% and 10.4% (S. aureus), and 3.3% and 0.0% (MRSA). Presence of diabetes predisposed to S. aureus carriage, but not MRSA nor coagulase-negative staphylococci (CoNS) carriage (OR = 3.88; p < 0.0001). Colonization with CoNS was protective of S. aureus (OR = 0.039, p < 0.001) and MRSA (OR = 0.115, p = 0.043) colonization among the diabetics. The antimicrobial resistance patterns recorded among the S. aureus isolated from the diabetic individuals relative to the non-diabetics were as follows: penicillin (95% vs. 91%), tetracycline (37% vs. 27%), cotrimoxazole (30% vs. 36%), erythromycin (17% vs. 0%), norfloxacin (13% vs. 0%), clindamycin (12% vs. 0%), gentamicin (9% vs. 0%), fusidic acid (10% vs. 9%), linezolid (4% vs. 0%), and rifampicin (5% vs. 0%). The proportion of multidrug resistant S. aureus was 41% (n = 38) in the diabetes group and 0% in the non-diabetes group; this difference was statistically significant (p = 0.01).<h4>Conclusions</h4>The presence of diabetes predisposed the participants to S. aureus carriage by almost four folds, but not MRSA carriage. Colonization with CoNS was protective of S. aureus and MRSA carriage in the diabetes group. Finally, linezolid remains a good therapeutic agent for anti-MRSA therapy.Ramzy B AnafoYacoba AtiaseFleischer C N KoteyNicholas T K D DayiePatience B Tetteh-QuarcooSamuel DuoduMary-Magdalene OseiKhalid J AlzahraniEric S DonkorPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257004 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Ramzy B Anafo
Yacoba Atiase
Fleischer C N Kotey
Nicholas T K D Dayie
Patience B Tetteh-Quarcoo
Samuel Duodu
Mary-Magdalene Osei
Khalid J Alzahrani
Eric S Donkor
Methicillin-resistant Staphylococcus aureus (MRSA) nasal carriage among patients with diabetes at the Korle Bu Teaching Hospital.
description <h4>Aim</h4>To investigate the epidemiology of S. aureus and MRSA nasal carriage among people with diabetes at the Korle Bu Teaching Hospital in Accra, including the prevalence, predictors of carriage, and antibiotic resistance.<h4>Methodology</h4>This study was cross-sectional, involving 300 diabetes patients and 106 non-diabetic individuals. Swab specimens of the nares were obtained from the participants and bacteriologically-cultured. Identification and characterization of S. aureus and MRSA were based on standard bacteriological methods; antimicrobial susceptibility testing was by the Kirby-Bauer method.<h4>Results</h4>The prevalence of staphylococcal carriage, the diabetes group relative to the non-diabetes group, were 31.0% and 10.4% (S. aureus), and 3.3% and 0.0% (MRSA). Presence of diabetes predisposed to S. aureus carriage, but not MRSA nor coagulase-negative staphylococci (CoNS) carriage (OR = 3.88; p < 0.0001). Colonization with CoNS was protective of S. aureus (OR = 0.039, p < 0.001) and MRSA (OR = 0.115, p = 0.043) colonization among the diabetics. The antimicrobial resistance patterns recorded among the S. aureus isolated from the diabetic individuals relative to the non-diabetics were as follows: penicillin (95% vs. 91%), tetracycline (37% vs. 27%), cotrimoxazole (30% vs. 36%), erythromycin (17% vs. 0%), norfloxacin (13% vs. 0%), clindamycin (12% vs. 0%), gentamicin (9% vs. 0%), fusidic acid (10% vs. 9%), linezolid (4% vs. 0%), and rifampicin (5% vs. 0%). The proportion of multidrug resistant S. aureus was 41% (n = 38) in the diabetes group and 0% in the non-diabetes group; this difference was statistically significant (p = 0.01).<h4>Conclusions</h4>The presence of diabetes predisposed the participants to S. aureus carriage by almost four folds, but not MRSA carriage. Colonization with CoNS was protective of S. aureus and MRSA carriage in the diabetes group. Finally, linezolid remains a good therapeutic agent for anti-MRSA therapy.
format article
author Ramzy B Anafo
Yacoba Atiase
Fleischer C N Kotey
Nicholas T K D Dayie
Patience B Tetteh-Quarcoo
Samuel Duodu
Mary-Magdalene Osei
Khalid J Alzahrani
Eric S Donkor
author_facet Ramzy B Anafo
Yacoba Atiase
Fleischer C N Kotey
Nicholas T K D Dayie
Patience B Tetteh-Quarcoo
Samuel Duodu
Mary-Magdalene Osei
Khalid J Alzahrani
Eric S Donkor
author_sort Ramzy B Anafo
title Methicillin-resistant Staphylococcus aureus (MRSA) nasal carriage among patients with diabetes at the Korle Bu Teaching Hospital.
title_short Methicillin-resistant Staphylococcus aureus (MRSA) nasal carriage among patients with diabetes at the Korle Bu Teaching Hospital.
title_full Methicillin-resistant Staphylococcus aureus (MRSA) nasal carriage among patients with diabetes at the Korle Bu Teaching Hospital.
title_fullStr Methicillin-resistant Staphylococcus aureus (MRSA) nasal carriage among patients with diabetes at the Korle Bu Teaching Hospital.
title_full_unstemmed Methicillin-resistant Staphylococcus aureus (MRSA) nasal carriage among patients with diabetes at the Korle Bu Teaching Hospital.
title_sort methicillin-resistant staphylococcus aureus (mrsa) nasal carriage among patients with diabetes at the korle bu teaching hospital.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/7f6e2f2c483a43c28c1a13c44a137b93
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