Abstract

FALCON, Miryan et al. Nasal Portability of Staphylococcus aureus and its Association with Furunculosis to Repetition. Rev. Inst. Med. Trop. [online]. 2017, vol.12, n.2, pp.23-30. ISSN 1996-3696.  https://doi.org/10.18004/imt/201712223-30.

Staphylococcus aureus is a bacterium that colonizes the skin and / or nostrils of healthy people and produces a wide range of infections, from forunculosis to the most serious such as pneumonia or sepsis. The nasal carriage of Staphylococcus aureus appear to be key in the epidemiology and pathogenesis of infection. Staphylococcus aureus characterizes by presenting the mecA gene which confers resistance to methicillin and could be sensitive to other non-beta-lactam antibiotics. Its virulence is mainly associated to the Panton-Valentine Leucocidine (PVL) a cytotoxin that causes destruction of the leukocytes and tissue necrosis, which facilitates the abscess production. The objectives of this study were, to associate the nasal carriage of Staphylococcus aureus with recurrent forunculosis, to determine by the polymerase chain reaction method (PCR) the genes encoding methicillin resistance and the toxin PVL. It was studied 128 strains of Staphylococcus aureus from patients with or without antibiotic treatment and went to the laboratory between 2016 and 2017 with recurrent forunculosis, of which 74 strains were isolated from the lesions and 54 from nasal swabs. Of the total strains, 66.4% were methicillin resistance and 78.9% presented PVL toxin. There obtained a high association between the nasal carriage of Staphylococcus aureus of the community with recurrent forunculosis (OR: 5,3 IC95: 1,9 - 14,2%; p = 0,0004< p=0,02; X2).

Keywords : Staphylococcus aureus; nasal carriage; forunculosis; mecA; PVL..

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