Staphylococcus aureus nasal colonization among HIV-infected adults in Botswana: prevalence and risk factors

被引:10
作者
Reid, Michael J. A. [1 ]
Steenhoff, Andrew P. [2 ,3 ]
Mannathoko, Naledi [4 ]
Muthoga, Charles [2 ]
McHugh, Erin [5 ]
Brown, Eric L. [5 ]
Fischer, Rebecca S. B. [5 ,6 ]
机构
[1] Univ Calif San Francisco, Div Infect Dis, 513 Parnassus Ave,S380, San Francisco, CA 94143 USA
[2] Botswana UPenn Partnership, Gaborone, Botswana
[3] Univ Penn, Childrens Hosp Philadelphia, Philadelphia, PA 19104 USA
[4] Univ Botswana, Fac Hlth Sci, Gaborone, Botswana
[5] Univ Texas Hlth Sci Ctr Houston, Sch Publ Hlth, Houston, TX 77030 USA
[6] Baylor Coll Med, Natl Sch Trop Med, Houston, TX 77030 USA
来源
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2017年 / 29卷 / 08期
关键词
S; aureus; HIV; sub-Saharan Africa; nasal colonization; CARRIAGE; CHILDREN;
D O I
10.1080/09540121.2017.1282600
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
We sought to determine the clinical and epidemiologic determinants of Staphylococcus aureus nasal colonization in HIV-infected individuals at two outpatient centers in southern Botswana. Standard microbiologic techniques were used to identify S. aureus and methicillin-resistant S. aureus (MRSA). In a sample of 404 HIV-infected adults, prevalence of S. aureus nasal carriage was 36.9% (n=152) and was associated with domestic overcrowding and lower CD4 cell count. MRSA prevalence was low (n=13, 3.2%), but more common among individuals with asthma and eczema. The implications of these findings for HIV management are discussed.
引用
收藏
页码:961 / 965
页数:5
相关论文
共 24 条
[1]  
Agency N. A. C., 2013, PREL RES BOTSW AIDS, P25
[2]  
Akoua Koffi C, 2004, Dakar Med, V49, P70
[3]   Alternatives for logistic regression in cross-sectional studies: An empirical comparison of models that directly estimate the prevalence ratio [J].
Aluísio JD Barros ;
Vânia N Hirakata .
BMC Medical Research Methodology, 3 (1) :1-13
[4]   Are the epidemiology and microbiology of methicillin-resistant Staphylococcus aureus changing? [J].
Boyce, JM .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 279 (08) :623-624
[5]   Prevalence of and risk factors for methicillin-resistant Staphylococcus aureus (MRSA) nasal colonization in HIV-infected ambulatory patients [J].
Cenizal, Mary Jo ;
Hardy, Robert D. ;
Anderson, Marc ;
Katz, Kathy ;
Skiest, Daniel J. .
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2008, 48 (05) :567-571
[6]   High incidence of antimicrobial resistant organisms including extended spectrum beta-lactamase producing Enterobacteriaceae and methicillin-resistant Staphylococcus aureus in nasopharyngeal and blood isolates of HIV-infected children from Cape Town, South Africa [J].
Cotton, Mark F. ;
Wasserman, Elizabeth ;
Smit, Juanita ;
Whitelaw, Andrew ;
Zar, Heather J. .
BMC INFECTIOUS DISEASES, 2008, 8 (1)
[7]  
Coutinho Leticia M S, 2008, Rev. Saúde Pública, V42, P992, DOI 10.1590/S0034-89102008000600003
[8]   MRSA in Africa: Filling the Global Map of Antimicrobial Resistance [J].
Falagas, Matthew E. ;
Karageorgopoulos, Drosos E. ;
Leptidis, John ;
Korbila, Ioanna P. .
PLOS ONE, 2013, 8 (07)
[9]  
Gebreyesus Araya, 2013, Ethiop Med J, V51, P41
[10]   Emergence of a Community-Associated Methicillin-Resistant Staphylococcus aureus Strain with a Unique Resistance Profile in Southwest Nigeria [J].
Ghebremedhin, B. ;
Olugbosi, M. O. ;
Raji, A. M. ;
Layer, F. ;
Bakare, R. A. ;
Koenig, B. ;
Koenig, W. .
JOURNAL OF CLINICAL MICROBIOLOGY, 2009, 47 (09) :2975-2980