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Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
Methicillin-resistant S. aureus colonization in Mexican children attending day care centres
Norma Velázquez-Guadarrama1, Gerardo Martinez-Aguilar, José Arellano Galindo
1Laboratorio de Bacteriología, Departamento de Infectología, Hospital Infantil de México Federico Gómez, México DF, México.
Insights
Methicillin-resistant Staphylococcus aureus (MRSA) carriage was found in 0.93% of children attending day care centers in Mexico. Higher MRSA prevalence was observed in the north and south regions compared to the central region.
Area of Science:
- Microbiology
- Epidemiology
- Infectious Diseases
Background:
- Staphylococcus aureus, including Methicillin-resistant Staphylococcus aureus (MRSA), is a significant human pathogen.
- Day care centers (DCCs) are environments where children have close contact, potentially facilitating pathogen transmission.
- Understanding MRSA carriage in pediatric populations is crucial for public health surveillance.
Purpose of the Study:
- To determine the prevalence of MRSA carriage in children attending day care centers across Mexico.
- To analyze the genetic relatedness of Staphylococcus aureus strains, particularly MRSA isolates.
- To investigate geographic variations in MRSA prevalence within Mexico.
Main Methods:
- A cross-sectional study involving 2345 apparently healthy children aged 6 months to 6 years attending DCCs.
- Nasopharyngeal specimens were collected and processed for bacterial isolation.
- Antimicrobial susceptibility testing and pulsed-field gel electrophoresis (PFGE) were used for genetic analysis of MRSA isolates.
Main Results:
- Staphylococcus aureus was identified in 10.1% of children, with an overall MRSA carriage prevalence of 0.93%.
- MRSA prevalence was significantly higher in day care centers located in the northern (1.75%) and southern (1.71%) regions compared to the central region (0.08%).
- Pulsed-field gel electrophoresis revealed six distinct MRSA restriction profiles, with a predominant pattern observed.
Conclusions:
- MRSA strains colonize children attending day care centers in Mexico, with a notable concentration in the northern and southern regions.
- Two closely related MRSA clones (Clone A and B) accounted for 45% of all MRSA isolates.
- Both SCCmec type II and type IV strains were detected across all three geographic regions studied.
Purpose:
To determine MRSA carriage rates and genetic relationships of S. aureus strains in children attending day care centres in 14 cities from three geographic regions in Mexico.
Materials And Methods:
Cross-Sectional Study performed in apparently healthy children aged from 6 mo to 6 yr attending day care centres (DCCs). From September 2002 To January 2003, 2345 nasopharyngeal specimens from a similar number of children were collected. Nasopharyngeal samples for bacterial isolation were obtained by standard methods. Antimicrobial susceptibility was determined and genetic relatedness of all MRSA isolates was determined by pulsed field gel electrophoresis (PFGE).
Results:
S. aureus was identified in 237 children (10.1%), twenty-two children had MSRA for an overall prevalence of MRSA carriage of 0.93%. Children attending DCCs from cities located in the north and south of Mexico showed higher prevalence than children from DCCs in the central region; 1.75%, and 1.71 vs. 0.08%, respectively (P < 0.05). PFGE demonstrated six different restriction profiles of MRSA with a predominant pattern.
Conclusions:
We documented the presence of MRSA strain colonizing children attending DCCs in Mexico, mainly in the south and north regions of the country. Clone A and B which are closely related represented 45 % of the total of MRSA isolates. We found both, SCCmec type II and type IV strains in the three regions.
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