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Updated: Jun 18, 2026

Experimental Human Pneumococcal Carriage
Published on: February 15, 2013
Staphylococcus aureus nasal carriage rate and associated risk factors in individuals in the community
M A Halablab1, S M Hijazi, M A Fawzi
1College of Science and Information Systems, Hariri Canadian University, Damour, Chouf 2010, Lebanon. halablabma@hcu.edu.lb
Abstract:
The increasing prevalence of Staphylococcus aureus and methicillin-resistant S. aureus (MRSA) strains together with their disease impact on hospital patients and individuals in the community has posed a major challenge to healthcare workers. This study examined the prevalence of S. aureus nasal carriage, antimicrobial susceptibility patterns, and possible risk factors in the community. Of 500 studied subjects (aged from 6 to 65 years) in Lebanon, the overall S. aureus nasal carriage rate was 38.4%, the highest (57.1%) being in children aged 6-10 years. Only eight individuals (1.6%) were carriers of MRSA. Risk factors for S. aureus nasal colonization were male gender, young age, contact with healthcare workers, use of needle injections, and having asthma. A significant decrease in colonization rate was associated with nasal wash with water, use of nasal sprays, and the presence of acne. These findings may assist in better understanding of control measures to decrease nasal colonization with S. aureus in Lebanon and elsewhere.
Insights
Staphylococcus aureus nasal carriage is common, especially in children. Methicillin-resistant S. aureus (MRSA) is rare, but risk factors like male gender and young age increase colonization.
Area of Science:
- Microbiology
- Infectious Diseases
- Public Health
Background:
- Increasing prevalence of Staphylococcus aureus and MRSA poses a significant healthcare challenge.
- Understanding community S. aureus nasal carriage is crucial for infection control.
Purpose of the Study:
- To determine the prevalence of S. aureus nasal carriage in the Lebanese community.
- To investigate antimicrobial susceptibility patterns and identify risk factors for S. aureus nasal colonization.
Main Methods:
- Cross-sectional study involving 500 individuals aged 6-65 years in Lebanon.
- Nasal swabs were collected to identify S. aureus and MRSA.
- Statistical analysis was performed to identify risk factors.
Main Results:
- Overall S. aureus nasal carriage rate was 38.4%, highest in children (57.1%).
- Methicillin-resistant S. aureus (MRSA) carriage was low at 1.6%.
- Risk factors included male gender, young age, healthcare contact, injections, and asthma. Nasal hygiene decreased colonization.
Conclusions:
- S. aureus nasal colonization is prevalent in the Lebanese community, particularly in children.
- MRSA is uncommon, but specific risk factors are identified.
- Findings can inform targeted control strategies to reduce S. aureus nasal carriage.
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