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Updated: May 13, 2026

Experimental Human Pneumococcal Carriage
Published on: February 15, 2013
Dynamic pattern and genotypic diversity of Staphylococcus aureus nasopharyngeal carriage in healthy pre-school
S Blumental1, A Deplano, S Jourdain
1Paediatric Infectious Diseases Department, Hôpital Universitaire des Enfants Reine Fabiola, Brussels, Belgium. sophie.blumental@ulb.ac.be
Insights
Staphylococcus aureus carriage is common in young children, but persistent carriage is less frequent than believed. Methicillin-resistant S. aureus (MRSA) was found in 3% of children, not linked to PVL toxin.
Area of Science:
- Microbiology
- Epidemiology
- Genetics
Background:
- Staphylococcus aureus (S. aureus) carriage is considered more common in children than adults.
- Understanding carriage patterns is crucial for public health interventions.
Purpose of the Study:
- To investigate the temporal carriage patterns of S. aureus in preschool children.
- To analyze the genotypic diversity, toxin profiles, and antibiotic resistance of S. aureus strains.
Main Methods:
- Collected nasopharyngeal aspirates from 333 children aged 3-6 years over one school year.
- Utilized Polymerase Chain Reaction (PCR) for identification, methicillin resistance, and toxin gene detection.
- Performed spa sequencing and multilocus sequence typing (MLST) for genotyping.
Main Results:
- S. aureus was detected in 55% of children, with 15% showing persistent carriage and 44% intermittent carriage.
- Methicillin-resistant S. aureus (MRSA) was identified in 3% of children, with specific hospital-associated clones noted.
- Toxin gene prevalence varied, with toxic shock syndrome toxin common, while Panton-Valentine leucocidin (PVL) was rare.
Conclusions:
- Persistent S. aureus carriage in preschool children appears less common than previously assumed.
- MRSA carriage prevalence was low and not associated with PVL.
- Genotypic diversity was observed among both MRSA and methicillin-susceptible S. aureus (MSSA) isolates.
Objectives:
It is common wisdom that persistent carriage of Staphylococcus aureus is more frequent in young children than in adults. The objectives of this study were to assess the S. aureus temporal carriage pattern among a healthy community of pre-school children, with concomitant description of genotype diversity, toxin-encoding genes and antibiotic resistance.
Methods:
Among 333 children 3-6 years of age, S. aureus nasopharyngeal carriage was assessed over one school year by culture of three sequential nasopharyngeal aspirates. Identification, methicillin resistance and toxin production profile were determined by PCR. Genotyping was performed by spa sequencing and multilocus sequence typing (MLST).
Results:
Out of 830 samples collected, 286 (34%) yielded S. aureus from 185 carriers (55%). Based on consecutive genotype analysis, only 40/268 (15%) children could be classified as persistent carriers, and the remaining 118 (44%) showed intermittent carriage. spa typing revealed 82 types clustered into 13 spa clonal complexes (CCs). Fourteen strains isolated from 11 (3%) children were methicillin-resistant S. aureus (MRSA), half of these strains belonged to the commonly hospital-associated spa t008-ST8-SCCmec IV. Methicillin-susceptible S. aureus (MSSA) were genotypically more diverse. Toxic shock syndrome toxin and egc1/2 complexes were highly prevalent (24%). Contrastingly, Panton-Valentine leucocidin (PVL) was carried only by three MSSA strains (0.6% of children). Exfoliative toxins were detected in 10 (3.5%) MSSA strains, of which 5 were related to the impetigo clone CC121.
Conclusions:
Although S. aureus nasopharyngeal carriage was high among healthy pre-school children, persistent carriage seems to be less frequent than previously reported. The prevalence of MRSA carriage was 3%, but was not associated with PVL.
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