Nasal Carriage of Staphylococcus aureus in HIV/AIDS Positive Children at the Innocens Foundation. Resistance to Methicillin and Erythromycin
Abstract
Staphylococcus aureus is part of the normal flora of the skin and mucous membranes, with the nostrils the primary reservoir. Patients with HIV/AIDS, carriers of S. aureus, are more likely to develop infections due to this organism. The aim was to determine the nasal carriage of S. aureus in children who come for outpatient consultation at the INNOCENS Foundation and its resistance to methicillin and erythromycin, using a prospective descriptive study. During the months February-April 2013, 38 nasal secretion samples were analyzed. The samples were inoculated onto blood agar plates and colonies compatible with Staphylococcus spp. were identified, including their species. In the S. aureus strains, resistance to oxacillin was detected by the disk diffusion method, a screening test (agar supplemented with 6 ug/mL of oxacillin and 4% sodium chloride) and Minimum Inhibitory Concentration. Of the 38 children with HIV, 17 (44.7 %) carried S. aureus in their nostrils. Of these, 3 were resistant to methicillin and 8 (47.1%) were resistant to erythromycin. Nasal carriage of S. aureus in children with HIV is a serious problem because it can further compromise their health.Staphylococcus aureus is part of the normal flora of the skin and mucous membranes, withthe nostrils the primary reservoir. Patients with HIV/AIDS, carriers of S. aureus, are more likely todevelop infections due to this organism. The aim was to determine the nasal carriage of S. aureusin children who come for outpatient consultation at the INNOCENS Foundation and its resistanceto methicillin and erythromycin, using a prospective descriptive study. During the monthsFebruary-April 2013, 38 nasal secretion samples were analyzed. The samples were inoculated ontoblood agar plates and colonies compatible with Staphylococcus spp. were identified, includingtheir species. In the S. aureus strains, resistance to oxacillin was detected by the disk diffusionmethod, a screening test (agar supplemented with 6 ug/mL of oxacillin and 4% sodium chloride)and Minimum Inhibitory Concentration. Of the 38 children with HIV, 17 (44.7 %) carried S.aureus in their nostrils. Of these, 3 were resistant to methicillin and 8 (47.1%) were resistant toerythromycin. Nasal carriage of S. aureus in children with HIV is a serious problem because it canfurther compromise their health.Copyright (c) 2015 Lisette Sandrea, Eyilde Piña, América Paz, Alisbeth Fuenmayor, Oly Torrealba, María Sandrea
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