Skip to main content
Top
Published in: European Journal of Clinical Microbiology & Infectious Diseases 9/2011

01-09-2011 | Article

Infant colonization by Staphylococcus aureus: role of maternal carriage

Authors: E. Chatzakis, E. Scoulica, N. Papageorgiou, S. Maraki, G. Samonis, E. Galanakis

Published in: European Journal of Clinical Microbiology & Infectious Diseases | Issue 9/2011

Login to get access

Abstract

Infant colonization by Staphylococcus aureus has not been adequately investigated. In this study, we aimed to define determinants associated with the carriage of S. aureus in early infancy. Serial nasal swabs were collected from 128 infants and their mothers at months 0, 6, and 12 postpartum. S. aureus isolates were characterized by pulsed-field gel electrophoresis (PFGE), multilocus sequence typing (MLST), spa typing, and the presence of chromosomal mecA and of Panton–Valentine leukocidin (PVL) genes. S. aureus was isolated in 17.7% and 15.7% of swabs from infants and mothers, respectively. Carriage rates were higher in infants with carrier mothers, non-smoking mothers, and many siblings. Persistent carriage rates were higher in infants with carrier or non-smoking mothers. S. aureus typing revealed identical strains in 10/15 investigated infant–mother pairs. Among 19 investigated S. aureus isolates from infants, ten harbored mecA and two harbored PVL genes, and these determinants were concomitantly present in isolates from mothers. Resistance to methicillin was 43.6% among all isolates from infants. In conclusion, isolates from infants were commonly identical to isolates from their mothers, pointing to a principal role of maternal carriage in S. aureus colonization in infants.
Literature
1.
go back to reference Dancer SJ (2008) Importance of the environment in meticillin-resistant Staphylococcus aureus acquisition: the case for hospital cleaning. Lancet Infect Dis 8:101–113PubMedCrossRef Dancer SJ (2008) Importance of the environment in meticillin-resistant Staphylococcus aureus acquisition: the case for hospital cleaning. Lancet Infect Dis 8:101–113PubMedCrossRef
2.
go back to reference Peacock SJ, Justice A, Griffiths D et al (2003) Determinants of acquisition and carriage of Staphylococcus aureus in infancy. J Clin Microbiol 41:5718–5725PubMedCrossRef Peacock SJ, Justice A, Griffiths D et al (2003) Determinants of acquisition and carriage of Staphylococcus aureus in infancy. J Clin Microbiol 41:5718–5725PubMedCrossRef
3.
go back to reference Lebon A, Labout JA, Verbrugh HA et al (2008) Dynamics and determinants of Staphylococcus aureus carriage in infancy: the Generation R Study. J Clin Microbiol 46:3517–3521PubMedCrossRef Lebon A, Labout JA, Verbrugh HA et al (2008) Dynamics and determinants of Staphylococcus aureus carriage in infancy: the Generation R Study. J Clin Microbiol 46:3517–3521PubMedCrossRef
4.
go back to reference Kluytmans J, van Belkum A, Verbrugh H (1997) Nasal carriage of Staphylococcus aureus: epidemiology, underlying mechanisms, and associated risks. Clin Microbiol Rev 10:505–520PubMed Kluytmans J, van Belkum A, Verbrugh H (1997) Nasal carriage of Staphylococcus aureus: epidemiology, underlying mechanisms, and associated risks. Clin Microbiol Rev 10:505–520PubMed
5.
go back to reference Bogaert D, van Belkum A, Sluijter M et al (2004) Colonisation by Streptococcus pneumoniae and Staphylococcus aureus in healthy children. Lancet 363:1871–1872PubMedCrossRef Bogaert D, van Belkum A, Sluijter M et al (2004) Colonisation by Streptococcus pneumoniae and Staphylococcus aureus in healthy children. Lancet 363:1871–1872PubMedCrossRef
6.
go back to reference Regev-Yochay G, Dagan R, Raz M et al (2004) Association between carriage of Streptococcus pneumoniae and Staphylococcus aureus in children. JAMA 292:716–720PubMedCrossRef Regev-Yochay G, Dagan R, Raz M et al (2004) Association between carriage of Streptococcus pneumoniae and Staphylococcus aureus in children. JAMA 292:716–720PubMedCrossRef
7.
go back to reference Lamaro-Cardoso J, de Lencastre H, Kipnis A et al (2009) Molecular epidemiology and risk factors for nasal carriage of Staphylococcus aureus and methicillin-resistant S. aureus in infants attending day care centers in Brazil. J Clin Microbiol 47:3991–3997PubMedCrossRef Lamaro-Cardoso J, de Lencastre H, Kipnis A et al (2009) Molecular epidemiology and risk factors for nasal carriage of Staphylococcus aureus and methicillin-resistant S. aureus in infants attending day care centers in Brazil. J Clin Microbiol 47:3991–3997PubMedCrossRef
8.
go back to reference Regev-Yochay G, Raz M, Carmeli Y et al; Maccabi Implementing Judicious Antibiotic Prescription Study Group (2009) Parental Staphylococcus aureus carriage is associated with staphylococcal carriage in young children. Pediatr Infect Dis J 28:960–965PubMedCrossRef Regev-Yochay G, Raz M, Carmeli Y et al; Maccabi Implementing Judicious Antibiotic Prescription Study Group (2009) Parental Staphylococcus aureus carriage is associated with staphylococcal carriage in young children. Pediatr Infect Dis J 28:960–965PubMedCrossRef
9.
go back to reference Gries DM, Zemzars TF, Gibson KA et al (2009) A pilot study to assess frequency of carriage and routes of acquisition of Staphylococcus aureus by healthy infants. Am J Infect Control 37:598–600PubMedCrossRef Gries DM, Zemzars TF, Gibson KA et al (2009) A pilot study to assess frequency of carriage and routes of acquisition of Staphylococcus aureus by healthy infants. Am J Infect Control 37:598–600PubMedCrossRef
10.
go back to reference Skov L, Halkjaer LB, Agner T et al (2009) Neonatal colonization with Staphylococcus aureus is not associated with development of atopic dermatitis. Br J Dermatol 160:1286–1291PubMedCrossRef Skov L, Halkjaer LB, Agner T et al (2009) Neonatal colonization with Staphylococcus aureus is not associated with development of atopic dermatitis. Br J Dermatol 160:1286–1291PubMedCrossRef
11.
go back to reference Datta F, Erb T, Heininger U et al; Pediatric Infectious Disease Group Switzerland Methicillin-Resistant Staphylococcus aureus Study Group (2008) A multicenter, cross-sectional study on the prevalence and risk factors for nasal colonization with Staphylococcus aureus in patients admitted to children’s hospitals in Switzerland. Clin Infect Dis 47:923–926PubMedCrossRef Datta F, Erb T, Heininger U et al; Pediatric Infectious Disease Group Switzerland Methicillin-Resistant Staphylococcus aureus Study Group (2008) A multicenter, cross-sectional study on the prevalence and risk factors for nasal colonization with Staphylococcus aureus in patients admitted to children’s hospitals in Switzerland. Clin Infect Dis 47:923–926PubMedCrossRef
12.
go back to reference Lo WT, Lin WJ, Tseng MH et al (2008) Risk factors and molecular analysis of Panton–Valentine leukocidin-positive methicillin-resistant Staphylococcus aureus colonization in healthy children. Pediatr Infect Dis J 27:713–718PubMedCrossRef Lo WT, Lin WJ, Tseng MH et al (2008) Risk factors and molecular analysis of Panton–Valentine leukocidin-positive methicillin-resistant Staphylococcus aureus colonization in healthy children. Pediatr Infect Dis J 27:713–718PubMedCrossRef
13.
go back to reference Bonness S, Szekat C, Novak N et al (2008) Pulsed-field gel electrophoresis of Staphylococcus aureus isolates from atopic patients revealing presence of similar strains in isolates from children and their parents. J Clin Microbiol 46:456–461PubMedCrossRef Bonness S, Szekat C, Novak N et al (2008) Pulsed-field gel electrophoresis of Staphylococcus aureus isolates from atopic patients revealing presence of similar strains in isolates from children and their parents. J Clin Microbiol 46:456–461PubMedCrossRef
14.
go back to reference Stone A, Quittell L, Zhou J et al (2009) Staphylococcus aureus nasal colonization among pediatric cystic fibrosis patients and their household contacts. Pediatr Infect Dis J 28:895–899PubMedCrossRef Stone A, Quittell L, Zhou J et al (2009) Staphylococcus aureus nasal colonization among pediatric cystic fibrosis patients and their household contacts. Pediatr Infect Dis J 28:895–899PubMedCrossRef
15.
go back to reference Niniou I, Vourli S, Lebessi E et al (2008) Clinical and molecular epidemiology of community-acquired, methicillin-resistant Staphylococcus aureus infections in children in central Greece. Eur J Clin Microbiol Infect Dis 27:831–837PubMedCrossRef Niniou I, Vourli S, Lebessi E et al (2008) Clinical and molecular epidemiology of community-acquired, methicillin-resistant Staphylococcus aureus infections in children in central Greece. Eur J Clin Microbiol Infect Dis 27:831–837PubMedCrossRef
16.
go back to reference Strommenger B, Kettlitz C, Weniger T et al (2006) Assignment of Staphylococcus isolates to groups by spa typing, SmaI macrorestriction analysis, and multilocus sequence typing. J Clin Microbiol 44:2533–2540PubMedCrossRef Strommenger B, Kettlitz C, Weniger T et al (2006) Assignment of Staphylococcus isolates to groups by spa typing, SmaI macrorestriction analysis, and multilocus sequence typing. J Clin Microbiol 44:2533–2540PubMedCrossRef
17.
go back to reference Andrews JI, Fleener DK, Messer SA et al (2009) Screening for Staphylococcus aureus carriage in pregnancy: usefulness of novel sampling and culture strategies. Am J Obstet Gynecol 201:396.e1–396.e5CrossRef Andrews JI, Fleener DK, Messer SA et al (2009) Screening for Staphylococcus aureus carriage in pregnancy: usefulness of novel sampling and culture strategies. Am J Obstet Gynecol 201:396.e1–396.e5CrossRef
18.
go back to reference Beigi R, Hanrahan J (2007) Staphylococcus aureus and MRSA colonization rates among gravidas admitted to labor and delivery: a pilot study. Infect Dis Obstet Gynecol 2007:70876PubMed Beigi R, Hanrahan J (2007) Staphylococcus aureus and MRSA colonization rates among gravidas admitted to labor and delivery: a pilot study. Infect Dis Obstet Gynecol 2007:70876PubMed
19.
go back to reference Melles DC, Pauw E, van den Boogaard L et al (2008) Host–microbe interplay in persistent Staphylococcus aureus nasal carriage in HIV patients. Microbes Infect 10:151–158PubMedCrossRef Melles DC, Pauw E, van den Boogaard L et al (2008) Host–microbe interplay in persistent Staphylococcus aureus nasal carriage in HIV patients. Microbes Infect 10:151–158PubMedCrossRef
20.
go back to reference Qu F, Cui E, Guo T et al (2010) Nasal colonization of and clonal transmission of methicillin-susceptible Staphylococcus aureus among Chinese military volunteers. J Clin Microbiol 48:64–69PubMedCrossRef Qu F, Cui E, Guo T et al (2010) Nasal colonization of and clonal transmission of methicillin-susceptible Staphylococcus aureus among Chinese military volunteers. J Clin Microbiol 48:64–69PubMedCrossRef
21.
go back to reference Melles DC, Bogaert D, Gorkink RFJ et al (2007) Nasopharyngeal co-colonization with Staphylococcus aureus and Streptococcus pneumoniae in children is bacterial genotype independent. Microbiology 153:686–692PubMedCrossRef Melles DC, Bogaert D, Gorkink RFJ et al (2007) Nasopharyngeal co-colonization with Staphylococcus aureus and Streptococcus pneumoniae in children is bacterial genotype independent. Microbiology 153:686–692PubMedCrossRef
22.
go back to reference Adler A, Givon-Lavi N, Moses AE et al (2010) Carriage of community-associated methicillin-resistant Staphylococcus aureus in a cohort of infants in southern Israel: risk factors and molecular features. J Clin Microbiol 48:531–538PubMedCrossRef Adler A, Givon-Lavi N, Moses AE et al (2010) Carriage of community-associated methicillin-resistant Staphylococcus aureus in a cohort of infants in southern Israel: risk factors and molecular features. J Clin Microbiol 48:531–538PubMedCrossRef
23.
go back to reference Sdougkos G, Chini V, Papanastasiou DA et al (2008) Community-associated Staphylococcus aureus infections and nasal carriage among children: molecular microbial data and clinical characteristics. Clin Microbiol Infect 14:995–1001PubMedCrossRef Sdougkos G, Chini V, Papanastasiou DA et al (2008) Community-associated Staphylococcus aureus infections and nasal carriage among children: molecular microbial data and clinical characteristics. Clin Microbiol Infect 14:995–1001PubMedCrossRef
Metadata
Title
Infant colonization by Staphylococcus aureus: role of maternal carriage
Authors
E. Chatzakis
E. Scoulica
N. Papageorgiou
S. Maraki
G. Samonis
E. Galanakis
Publication date
01-09-2011
Publisher
Springer-Verlag
Published in
European Journal of Clinical Microbiology & Infectious Diseases / Issue 9/2011
Print ISSN: 0934-9723
Electronic ISSN: 1435-4373
DOI
https://doi.org/10.1007/s10096-011-1199-9

Other articles of this Issue 9/2011

European Journal of Clinical Microbiology & Infectious Diseases 9/2011 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine