<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>Diabetic population were reported more likely to suffer carriage and infection with <italic>Staphylococcus aureus</italic> (<italic>S. aureus</italic>) and methicillin-resistant <italic>Staphylococcus aureus</italic> (MRSA) than non-diabetic population. We aim to elucidate the prevalence and characteristics of <italic>S. aureus</italic> and MRSA nasal carriage among diabetic population in the United States National Health and Nutrition Examination Survey, 2001–2004. Univariate analyses were conducted using Chi-square test, Fisher’s exact probability test or student <italic>t</italic> test, as appropriate. Multivariate analysis using logistic regression was conducted to assess the association between influencing factors and <italic>S. aureus</italic> and MRSA nasal carriage. 1010 diabetic participants were included in the study. The prevalence of <italic>S. aureus</italic> and MRSA nasal carriage were 28.32% and 1.09%, respectively. After the logistic regression, ever had a painful sensation or tingling in hands or feet past three months (Odds Ratio [OR] = 0.359, 95% Confidence Interval [CI], 0.146–0.882) was significant among <italic>S. aureus</italic> nasal carriage and gender (OR = 3.410, 95% CI, 1.091–10.653) was significant among MRSA nasal carriage. The proportions of staphylococcal enterotoxin (SE) A, SEB, SEC, SED, Toxic-shock syndrome toxin-1, and Panton Valentine Leukocidin toxin among <italic>S. aureus</italic> strains were 18.75%, 3.13%, 12.50%, 15.63%, 28.13%, and 9.38%, respectively. 63.63% of MRSA strains were community-acquired, 27.27% were hospital-acquired, and 9.09% were non-typeable. Diabetic patients might be more likely to carry <italic>S. aureus</italic> and MRSA in the United States. Improving hand hygiene compliance, reducing antibiotic overuse, screening for carriers, and decolonization are recommended to reduce the spread of <italic>S. aureus</italic> and MRSA, especially in community.</p>
</abstract>

Diabetic population were reported more likely to suffer carriage and infection with Staphylococcus aureus (S. aureus) and methicillin-resistant Staphylococcus aureus (MRSA) than non-diabetic population. We aim to elucidate the prevalence and characteristics of S. aureus and MRSA nasal carriage among diabetic population in the United States National Health and Nutrition Examination Survey, 2001–2004. Univariate analyses were conducted using Chi-square test, Fisher’s exact probability test or student t test, as appropriate. Multivariate analysis using logistic regression was conducted to assess the association between influencing factors and S. aureus and MRSA nasal carriage. 1010 diabetic participants were included in the study. The prevalence of S. aureus and MRSA nasal carriage were 28.32% and 1.09%, respectively. After the logistic regression, ever had a painful sensation or tingling in hands or feet past three months (Odds Ratio [OR] = 0.359, 95% Confidence Interval [CI], 0.146–0.882) was significant among S. aureus nasal carriage and gender (OR = 3.410, 95% CI, 1.091–10.653) was significant among MRSA nasal carriage. The proportions of staphylococcal enterotoxin (SE) A, SEB, SEC, SED, Toxic-shock syndrome toxin-1, and Panton Valentine Leukocidin toxin among S. aureus strains were 18.75%, 3.13%, 12.50%, 15.63%, 28.13%, and 9.38%, respectively. 63.63% of MRSA strains were community-acquired, 27.27% were hospital-acquired, and 9.09% were non-typeable. Diabetic patients might be more likely to carry S. aureus and MRSA in the United States. Improving hand hygiene compliance, reducing antibiotic overuse, screening for carriers, and decolonization are recommended to reduce the spread of S. aureus and MRSA, especially in community.

Prevalence, Influencing Factors, Antibiotic Resistance, Toxin and Molecular Characteristics of <italic>Staphylococcus aureus</italic> and MRSA Nasal Carriage among Diabetic Population in the United States, 2001–2004

Department of Epidemiology and Health Statistics

Public Health Laboratory Center, Guangdong Pharmaceutical University

Polish Journal of Microbiology

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Prevalence, Influencing Factors, Antibiotic Resistance, Toxin and Molecular Characteristics of  and MRSA Nasal Carriage among Diabetic Population in the United States, 2001–2004

Diabetic population were reported more likely to suffer carriage and infection with Staphylococcus aureus (S. aureus) and methicillin-resistant Staphylococcus...

Prevalence, Influencing Factors, Antibiotic Resistance, Toxin and Molecular Characteristics of Staphylococcus aureus and MRSA Nasal Carriage among Diabetic Population in the United States, 2001–2004

Published Online: Dec 04, 2017

Page range: 439 - 448

Received: Feb 22, 2017

Accepted: May 17, 2017

DOI: https://doi.org/10.5604/pjm-2017-439

Keywords
diabetics, MRSA, nasal carriage, NHANES

© 2017 JIALING LIN et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Prevalence, Influencing Factors, Antibiotic Resistance, Toxin and Molecular Characteristics of Staphylococcus aureus and MRSA Nasal Carriage among Diabetic Population in the United States, 2001–2004

Published Online: Dec 04, 2017

Page range: 439 - 448

Received: Feb 22, 2017

Accepted: May 17, 2017

DOI: https://doi.org/10.5604/pjm-2017-439

Keywordsdiabetics, MRSA, nasal carriage, NHANES

© 2017 JIALING LIN et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
diabetics, MRSA, nasal carriage, NHANES