Cited by 2,685Antimicrobial Resistance in StaphylococcusAntibiotic Use and ResistanceBacterial biofilms and quorum sensing

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The role of nasal carriage in Staphylococcus aureus infections

Wertheim, Heiman FL, Melles, Damian C, Vos, Margreet C, van Leeuwen, Willem, van Belkum, Alex, Verbrugh, Henri A, Nouwen, Jan L·2005·The Lancet Infectious Diseases

DOI 10.1016/s1473-3099(05)70295-4

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Abstract

Staphylococcus aureus is a frequent cause of infections in both the community and hospital. Worldwide, the increasing resistance of this pathogen to various antibiotics complicates treatment of S aureus infections. Effective measures to prevent S aureus infections are therefore urgently needed. It has been shown that nasal carriers of S aureus have an increased risk of acquiring an infection with this pathogen. The nose is the main ecological niche where S aureus resides in human beings, but the determinants of the carrier state are incompletely understood. Eradication of S aureus from nasal carriers prevents infection in specific patient categories-eg, haemodialysis and general surgery patients. However, recent randomised clinical trials in orthopaedic and non-surgical patients failed to show the efficacy of eliminating S aureus from the nose to prevent subsequent infection. Thus we must elucidate the mechanisms behind S aureus nasal carriage and infection to be able to develop new preventive strategies. We present an overview of the current knowledge of the determinants (both human and bacterial) and risks of S aureus nasal carriage. Studies on the population dynamics of S aureus are also summarised.

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Authors: Wertheim, H. F., Melles, D. C., Vos, M. C., van Leeuwen, W., van Belkum, A., Verbrugh, H. A., & Nouwen, J. L.
Affiliations: Erasmus MC (NL)
Corresponding author: Wertheim, Heiman FL
ORCID: Wertheim, Heiman FL
Nouwen, Jan L
Venue: The Lancet Infectious Diseases
Publisher: Elsevier BV
Published: 2005-12
Volume: 5
Issue: 12
Pages: 751-762
ISSN: 1473-3099 (ISSN-L)
DOI: 10.1016/s1473-3099(05)70295-4
OpenAlex: W2098533519
Cited by: 2,685
References: 198
Citations by year: 2026: 96 · 2025: 138 · 2024: 175 · 2023: 130 · 2022: 146 · 2021: 181 · 2020: 191 · 2019: 161 · 2018: 173 · 2017: 162 · 2016: 145 · 2015: 155 · 2014: 162 · 2013: 155 · 2012: 127
FWCI: 4.58
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: The Lancet Infectious Diseases (publishedVersion)
PubMed (publishedVersion)
EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
Funders: Nierstichting
Topics: Health Sciences › Medicine › Infectious Diseases › Antimicrobial Resistance in Staphylococcus
Health Sciences › Medicine › Infectious Diseases › Antibiotic Use and Resistance
Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bacterial biofilms and quorum sensing
Keywords: Staphylococcus aureus, nasal carriage, infection control, antibiotic resistance, hemodialysis patients, orthopedic surgery, population dynamics, community-acquired infections, nosocomial infections
MeSH terms: Adolescent, Adult, Aged, Carrier State, Child, Child, Preschool, Female, Humans, Infant, Male, Middle Aged, Nose, Risk Factors, Staphylococcal Infections, Staphylococcus aureus

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The role of nasal carriage in Staphylococcus aureus infections

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