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The role of nasal carriage in Staphylococcus aureus infections
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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“bacterial colonization of the URT is generally considered as the first step in the development of invasive bacterial infections (83, 84), including secondary bacterial infections following respiratory viral infection”
From Respiratory viral infection-induced microbiome alterations and secondary bacterial pneumonia. (2018) · cites this paper as [83]
In the citing paper
“S. aureus is transiently carried in the nose of 30% of the population, whilst 20% of the population have persistent nasal colonization (Wertheim et al., 2005).”
From Secondary bacterial infections associated with influenza pandemics (2017) · cites this paper as Wertheim et al., 2005
In the citing paper
“Like H. influenzae and S. pneumoniae, S. aureus is an opportunistic pathogen and a major cause of bacteraemia (Wertheim et al., 2005; Tong et al., 2015).”
From Secondary bacterial infections associated with influenza pandemics (2017) · cites this paper as Wertheim et al., 2005
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Metadata
- 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
- Venue
- The Lancet Infectious Diseases
- Publisher
- Elsevier BV
- Published
- 2005-12
- Volume
- 5
- Issue
- 12
- Pages
- 751-762
- ISSN
- 1473-3099 (ISSN-L)
- 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
- 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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