1. Nasal microbiota predictors for methicillin resistant Staphylococcus colonization in critically ill children.
- Author
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Kathleen Zani, Joseph Hobeika, Yilun Sun, Christina Kohler, Anju Cherian, Trinity Fields, Qidong Jia, Li Tang, Nicholas D Hysmith, and Elisa B Margolis
- Subjects
Medicine ,Science - Abstract
BackgroundSurveillance cultures to identify patients colonized with methicillin-resistant Staphylococcus aureus (MRSA) is recommended at pediatric intensive care unit (PICU) admission but doesn't capture other methicillin-resistant Staphylococcus and is resource intensive. We determined the prevalence and identified nasal microbiome predictors for methicillin-resistant Staphylococcus colonization at the time of PICU admission.Study designA prospective cohort study was performed in a 20-bed pediatric intensive care unit (PICU) between 2020-2021. Anterior nares nasal swabs processed for MRSA culture, nasal microbiome and mecA+ qPCR were obtained within first five days after PICU admission. Predictive values of methicillin-resistant Staphylococcus carriage on symptoms of infection and for nasal microbiome attributes were calculated.ResultsA total of 5 (8.0%) of 62 patients had a nares culture positive for MRSA and 22 (35.5%) of 63 patients had methicillin-resistant Staphylococcus (MRSA or methicillin-resistant coagulase-negative Staphylococci). In univariate analysis, carriage with MRSA or MRCoNS was associated with having a fever during PICU stay. Colonization with a distinct set of microbes (including Haemophilus, Streptococcus, Prevotella and Corynebacterium sp.) was predictive of having methicillin-resistant Staphylococcus colonization.ConclusionsCarriage with methicillin-resistant Staphylococcus may lead to transmission in critically ill pediatric patients. Carriage of particular nasal microbes appears to facilitate colonization with methicillin-resistant Staphylococcus.
- Published
- 2025
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