HIGH STAPHYLOCOCCUS-AUREUS NASAL CARRIAGE RATE IN PATIENTS WITH ACQUIRED-IMMUNODEFICIENCY-SYNDROME OR AIDS-RELATED COMPLEX

被引：45

作者：

RAVIGLIONE, MC

MARIUZ, P

PABLOSMENDEZ, A

BATTAN, R

OTTUSO, P

TARANTA, A

机构：

[1] Department of Medicine, Cabrini Medical Center, New York, NY

来源：

AMERICAN JOURNAL OF INFECTION CONTROL | 1990年 / 18卷 / 02期

关键词：

D O I：

10.1016/0196-6553(90)90083-5

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Staphylococcus aureus has been reported to cause a high number of infections and septicemias, often related to intravenous catheters, in patients with acquired immunodeficiency syndrome (AIDS). Our objective was to assess the frequency of S. aureus nasal carriage among patients with AIDS or AIDS-related complex (ARC). The nasal carriage rate of S. aureus was determined within 24 hours of admission in 64 consecutively hospitalized patients with AIDS or ARC. Intravenous drug abusers were excluded. A control group of 64 patients with other diseases was also tested. Of 64 patients with AIDS or ARC, 35 (55%) were nasal carriers of S. aureus, compared with 18 (28%) of 64 control patients. Recent hospitalization did not influence carriage rate, nor did the recent use of antibiotics or zidovudine. The significant S. aureus carriage rate in patients with AIDS or ARC may contribute to the high incidence of intravenous catheter-related S. aureus infections in this population. © 1990 Association for Practitioners in Infection Control, Inc.

引用

页码：64 / 69

页数：6

共 17 条

[1]

Jacobson, Gellermann, Chambers, Staphylococcus aureus bacteremia and recurrent staphylococcal infection in patients with acquired immunodeficiency syndrome and AIDS-related complex, Am J Med, 85, pp. 172-176, (1988)

[2]

Whimbey, Gold, Polsky, Et al., Bacteremia and fungemia in patients with the acquired immunodeficiency syndrome, Ann Intern Med, 104, pp. 511-514, (1986)

[3]

Raviglione, Battan, Pablos-Mendez, AcevesCasillas, Mullen, Taranta, Infections associated with Hickman catheters in patients with acquired immunodeficiency syndrome, Am J Med, 86, pp. 780-786, (1989)

[4]

Nielsen, Kharazmi, Faber, Blood monocyte and neutrophil functions in the acquired immunodeficiency syndrome, Scand J Immunol, 24, pp. 291-296, (1986)

[5]

Murphy, Clifford, Fauci, Gallin, Impairment of neutrophil bactericidal capacity in patients with AIDS, J Infect Dis, 158, pp. 627-630, (1988)

[6]

Ellis, Gupta, Galant, Et al., Impaired neutrophil function in patients with AIDS or AIDS-related complex: a comprehensive evaluation, J Infect Dis, 158, pp. 1268-1276, (1988)

[7]

Maki, Cobb, Garman, Shapiro, Ringer, Helgerson, An attachable silver-impregnated cuff for prevention of infection with central venous catheters a prospective randomized multicenter trial, The American Journal of Medicine, 85, pp. 307-314, (1988)

[8]

Tuazon, Sheagren, Increased rate of carriage of Staphylococcus aureus among narcotic addicts, J Infect Dis, 129, pp. 725-727, (1974)

[9]

Yu, Goetz, Wagener, Et al., Staphylococcus aureus nasal carriage and infection in patients on hemodialysis: efficiency of antibiotic prophylaxis, N Engl J Med, 315, pp. 91-96, (1986)

[10]

Smith, Connor, Willis, Nasal carriage of Staphylococcus aureus in diabetes mellitus, Lancet, 2, pp. 776-777, (1966)

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