Methicillin-resistant Staphylococcus aureus in Papua New Guinea: A community nasal colonization prevalence study

Background: There are few epidemiological data available to inform a national response to communityacquired methicillin-resistant Staphylococcus aureus (MRSA) in Papua New Guinea (PNG). Methods: We performed a cross-sectional survey to determine the pattern of MRSA nasal colonization and the diversi...

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Main Authors: Laman, M., Greenhill, A., Coombs, Geoffrey, Robinson, James, Pearson, J., Davis, T., Manning, L.
Format: Journal Article
Published: Elsevier Ltd 2017
Online Access:http://hdl.handle.net/20.500.11937/70184
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author Laman, M.
Greenhill, A.
Coombs, Geoffrey
Robinson, James
Pearson, J.
Davis, T.
Manning, L.
author_facet Laman, M.
Greenhill, A.
Coombs, Geoffrey
Robinson, James
Pearson, J.
Davis, T.
Manning, L.
author_sort Laman, M.
building Curtin Institutional Repository
collection Online Access
description Background: There are few epidemiological data available to inform a national response to communityacquired methicillin-resistant Staphylococcus aureus (MRSA) in Papua New Guinea (PNG). Methods: We performed a cross-sectional survey to determine the pattern of MRSA nasal colonization and the diversity of circulating MRSA clones among adults and adolescents in Madang Province, PNG. Results: S. aureus nasal colonization was confirmed in 44 (17.1%) of 257 participants. Four (9.1%) isolates were methicillin resistant. Resistance to other antimicrobial agents was uncommon. Detailed molecular typing of three MRSA isolates demonstrated multiple MRSA clones in this community, of which two carried the Panton-Valentin leukocidin-associated virulence genes. Conclusions: MRSA is likely to account for a clinically important proportion of staphylococcal disease in PNG. There are multiple MRSA clones in PNG. Ongoing surveillance of community and invasive isolates is a critical component of an effective response to the challenge of community-acquired MRSA in this and many other resource-limited contexts.
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spelling curtin-20.500.11937-701842018-09-27T06:33:59Z Methicillin-resistant Staphylococcus aureus in Papua New Guinea: A community nasal colonization prevalence study Laman, M. Greenhill, A. Coombs, Geoffrey Robinson, James Pearson, J. Davis, T. Manning, L. Background: There are few epidemiological data available to inform a national response to communityacquired methicillin-resistant Staphylococcus aureus (MRSA) in Papua New Guinea (PNG). Methods: We performed a cross-sectional survey to determine the pattern of MRSA nasal colonization and the diversity of circulating MRSA clones among adults and adolescents in Madang Province, PNG. Results: S. aureus nasal colonization was confirmed in 44 (17.1%) of 257 participants. Four (9.1%) isolates were methicillin resistant. Resistance to other antimicrobial agents was uncommon. Detailed molecular typing of three MRSA isolates demonstrated multiple MRSA clones in this community, of which two carried the Panton-Valentin leukocidin-associated virulence genes. Conclusions: MRSA is likely to account for a clinically important proportion of staphylococcal disease in PNG. There are multiple MRSA clones in PNG. Ongoing surveillance of community and invasive isolates is a critical component of an effective response to the challenge of community-acquired MRSA in this and many other resource-limited contexts. 2017 Journal Article http://hdl.handle.net/20.500.11937/70184 10.1093/trstmh/trx061 Elsevier Ltd restricted
spellingShingle Laman, M.
Greenhill, A.
Coombs, Geoffrey
Robinson, James
Pearson, J.
Davis, T.
Manning, L.
Methicillin-resistant Staphylococcus aureus in Papua New Guinea: A community nasal colonization prevalence study
title Methicillin-resistant Staphylococcus aureus in Papua New Guinea: A community nasal colonization prevalence study
title_full Methicillin-resistant Staphylococcus aureus in Papua New Guinea: A community nasal colonization prevalence study
title_fullStr Methicillin-resistant Staphylococcus aureus in Papua New Guinea: A community nasal colonization prevalence study
title_full_unstemmed Methicillin-resistant Staphylococcus aureus in Papua New Guinea: A community nasal colonization prevalence study
title_short Methicillin-resistant Staphylococcus aureus in Papua New Guinea: A community nasal colonization prevalence study
title_sort methicillin-resistant staphylococcus aureus in papua new guinea: a community nasal colonization prevalence study
url http://hdl.handle.net/20.500.11937/70184