[Nasal carriage of Staphylococcus aureus: prevalence in a hemodialysis center and effect on bacteremia].
We evaluated nasal carriage of Staphylococcus aureus (S. aureus) in 114 hemodialysis patients by performing two nasal swab cultures at a one month interval. The incidence of bacteremia was then followed for one year. Other factors associated with infections in hemodialysis patients, such as diabetes, central venous catheter, and high serum ferritin levels were also evaluated. Nasal carriage of S. aureus was present in 29.8% of patients (34/114). Six S. aureus bacteremia occurred in 6 patients. This represents an annual incidence of 0.058 bacteremia/patient-year. The incidence of bacteremia was higher in patients with S. aureus nasal carriage (0.0945) than in patients without (0.0417), but the difference was not significant. The relative risk (RR) was 2.35. On the contrary, bacteremia were significantly more frequent in patients with diabetes (RR = 11.41; p = 0.004) or in patients with central venous catheter (RR = 14.29; p = 0.002). In conclusion, in our population, diabetes and central venous catheter are more significant risk factors of bacteriemia than S. aureus nasal carriage.
Roubicek
C
C
Service de néphrologie, Hôpital de Sainte-Marguerite, Marseille.
Brunet
P
P
Mallet
M N
MN
Dussol
B
B
Gonzales
A
A
Andrieu
D
D
Merzouk
T
T
Jaber
K
K
Berland
Y
Y
D016470:Bacteremia / Q000453:epidemiology*; D002405:Catheterization, Central Venous; D003920:Diabetes Mellitus / Q000382:microbiology; D006801:Humans; D009296:Nasal Cavity / Q000382:microbiology*; D006435:Renal Dialysis; D012307:Risk Factors; D013203:Staphylococcal Infections / Q000453:epidemiology* / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification*
Portage nasal de Staphylococcus aureus: prévalence dans un centre d'hémodialyse et influence sur les bactériémies.