Staphylococcus aureus transmission through oronasal fistula in children with cleft lip and palate.
OBJECTIVE
To determine the presence of Staphylococcus aureus in a nasal flora and oral environment, the correlation between frequency of transmission of S. aureus and oronasal fistula size, and the pattern of methicillin resistance on S. aureus strains in children with cleft lip and palate (CLP).


METHODS
Thirty-two CLP children with and without oronasal fistulas, ranging in age from 5 to 13 years were examined for oronasal fistula presence and size. Stimulated saliva samples and nasal swab samples were taken and investigated for S. aureus presence. S. aureus presence and counts were correlated with fistula presence and size.


RESULTS
Saliva samples showed statistical differences between the groups with and without oronasal fistulas with an area ranging from 0.80 to 28.26 mm2. The S. aureus counts were significantly higher (r = .535, p = .002) in saliva samples from children with larger oronasal fistula. The S. aureus count was not significantly different (r = -.013, p = .942) in nasal samples compared with oronasal fistula size. Methicillin resistance with disk-diffusion method was recorded as sensitive (> or =13 mm) in all S. aureus strains.


CONCLUSIONS
The results of this study indicate a positive correlation between fistula size and S. aureus transmission to one oral environment through oronasal fistulae, and a positive correlation between frequency of S. aureus transmission and fistula size. All S. aureus strains were sensitive to methicillin. These results may have implications for preventive treatment of CLP children.
Tuna
E Bahar
EB
Department of Pediatric Dentistry, Faculty of Dentistry, Istanbul University, Istanbul, Turkey. ebtuna@istanbul.edu.tr
Topçuoglu
Nursen
N
Ilhan
Banu
B
Gençay
Koray
K
Kulekçi
Güven
G
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002971:Cleft Lip / Q000382:microbiology*; D002972:Cleft Palate / Q000382:microbiology*; D015169:Colony Count, Microbial; D052978:Disk Diffusion Antimicrobial Tests; D006801:Humans; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification / Q000502:physiology; D009666:Nose / Q000382:microbiology; D009668:Nose Diseases / Q000145:classification / Q000382:microbiology*; D016155:Oral Fistula / Q000145:classification / Q000382:microbiology*; D016156:Respiratory Tract Fistula / Q000145:classification / Q000382:microbiology*; D012463:Saliva / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification / Q000502:physiology*