Hand and nasal carriage of discordant Staphylococcus aureus isolates among urban jail detainees

Michael Z David, Jane D Siegel, Janet Henderson, Greg Leos, Kaming Lo, Jerry Iwuora, Alexis R Taylor, Diana L Zychowski, Esmaeil Porsa, Susan Boyle-Vavra, Robert S Daum
Journal of Clinical Microbiology 2014, 52 (9): 3422-5
In 928 Dallas County Jail detainees, nasal carriage of Staphylococcus aureus was found in 32.8% (26.5% methicillin-susceptible Staphylococcus aureus [MSSA] and 6.3% methicillin-resistant S. aureus [MRSA]), and hand carriage was found in 24.9% (20.7% MSSA and 4.1% MRSA). Among MRSA nasal carriers, 41% had hand MRSA carriage; 29% with hand MRSA carriage had no nasal S. aureus carriage. The prevalence of carriage was not associated with duration of the jail stay up to 180 days.

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