Nose picking and nasal carriage of Staphylococcus aureus.

OBJECTIVE: Nasal carriage of Staphylococcus aureus is an important risk factor for S. aureus infection and a reservoir for methicillin-resistant S. aureus. We investigated whether nose picking was among the determinants of S. aureus nasal carriage. SETTING AND PARTICIPANTS: The study cohort compris...

Cijeli opis

Bibliografski detalji
Glavni autori: Wertheim, H, van Kleef, M, Vos, M, Ott, A, Verbrugh, H, Fokkens, W
Format: Journal article
Jezik:English
Izdano: 2006
_version_ 1826300731878014976
author Wertheim, H
van Kleef, M
Vos, M
Ott, A
Verbrugh, H
Fokkens, W
author_facet Wertheim, H
van Kleef, M
Vos, M
Ott, A
Verbrugh, H
Fokkens, W
author_sort Wertheim, H
collection OXFORD
description OBJECTIVE: Nasal carriage of Staphylococcus aureus is an important risk factor for S. aureus infection and a reservoir for methicillin-resistant S. aureus. We investigated whether nose picking was among the determinants of S. aureus nasal carriage. SETTING AND PARTICIPANTS: The study cohort comprised 238 patients who visited the ear, nose, and throat (ENT) disease outpatient clinic of a tertiary care hospital and did not have a nose-specific complaint (defined as ENT patients) and 86 healthy hospital employees (including medical students and laboratory personnel). MEASUREMENTS: All participants completed a questionnaire on behavior regarding the nose and were screened for S. aureus nasal carriage; only ENT patients underwent nasal examination by an ear, nose, and throat physician for clinical signs of nose picking. RESULTS: Among ENT patients, nose pickers were significantly more likely than non-nose pickers to carry S. aureus (37 [53.6%] of 69 vs 60 [35.5%] of 169 patients; relative risk, 1.51 [95% confidence interval, 1.03-2.19]). Among healthy volunteers, there was a statistically significant positive correlation between the self-perceived frequency of nose picking and both the frequency of positive culture results (R=0.31; P=.004) and the load of S. aureus present in the nose (R=0.32; P=.003). CONCLUSION: Nose picking is associated with S. aureus nasal carriage. The role of nose picking in nasal carriage may well be causal in certain cases. Overcoming the habit of nose picking may aid S. aureus decolonization strategies.
first_indexed 2024-03-07T05:21:38Z
format Journal article
id oxford-uuid:df1e674a-51f6-49aa-9a95-5970db8bdd56
institution University of Oxford
language English
last_indexed 2024-03-07T05:21:38Z
publishDate 2006
record_format dspace
spelling oxford-uuid:df1e674a-51f6-49aa-9a95-5970db8bdd562022-03-27T09:37:05ZNose picking and nasal carriage of Staphylococcus aureus.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:df1e674a-51f6-49aa-9a95-5970db8bdd56EnglishSymplectic Elements at Oxford2006Wertheim, Hvan Kleef, MVos, MOtt, AVerbrugh, HFokkens, W OBJECTIVE: Nasal carriage of Staphylococcus aureus is an important risk factor for S. aureus infection and a reservoir for methicillin-resistant S. aureus. We investigated whether nose picking was among the determinants of S. aureus nasal carriage. SETTING AND PARTICIPANTS: The study cohort comprised 238 patients who visited the ear, nose, and throat (ENT) disease outpatient clinic of a tertiary care hospital and did not have a nose-specific complaint (defined as ENT patients) and 86 healthy hospital employees (including medical students and laboratory personnel). MEASUREMENTS: All participants completed a questionnaire on behavior regarding the nose and were screened for S. aureus nasal carriage; only ENT patients underwent nasal examination by an ear, nose, and throat physician for clinical signs of nose picking. RESULTS: Among ENT patients, nose pickers were significantly more likely than non-nose pickers to carry S. aureus (37 [53.6%] of 69 vs 60 [35.5%] of 169 patients; relative risk, 1.51 [95% confidence interval, 1.03-2.19]). Among healthy volunteers, there was a statistically significant positive correlation between the self-perceived frequency of nose picking and both the frequency of positive culture results (R=0.31; P=.004) and the load of S. aureus present in the nose (R=0.32; P=.003). CONCLUSION: Nose picking is associated with S. aureus nasal carriage. The role of nose picking in nasal carriage may well be causal in certain cases. Overcoming the habit of nose picking may aid S. aureus decolonization strategies.
spellingShingle Wertheim, H
van Kleef, M
Vos, M
Ott, A
Verbrugh, H
Fokkens, W
Nose picking and nasal carriage of Staphylococcus aureus.
title Nose picking and nasal carriage of Staphylococcus aureus.
title_full Nose picking and nasal carriage of Staphylococcus aureus.
title_fullStr Nose picking and nasal carriage of Staphylococcus aureus.
title_full_unstemmed Nose picking and nasal carriage of Staphylococcus aureus.
title_short Nose picking and nasal carriage of Staphylococcus aureus.
title_sort nose picking and nasal carriage of staphylococcus aureus
work_keys_str_mv AT wertheimh nosepickingandnasalcarriageofstaphylococcusaureus
AT vankleefm nosepickingandnasalcarriageofstaphylococcusaureus
AT vosm nosepickingandnasalcarriageofstaphylococcusaureus
AT otta nosepickingandnasalcarriageofstaphylococcusaureus
AT verbrughh nosepickingandnasalcarriageofstaphylococcusaureus
AT fokkensw nosepickingandnasalcarriageofstaphylococcusaureus