RT Journal Article
T1 Staphylococcus aureus Nasal Colonization in Spanish Children. The COSACO Nationwide Surveillance Study.
A1 Del Rosal, Teresa
A1 Méndez-Echevarría, Ana
A1 Garcia-Vera, Cesar
A1 Escosa-Garcia, Luis
A1 Agud, Martin
A1 Chaves, Fernando
A1 Román, Federico
A1 Gutierrez-Fernandez, José
A1 Ruiz de Gopegui, Enrique
A1 Ruiz-Carrascoso, Guillermo
A1 Ruiz-Gallego, Maria Del Carmen
A1 Bernet, Albert
A1 Quevedo, Sara Maria
A1 Fernández-Verdugo, Ana Maria
A1 Díez-Sebastian, Jesús
A1 Calvo, Cristina
A1 COSACO Study Group, 
K1 MRSA
K1 S. aureus
K1 child
K1 colonization
AB To assess the prevalence and risk factors for S. aureus and methicillin-resistant S. aureus (MRSA) nasal colonization in Spanish children. Cross-sectional study of patients  A total of 1876 patients were enrolled. Prevalence of S. aureus and MRSA colonization were 33% (95% CI 30.9-35.1) and 1.44% (95% CI 0.9-2), respectively. Thirty-three percent of the children (633/1876) presented chronic conditions, mainly atopic dermatitis, asthma and/or allergy (524/633). Factors associated with S. aureus colonization were age ≥5 years (OR 1.10, 95% CI 1.07-1.12), male sex (OR 1.43, 95% CI 1.17-1.76), urban setting (OR 1.46, 95% CI 1.08-1.97) and the presence of asthma, atopic dermatitis or allergies (OR 1.25; 95% CI: 1.093-1.43). Rural residence was the only factor associated with MRSA colonization (OR 3.62, 95% CI 1.57-8.36). MRSA was more frequently resistant than methicillin-susceptible S. aureus to ciprofloxacin [41.2% vs 2.6%; p The main risk factors for S. aureus colonization in Spanish children are being above five years of age, male gender, atopic dermatitis, asthma or allergy, and residence in urban areas. MRSA colonization is low, but higher than in other European countries and is associated with rural settings.
SN 1178-6973
YR 2020
FD 2020-12-23
LK http://hdl.handle.net/10668/16880
UL http://hdl.handle.net/10668/16880
LA en
DS RISalud
RD Apr 5, 2025