RT Journal Article T1 Characterization of methicillin-resistant Staphylococcus aureus strains colonizing the nostrils of Spanish children. A1 Román, Federico A1 Mendez-Echevarria, Ana A1 Del Rosal, Teresa A1 Garcia-Vera, Cesar A1 Escosa-Garcia, Luis A1 Agud, Martin A1 Chaves, Fernando A1 Gutiérrez-Fernández, 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 Sainz, Talia A1 Calvo, Cristina K1 Staphylococcus aureus K1 methicillin-resistant K1 molecular characterization K1 nasal colonization AB To characterize the Staphylococcus aureus strains colonizing healthy Spanish children. Between March and July 2018, 1876 Spanish children younger than 14 years attending primary healthcare centers were recruited from rural and urban areas. Staphylococcus aureus colonization of the anterior nostrils was analyzed. MecA and mecC genes, antibiotic susceptibility, and genotyping according to the spa were determined in all strains, and the following toxins were examined: Panton-Valentine leucocidin (pvl), toxic shock syndrome toxin (tst), and exfoliative toxins (eta, etb, etd). Multilocus sequence typing (MLST) and staphylococcal cassette chromosome (SCCmec) typing were performed on methicillin-resistant Staphylococcus aureus (MRSA) strains, as well as pulsed-field gel electrophoresis (PFGE). 619 strains were isolated in 1876 children (33%), and 92% of them were sent for characterization to the Spanish National Centre of Microbiology (n = 572). Twenty (3.5%) of these strains were mecA-positive. Several spa types were detected among MRSA, being t002 the most frequently observed (30%), associating with SCCmec IVc. Among MSSA, 33% were positive for tst, while only 0.73% were positive for pvl. The 20 MRSA strains were negative for pvl, and 6 (30%) harbored the tst gene. methicillin-resistant Staphylococcus aureus nasal colonization in Spanish children is rare, with t002 being the most observed spa type, associated with SCCmec IVc. None of the MRSA strains produced pvl, but up to 30% of S. aureus strains were positive for tst. YR 2021 FD 2021 LK https://hdl.handle.net/10668/26493 UL https://hdl.handle.net/10668/26493 LA en DS RISalud RD Apr 5, 2025