Evaluation of nasal colonization by Staphylococcus aureus in university students in the healthcare field: analysis of the relationship with anthropometric indices

Authors

DOI:

https://doi.org/10.11606/issn.2176-7262.rmrp.2024.208876

Keywords:

Staphylococcus aureus infections, Body composition, Asymptomatic colonizationc, Biofilmsc Overweight, Obesity

Abstract

Introduction: Staphylococcus aureus is an opportunistic pathogen present in the normal microbiota of the skin and mucous membranes of healthy people. Some studies reported that
obesity may be a factor that favors this bacterium’s colonization of the nasal site. Objective: The present study evaluated the frequency of nasal colonization by S. aureus in health students in São Luís (MA), analyzing the possible relationship with anthropometric factors (body mass index – BMI; waist-hip ratio – WHR). Methodology: Eighty-three students (51 female and 32 male) enrolled in courses in the health area were recruited to obtain demographic, behavioral, and anthropometric data (BMI, WHR). The samples obtained from the nasal cavities were inoculated in Mannitol Salt Agar medium with subsequent identification of the isolates. Finally, biofilm formation was analyzed. Results: In the population studied, the prevalence rates of obesity and overweight/ obesity were 26.51% and 55.42%, respectively. In addition, altered WHR was found in 37.35% of the students. Most of the evaluated samples (91.57%) were positive for Staphylococcus sp. (p<0.0001), with the prevalence of S. aureus (61.45%) statistically higher than that of negative catalase Staphylococcus (30.12%; p=0.0028). S. aureus isolates were predominantly classified as poor biofilm formers. No significant associations were observed between nasal colonization by S. aureus and obesity in the studied population. Conclusion: The data obtained in this work demonstrate a high frequency of healthy students with S. aureus in their nostrils. In addition, most students were classified as overweight/obesity. However, no significant relationships were found between the prevalence of S. aureus and the anthropometric indices evaluated. The high rates of nasal colonization by S. aureus in health students demonstrate the importance of control measures to prevent the dissemination of this microorganism.

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Author Biographies

  • Gabrielle Damasceno Costa dos Santos, Universidade Ceuma, Laboratório de Patogenicidade Microbiana, São Luís, (MA), Brasil

    Mestra em Biologia Microbiana

  • Dívani Amor Cordeiro Carvalho, Universidade Ceuma, Laboratório de Patogenicidade Microbiana, São Luís, (MA), Brasil

    Biomédica

  • Julianne Christina da Costa , Universidade Ceuma, Laboratório de Patogenicidade Microbiana, São Luís, (MA), Brasil

    Biomédica

  • Klenda Mirelly Lima Nascimento, Universidade Ceuma, Laboratório de Patogenicidade Microbiana, São Luís, (MA), Brasil

    Biomédica

  • Vivian Serra de Menezes, Universidade Ceuma, Laboratório de Patogenicidade Microbiana, São Luís, (MA), Brasil

    Biomédica

  • Adrielle Zagmignan, Universidade Ceuma, Laboratório de Patogenicidade Microbiana, São Luís, (MA), Brasil

    Doutora em Biodiversidade e Biotecnologia da Amazônica Legal

  • Luís Cláudio Nascimento da Silva, Universidade Ceuma, Laboratório de Patogenicidade Microbiana, São Luís, (MA), Brasil

    Doutor em Ciências Biológicas

References

Adolf LA, Heilbronner S. Nutritional Interactions between Bacterial Species Colonising the Human Nasal Cavity: Current Knowledge and Future Prospects. Metabolites [homepage on the Internet] 2022 [cited 2023 Sep 19];12(6). Available from: /pmc/articles/PMC9229137/

Laux C, Peschel A, Krismer B. Staphylococcus aureus Colonization of the Human Nose and Interaction with Other Microbiome Members. Microbiol Spectr [homepage on the Internet] 2019 [cited 2023 Sep 19];7(2). Available from: https://pubmed.ncbi.nlm.nih.gov/31004422/

Vestergaard M, Frees D, Ingmer H. Antibiotic Resistance and the MRSA Problem. Microbiol Spectr [homepage on the Internet] 2019 [cited 2023 Sep 19];7(2). Available from: https://pubmed.ncbi.nlm.nih.gov/30900543/

Goes ICRDS, Romero LC, Turra AJ, et al. Prevalence of nasal carriers of methicillin-resistant Staphylococcus aureus in primary health care units in Brazil. Rev Inst Med Trop Sao Paulo [homepage on the Internet] 2021 [cited 2023 Sep 19];63:1–9. Available from: /pmc/articles/PMC7924983/

Baroja I, Guerra S, Coral-Almeida M, et al. Methicillin-Resistant Staphylococcus aureus Nasal Colonization Among Health Care Workers of a Tertiary Hospital in Ecuador and Associated Risk Factors. Infect Drug Resist [homepage on the Internet] 2021 [cited 2023 Sep 19];14:3433–3440. Available from: https://pubmed.ncbi.nlm.nih.gov/34471363/

Parlet CP, Brown MM, Horswill AR. Commensal Staphylococci Influence Staphylococcus aureus Skin Colonization and Disease. Trends Microbiol [homepage on the Internet] 2019 [cited 2023 Sep 19];27(6):497–507. Available from: https://pubmed.ncbi.nlm.nih.gov/30846311/

Stensen DB, Småbrekke L, Olsen K, et al. Circulating sex-steroids and Staphylococcus aureus nasal carriage in a general male population. Epidemiol Infect [homepage on the Internet] 2022 [cited 2023 Sep 19];150. Available from: https://pubmed.ncbi.nlm.nih.gov/35543107/

Mulcahy ME, McLoughlin RM. Host-Bacterial Crosstalk Determines Staphylococcus aureus Nasal Colonization. Trends Microbiol [homepage on the Internet] 2016 [cited 2023 Sep 19];24(11):872–886. Available from: https://pubmed.ncbi.nlm.nih.gov/27474529/

Al-Kharabsheh R, Ahmad M. Skin and mucous membranes colonisation with Staphylococcus aureus or MRSA as a risk factor for surgical site infections in elective Caesarean Section. J Obstet Gynaecol (Lahore) [homepage on the Internet] 2022 [cited 2023 Sep 19];42(5):888–893. Available from: https://www.tandfonline.com/doi/abs/10.1080/01443615.2021.1954147

Morizane A, Uehara Y, Kitamura S, et al. Staphylococcus aureus nasal colonization increases the risk of cedar pollinosis. J Gen Fam Med [homepage on the Internet] 2022 [cited 2023 Sep 19];23(3):172–176. Available from: https://pubmed.ncbi.nlm.nih.gov/35509329/

Raddi MS, Leite CQ, Mendonça CP. [Staphylococcus aureus: carriers among food handlers]. Rev Saude Publica [homepage on the Internet] 1988 [cited 2023 Sep 19];22(1):36–40. Available from: https://pubmed.ncbi.nlm.nih.gov/3217718/

Bhatta DR, Hamal D, Shrestha R, et al. Nasal and Pharyngeal Colonization by Bacterial Pathogens: A Comparative Study between Preclinical and Clinical Sciences Medical Students. Can J Infect Dis Med Microbiol [homepage on the Internet] 2018 [cited 2023 Sep 19];2018. Available from: /pmc/articles/PMC6011148/

Bouiller K, Zeggay A, Gbaguidi-Haore H, Hocquet D, Chirouze C, Bertrand X. Epidemiology and risk factors of nasal carriage of Staphylococcus aureus CC398 in two distinct cohorts in France. Front Microbiol 2022;13:1068420.

Danelli T, Duarte FC, Oliveira TA de, et al. Nasal Carriage by Staphylococcus aureus among Healthcare Workers and Students Attending a University Hospital in Southern Brazil: Prevalence, Phenotypic, and Molecular Characteristics. Interdiscip Perspect Infect Dis [homepage on the Internet] 2020 [cited 2023 Sep 19];2020. Available from: /pmc/articles/PMC7732402/

Abimana JB, Kato CD, Bazira J. Methicillin-Resistant Staphylococcus aureus Nasal Colonization among Healthcare Workers at Kampala International University Teaching Hospital, Southwestern Uganda. Canadian Journal of Infectious Diseases and Medical Microbiology 2019;2019.

Sakr A, Brégeon F, Mège JL, Rolain JM, Blin O. Staphylococcus aureus Nasal Colonization: An Update on Mechanisms, Epidemiology, Risk Factors, and Subsequent Infections. Front Microbiol [homepage on the Internet] 2018 [cited 2023 Sep 19];9(OCT). Available from: https://pubmed.ncbi.nlm.nih.gov/30349525/

Walsh AL, Fields AC, Dieterich JD, Chen DD, Bronson MJ, Moucha CS. Risk Factors for Staphylococcus aureus Nasal Colonization in Joint Arthroplasty Patients. Journal of Arthroplasty 2018;33(5):1530–1533.

Olsen K, Danielsen K, Wilsgaard T, et al. Obesity and Staphylococcus aureus Nasal Colonization among Women and Men in a General Population. PLoS One [homepage on the Internet] 2013 [cited 2023 Sep 19];8(5):e63716. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0063716

Befus M, Lowy FD, Miko BA, Mukherjee D V., Herzig CTA, Larson EL. Obesity as a Determinant of Staphylococcus aureus Colonization Among Inmates in Maximum-Security Prisons in New York State. Am J Epidemiol [homepage on the Internet] 2015 [cited 2023 Sep 19];182(6):494–502. Available from: https://pubmed.ncbi.nlm.nih.gov/26292691/

Olsen K, Sangvik M, Simonsen GS, et al. Prevalence and population structure of Staphylococcus aureus nasal carriage in healthcare workers in a general population. The Tromsø Staph and Skin Study. Epidemiol Infect [homepage on the Internet] 2013 [cited 2023 Sep 19];141(1):143–152. Available from: https://pubmed.ncbi.nlm.nih.gov/22440487/

Farnsworth CW, Schott EM, Benvie AM, et al. Obesity/type 2 diabetes increases inflammation, periosteal reactive bone formation, and osteolysis during Staphylococcus aureus implant-associated bone infection. J Orthop Res [homepage on the Internet] 2018 [cited 2023 Sep 19];36(6):1614–1623. Available from: https://pubmed.ncbi.nlm.nih.gov/29227579/

Farnsworth CW, Schott EM, Benvie A, et al. Exacerbated Staphylococcus aureus Foot Infections in Obese/Diabetic Mice Are Associated with Impaired Germinal Center Reactions, Ig Class Switching, and Humoral Immunity. J Immunol [homepage on the Internet] 2018 [cited 2023 Sep 19];201(2):560–572. Available from: https://pubmed.ncbi.nlm.nih.gov/29858265/

Stepanović S, Vuković D, Dakić I, Savić B, Švabić-Vlahović M. A modified microtiter-plate test for quantification of staphylococcal biofilm formation. J Microbiol Methods [homepage on the Internet] 2000 [cited 2023 Sep 19];40(2):175–179. Available from: https://pubmed.ncbi.nlm.nih.gov/10699673/

Baba RK, Vaz MSMG, Costa J Da. Correção de dados agrometeorológicos utilizando métodos estatísticos. Revista Brasileira de Meteorologia [homepage on the Internet] 2014 [cited 2023 Sep 19];29(4):515–526. Available from: https://www.scielo.br/j/rbmet/a/TJPzfbvqdFbXpvHVkYRTxHk/

Lee BJ, Yim MH. Comparison of anthropometric and body composition indices in the identification of metabolic risk factors. Scientific Reports 2021 11:1 [homepage on the Internet] 2021 [cited 2023 Sep 19];11(1):1–10. Available from: https://www.nature.com/articles/s41598-021-89422-x

Alves M, Ponte V, Celina S, et al. Autoimagem corporal e prevalência de sobrepeso e obesidade em estudantes universitários. Revista Brasileira em Promoção da Saúde [homepage on the Internet] 2019 [cited 2023 Sep 19];32. Available from: https://ojs.unifor.br/RBPS/article/view/8510

Silva LPR da, Tucan AR de O, Rodrigues EL, Ré PV Del, Sanches PMA, Bresan D. Dissatisfaction about body image and associated factors: a study of young undergraduate students. einstein (São Paulo) [homepage on the Internet] 2019 [cited 2023 Sep 19];17(4):eAO4642. Available from: https://www.scielo.br/j/eins/a/zgqL4wYTfRkw6Fv5LRZ83qG/?lang=en

Dotti De Vilhena Junqueira T, Cardoso CE, Carole V, Ellinger M, Marques C, Silva S. Prevalência de sobrepeso/obesidade e sua associação com a qualidade do sono e sonolência diurna entre os estudantes de medicina da Universidade de Vassouras, Vassouras-RJ. RBONE - Revista Brasileira de Obesidade, Nutrição e Emagrecimento [homepage on the Internet] 2021 [cited 2023 Sep 19];15(93):347–353. Available from: http://www.rbone.com.br/index.php/rbone/article/view/1706

Solomon PO, Okpala HO, Oladeinde BH, Olley M, Okon KO, Srinivasan S. Prevalence of Nasal Staphylococcus aureus Colonization amongst Medical Students of Igbinedion University Okada. Int J Trop Dis Health [homepage on the Internet] 2018 [cited 2023 Sep 19];34(2):1–5. Available from: https://journalijtdh.com/index.php/IJTDH/article/view/786

Luz Fontoura Pinheiro T da, Silva LD da, Santos CM, Oliveira GM de, Borba DP, Abbade EB. Associação entre etnia e sobrepeso/obesidade populacional no Brasil. Medicina (Ribeirão Preto) [homepage on the Internet] 2023 [cited 2023 Sep 19];56(1). Available from: https://www.revistas.usp.br/rmrp/article/view/198948

Ritter A, Kreis NN, Louwen F, Yuan J. Obesity and COVID-19: Molecular Mechanisms Linking Both Pandemics. Int J Mol Sci [homepage on the Internet] 2020 [cited 2023 Sep 19];21(16):1–27. Available from: /pmc/articles/PMC7460849/

Blüher M. Obesity: global epidemiology and pathogenesis. Nat Rev Endocrinol [homepage on the Internet] 2019 [cited 2023 Sep 19];15(5):288–298. Available from: https://pubmed.ncbi.nlm.nih.gov/30814686/

Maurizi G, Guardia L Della, Maurizi A, Poloni A. Adipocytes properties and crosstalk with immune system in obesity-related inflammation. J Cell Physiol [homepage on the Internet] 2018 [cited 2023 Sep 19];233(1):88–97. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/jcp.25855

Kuroda M, Sakaue H. Adipocyte Death and Chronic Inflammation in Obesity. J Med Invest [homepage on the Internet] 2017 [cited 2023 Sep 19];64(3.4):193–196. Available from: https://pubmed.ncbi.nlm.nih.gov/28954980/

Huxley R, Mendis S, Zheleznyakov E, Reddy S, Chan J. Body mass index, waist circumference and waist:hip ratio as predictors of cardiovascular risk--a review of the literature. Eur J Clin Nutr [homepage on the Internet] 2010 [cited 2023 Sep 19];64(1):16–22. Available from: https://pubmed.ncbi.nlm.nih.gov/19654593/

Lister JL, Horswill AR. Staphylococcus aureus biofilms: recent developments in biofilm dispersal. Front Cell Infect Microbiol [homepage on the Internet] 2014 [cited 2023 Sep 19];4(DEC). Available from: https://pubmed.ncbi.nlm.nih.gov/25566513/

Moormeier DE, Bayles KW. Staphylococcus aureus biofilm: a complex developmental organism. Mol Microbiol [homepage on the Internet] 2017 [cited 2023 Sep 19];104(3):365–376. Available from: https://pubmed.ncbi.nlm.nih.gov/28142193/

Macedo GHRV de, Costa GDE, Oliveira ER, et al. Interplay between ESKAPE Pathogens and Immunity in Skin Infections: An Overview of the Major Determinants of Virulence and Antibiotic Resistance. Pathogens [homepage on the Internet] 2021 [cited 2023 Sep 19];10(2):1–34. Available from: https://pubmed.ncbi.nlm.nih.gov/33540588/

Lakhundi S, Zhang K. Methicillin-Resistant Staphylococcus aureus: Molecular Characterization, Evolution, and Epidemiology. Clin Microbiol Rev [homepage on the Internet] 2018 [cited 2023 Sep 19];31(4). Available from: https://pubmed.ncbi.nlm.nih.gov/30209034/

Milletli Sezgin F, Avcu M, Sevim E, Tunga Babaoglu U, Author C. In Vitro Activity of Fosfomycin on Biofilm in Community-Acquired Staphylococcus Aureus Isolates. Clinical and Experimental Health Sciences [homepage on the Internet] 2019 [cited 2023 Sep 19];9(3):202–209. Available from: https://dergipark.org.tr/tr/pub/clinexphealthsci/issue/49121/599855

Machado TS, Pinheiro FR, Andre LSP, et al. Virulence Factors Found in Nasal Colonization and Infection of Methicillin-Resistant Staphylococcus aureus (MRSA) Isolates and Their Ability to Form a Biofilm. Toxins (Basel) [homepage on the Internet] 2021 [cited 2023 Sep 19];13(1). Available from: /pmc/articles/PMC7823648/

Published

2024-12-13

Issue

Section

Original Articles

How to Cite

1.
Santos GDC dos, Carvalho DAC, Costa JC da, Nascimento KML, Menezes VS de, Zagmignan A, et al. Evaluation of nasal colonization by Staphylococcus aureus in university students in the healthcare field: analysis of the relationship with anthropometric indices. Medicina (Ribeirão Preto) [Internet]. 2024 Dec. 13 [cited 2026 Jan. 3];57(2):e-208876. Available from: https://revistas.usp.br/rmrp/article/view/208876