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      Portación de Staphylococcus aureus enterotoxigénicos en manipuladores de alimentos Translated title: Carriage of enterotoxigenic Staphylococcus aureus in food handlers

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          Translated abstract

          Background: One of the most common pathogens causing alimentary toxi-infections is Staphylococcus aureus (S aureus). The presence of S aureus in food, indicates flaws during food manipulations. For this reason most sanitary norms require the detection of S aureus carriers. Aim: To determine the carriage rate of enterotoxin producing S aureus strains in food handlers, and to evaluate the antibiotic susceptibility to six antimicrobial agents. Materials and Methods: A total of 102 food handlers from 19 restaurants in Santiago, were analyzed. Samples for microbiological analysis were obtained with a swab from the retropharynx. Results: S aureus grew in 35 out of the 102 samples obtained (34%). Further analysis revealed that 19/35 (54%) strains were able to produce enterotoxins. Therefore the corrected carriage rate was 19% (19/102). The most frequently detected enterotoxin was the type A (12/19). All S aureus isolates were resistant to penicillin and susceptible to oxacillin, clindamycin, kanamycin, vancomycin and linezolid. Conclusions: The carriage rate of S aureus in food handlers is similar to the rate reported in the general population in our country. These results confirm the need for education and training programs in food safety, directed to food handlers (Rev Méd Chile 2002; 130: 859-64)

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          <i>Staphylococcus aureus</i> Infections

          New England Journal of Medicine, 339(8), 520-532
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            Nasal carriage of Staphylococcus aureus: epidemiology, underlying mechanisms, and associated risks.

            Staphylococcus aureus has long been recognized as an important pathogen in human disease. Due to an increasing number of infections caused by methicillin-resistant S. aureus (MRSA) strains, therapy has become problematic. Therefore, prevention of staphylococcal infections has become more important. Carriage of S. aureus appears to play a key role in the epidemiology and pathogenesis of infection. The ecological niches of S. aureus are the anterior nares. In healthy subjects, over time, three patterns of carriage can be distinguished: about 20% of people are persistent carriers, 60% are intermittent carriers, and approximately 20% almost never carry S. aureus. The molecular basis of the carrier state remains to be elucidated. In patients who repeatedly puncture the skin (e.g., hemodialysis or continuous ambulatory peritoneal dialysis [CAPD] patients and intravenous drug addicts) and patients with human immunodeficiency virus (HIV) infection, increased carriage rates are found. Carriage has been identified as an important risk factor for infection in patients undergoing surgery, those on hemodialysis or CAPD, those with HIV infection and AIDS, those with intravascular devices, and those colonized with MRSA. Elimination of carriage has been found to reduce the infection rates in surgical patients and those on hemodialysis and CAPD. Elimination of carriage appears to be an attractive preventive strategy in patients at risk. Further studies are needed to optimize this strategy and to define the groups at risk.
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              The emergence and evolution of methicillin-resistant Staphylococcus aureus.

              Significant advances have been made in recent years in our understanding of how methicillin resistance is acquired by Staphylococcus aureus. Integration of a staphylococcal cassette chromosome mec (SCCmec) element into the chromosome converts drug-sensitive S. aureus into the notorious hospital pathogen methicilin-resistant S. aureus (MRSA), which is resistant to practically all beta-lactam antibiotics. SCCmec is a novel class of mobile genetic element that is composed of the mec gene complex encoding methicillin resistance and the ccr gene complex that encodes recombinases responsible for its mobility. These elements also carry various resistance genes for non-beta-lactam antibiotics. After acquiring an SCCmec element, MRSA undergoes several mutational events and evolves into the most difficult-to-treat pathogen in hospitals, against which all extant antibiotics including vancomycin are ineffective. Recent epidemiological data imply that MRSA has embarked on another evolutionary path as a community pathogen, as at least one novel SCCmec element seems to have been successful in converting S. aureus strains from the normal human flora into MRSA.
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                Author and article information

                Journal
                rmc
                Revista médica de Chile
                Rev. méd. Chile
                Sociedad Médica de Santiago (Santiago, , Chile )
                0034-9887
                August 2002
                : 130
                : 8
                : 859-864
                Affiliations
                [01] orgnameUniversidad Tecnológica Metropolitana orgdiv1Carrera Ingeniería en Alimentos
                Article
                S0034-98872002000800003 S0034-9887(02)13000800003
                10.4067/S0034-98872002000800003
                2b69b2f0-2e2c-4052-b6fe-9a69c6a388e1

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 25 February 2002
                : 01 July 2002
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 31, Pages: 6
                Product

                SciELO Chile

                Categories
                ARTICULOS DE INVESTIGACION

                Enterotoxins,Staphylococcal food poisoning,Food handling,Staphylococcus

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