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Journal of Clinical Microbiology, June 2006, p. 2233-2236, Vol. 44, No. 6
0095-1137/06/$08.00+0     doi:10.1128/JCM.02083-05
Copyright © 2006, American Society for Microbiology. All Rights Reserved.

Staphylococcus aureus Carriage Patterns and the Risk of Infections Associated with Continuous Peritoneal Dialysis

Jan Nouwen,1,2* Jeroen Schouten,3 Peter Schneebergen,3 Susan Snijders,1 Jolanda Maaskant,1 Marjan Koolen,4 Alex van Belkum,1 and Henri A. Verbrugh1

Department of Medical Microbiology & Infectious Diseases,1 Department of Internal Medicine, Erasmus Medical Center, Rotterdam, The Netherlands,2 Department of Medical Microbiology & Infectious Diseases,3 Department of Internal Medicine, Jeroen Bosch Hospital, ’s Hertogenbosch, The Netherlands4

Received 4 October 2005/ Returned for modification 14 December 2005/ Accepted 31 March 2006

The epidemiology and risks of Staphylococcus aureus carriage in continuous peritoneal dialysis (CPD) patients was studied in a single tertiary-care institution. On outpatient visits samples for culture were routinely taken prospectively from the CPD catheter exit site and the vestibulum nasi. Seventy-five patients with at least one culture positive for S. aureus in this period were included: 43 had genotypically identical S. aureus strains in over 80% of the cultures and were classified as persistent carriers; 32 were intermittent carriers. Persistent carriage was associated with a threefold higher risk for CPD-related infections and sixfold higher rates of vancomycin consumption compared to those for the intermittent carriers. No methicillin or vancomycin resistance was detected.

* Corresponding author. Mailing address: Erasmus MC, Department of Medical Microbiology & Infectious Diseases, Molewaterplein 40, 3015 GD Rotterdam, The Netherlands. Phone: 31 10 4633510. Fax: 31 10 4633875. E-mail: j.l.nouwen{at}erasmusmc.nl.

Journal of Clinical Microbiology, June 2006, p. 2233-2236, Vol. 44, No. 6
0095-1137/06/$08.00+0     doi:10.1128/JCM.02083-05
Copyright © 2006, American Society for Microbiology. All Rights Reserved.



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