Genomic Characterization of Methicillin-Susceptible Staphylococcus aureus Carriage in Patients on Home Parenteral Nutrition and Their Caregivers

Clin Infect Dis. 2024 May 15;78(5):1285-1288. doi: 10.1093/cid/ciad721.

Abstract

In this prospective study, patients on home parenteral nutrition were twice as likely to be colonized with Staphylococcus aureus if their caregivers were carriers. Among S. aureus-positive patients and their caregivers, molecular analysis showed 68% genetically related strains. Despite decolonization, genetically related strains reappeared in 70% of patients.

Keywords: Staphylococcus aureus carriage; decolonization treatment; home parenteral nutrition; transmission; whole-genome sequencing.

MeSH terms

  • Adult
  • Aged
  • Caregivers*
  • Carrier State* / microbiology
  • Female
  • Genome, Bacterial
  • Humans
  • Male
  • Methicillin / pharmacology
  • Methicillin / therapeutic use
  • Middle Aged
  • Parenteral Nutrition, Home*
  • Prospective Studies
  • Staphylococcal Infections* / microbiology
  • Staphylococcus aureus* / drug effects
  • Staphylococcus aureus* / genetics