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Food handlers as potential sources of dissemination of virulent strains of Staphylococcus aureus in the community

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Food handlers may constitute a reservoir of virulent strains of Staphy-lococcus aureus and may be vehicles of their transmission to food.One hundred and sixty-two volunteers were assessed for the presence of S. aureuson the hands and in the nose. S. aureus was isolated by routine procedures, and theisolates were tested for susceptibility against a panel of nine antimicrobial agents.The isolates were further characterized by SmaI-PFGE profiling and the presence ofvirulence factors.Results: The prevalence of S. aureus was 19.8% in the nose and 11.1% on the hands;6.2% of the individuals carried S. aureus both in their noses and hands, and threeindividuals had the same strain (PFGE type) in the nose and on the hands. Although82% of the isolates were resistant to at least one antibiotic, none demonstrated thepresence of either mecA gene or resistance to oxacillin (none identified as MRSA).Sixty-eight percent of the isolates from the nose and hands possessed enterotoxingenes.This study revealed a high prevalence of antibiotic resistance and virulence deter-minants among the isolates, including not only classical and novel enterotoxin genesbut also major virulence factors such as tst. Potential dissemination of these strainsin the community is a matter of concern.© 2015 King Saud Bin Abdulaziz University for Health Sciences. Published by ElsevierLimited. All rights reserved

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Staphylococcus aureus Food handlers Hands and nosecarriage Antimicrobialresistance Enterotoxin genesSummary

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CASTRO, A.; SANTOS, C.; MEIRELES, H.; SILVA, Joana; TEIXEIRA, Paula - Food handlers as potential sources of dissemination of virulent strains of Staphylococcus aureus in the community. Journal of Infection and Public Health. ISSN 1876-0341. (2016) vol. 9, nº 2, p. 153–160 http://dx.doi.org/10.1016/j.jiph.2015.08.001

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