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Nasal Carriage Servey Essay examples

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Staphylococcus Aureus is a common cause for infections in the community and a major cause in hospital based disease. Up to 40% of the general public thought to be carriers and of hospital staff from 50 – 70%, and is associated with a higher risk of infection in the hospital setting. The anterior nares have been shown to be the most frequent site of carriage and are the single site of detection. [1]
In certain situations, hospital patients and staff may be investigated and screened to identify carriers of S. aureus. Food handlers may also be investigated, often as a result of food poisoning outbreak/s (MLTM)
Specimens from the anterior nares are plated in a medium selective for staphylococci, such as mannitol salt agar, to allow recovery …show more content…

The pH indicator in this medium is phenol red, and as mannitol sugar is used, the acid produced changes the pH indicator to yellow around the individual colonies. [2]
Identification of S. aureus was based on colony morphology and confirmation tests (a catalase and slide coagulase test). On MSA, S. aureus produces opaque colonies surrounded by a bright yellow zone. Colonies that resembled S. aureus (gram positive cocci) were tested for the presence of bound coagulase. S. aureus colonies were confirmed after discussion with the demonstrators. (MLTM)
Figure 1. Culture plate on the right is salt tolerant and has utilized the mannitol sugar causing the yellow colour change. Culture plate on the right is salt tolerant however has not utilized the mannitol and there is no colour change around the colonies.

Results and Discussion
According to a microbiology review conducted in 1997, approximately 20% of the population always carry one type of strain and are called persistent carriers. A large proportion of the population (approximately 60%) carries S. aureus intermittently (occasionally). Finally minorities of people (approximately 20%) almost never carry S. aureus and are called non-carriers. The reasons for these variations in colonization patterns are unknown. Also it has stated that in the general population, a mean carriage rate of S. aureus 37.2% was found. [3]

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