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Methicillin-resistant Staphylococcus aureus in cystic fibrosis patients: do we need to care? A cohort study

Overview of attention for article published in Sao Paulo Medical Journal, August 2017
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Title
Methicillin-resistant Staphylococcus aureus in cystic fibrosis patients: do we need to care? A cohort study
Published in
Sao Paulo Medical Journal, August 2017
DOI 10.1590/1516-3180.2016.0350240317
Pubmed ID
Authors

Renata Wrobel Folescu Cohen, Tânia Wrobel Folescu, Pedro Daltro, Marcia Cristina Bastos Boechat, Danielle Ferreira Lima, Elizabeth Andrade Marques, Robson Souza Leão

Abstract

The prevalence of a variety of potentially pathogenic microorganisms in cystic fibrosis patients, such as methicillin-resistant Staphylococcus aureus (MRSA), has increased over the past decade. Given the increasing prevalence of MRSA and the few data available in the literature, better understanding of the clinical repercussions of colonization by this bacterium in cystic fibrosis patients becomes essential. This study aimed to evaluate the repercussions of chronic colonization by MRSA in cystic fibrosis patients. Retrospective cohort study from January 2004 to December 2013 in a cystic fibrosis reference center. Each patient with cystic fibrosis was evaluated for nutritional status (body mass index, BMI, and BMI percentile), pulmonary function and tomographic abnormalities (modified Bhalla scores) at the time of chronic colonization by MRSA or methicillin-susceptible Staphylococcus aureus (MSSA) and throughout the study period. Twenty pairs of patients were included. There were no significant differences between the groups regarding nutritional characteristics. Spirometric data showed a trend towards greater obstruction of the airways in patients with MRSA. Patients with MRSA presented greater structural damage to their lungs, demonstrated not only by the total Bhalla score but also by its parameters individually. Patients colonized by MRSA presented greater functional and structural respiratory impairment at the time of chronic colonization. Disease progression was also faster in patients chronically colonized by MRSA than in those with MSSA. This was shown through comparisons that avoided possible confounding variables.

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Geographical breakdown

Country Count As %
Unknown 29 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 7 24%
Researcher 4 14%
Professor 3 10%
Student > Doctoral Student 2 7%
Student > Master 1 3%
Other 1 3%
Unknown 11 38%
Readers by discipline Count As %
Medicine and Dentistry 5 17%
Nursing and Health Professions 3 10%
Biochemistry, Genetics and Molecular Biology 2 7%
Sports and Recreations 2 7%
Immunology and Microbiology 1 3%
Other 3 10%
Unknown 13 45%