{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:32:14Z","timestamp":1753921934607,"version":"3.40.5"},"reference-count":20,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nephron"],"published-print":{"date-parts":[[2015]]},"abstract":"<b><i>Background:<\/i><\/b> Patients on maintenance hemodialysis therapy are at high risk for health care-associated infections. <i>Staphylococcus aureus<\/i> is a common cause of health care-associated infections among maintenance hemodialysis patients. It is established that <i>S. aureus<\/i> colonization is associated with an increased risk for subsequent infection in this population. There is an increasing number of reports that extranasal <i>S. aureus <\/i>colonization is more common than previously believed and in certain body sites even more common than nasal colonization. There are few data describing extranasal colonization among maintenance hemodialysis patients. <b><i>Methods:<\/i><\/b> We surveyed 100 patients at 3 body sites (anterior nares, oropharynx, and inguinal region) for <i>S. aureus<\/i> colonization. Participants were also administered a standardized survey to assess risk factors for <i>S. aureus <\/i>colonization. <b><i>Results:<\/i><\/b> We found that 42% (95% CI 32-52) of patients were <i>S. aureus<\/i> colonized in >1 body site. Extranasal colonization was found among 32% (95% CI 23-41). There were trends suggestive of an association between <i>S. aureus <\/i>colonization and younger age (OR 0.97, 95% CI 0.94-1.001, p = 0.06) and not having been hospitalized in the previous 12 months (OR 0.44, 95% CI 0.19-1.06, p = 0.14). <b><i>Conclusion:<\/i><\/b> Extranasal <i>S. aureus<\/i> colonization is common among maintenance hemodialysis patients with a prevalence of approximately one third. Future <i>S. aureus <\/i>decolonization efforts may need to consider not just nasal decolonization but also decolonization of the skin and oropharynx.<\/jats:p>","DOI":"10.1159\/000369348","type":"journal-article","created":{"date-parts":[[2015,1,22]],"date-time":"2015-01-22T07:57:19Z","timestamp":1421913439000},"page":"79-83","source":"Crossref","is-referenced-by-count":9,"title":["Body Site <b><i>Staphylococcus aureus<\/i><\/b> Colonization among Maintenance Hemodialysis Patients"],"prefix":"10.1159","volume":"129","author":[{"given":"Samantha J.","family":"Eells","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8666-0725","authenticated-orcid":false,"given":"Kamyar","family":"Kalantar-Zadeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael A.","family":"Bolaris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Larissa","family":"May","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loren G.","family":"Miller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2015,1,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199808203390806"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2010.02.352"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa043252"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cit546"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-6701(98)90199-2"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200101043440102"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)16897-9"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1086\/533494"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1086\/592983"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/S0924-8579(01)00350-8"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1159\/000103383"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2009.02836.x"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cis213"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1086\/526773"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/0195-6701(89)90069-8"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2011.00959.x"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1086\/511033"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.41.11.5113-5120.2003"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1086\/669095"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2010.08.012"}],"container-title":["Nephron"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/369348","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/369348","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/369348","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T18:00:55Z","timestamp":1745431255000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000369348"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":20,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2015,2,1]]},"published-print":{"date-parts":[[2015,3,5]]}},"URL":"https:\/\/doi.org\/10.1159\/000369348","archive":["Portico"],"relation":{},"ISSN":["1660-8151","2235-3186"],"issn-type":[{"type":"print","value":"1660-8151"},{"type":"electronic","value":"2235-3186"}],"subject":[],"published":{"date-parts":[[2015]]}}}