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Staphylococcus aureus carriage is a risk factor for infection in both community and hospital settings. Three main S. aureus carriage patterns have been described: non-carriage, persistent carriage (repeatedly culture-positive) and transient or intermittent carriage (may or may not carry at different time intervals). Persistent carriage in particular is associated with a higher risk for infections (Nouwen et al., 2005, 2006). Although the anterior nares are the primary colonization site for S. aureus, throat carriage has frequently been reported (Uemura et al., 2004; Mertz et al., 2007). In Malaysia, the prevalence of nasal carriage of S. aureus is within the reported range of 20–25 % (Choi et al., 2006; Neela et al., 2008). However, data on the pattern of S. aureus carriage and the incidence of throat colonization are still uknown. Therefore, the aims of the current study were to determine the S. aureus carriage pattern of local Malaysian residents and the incidence of strain carriage in the nose and throat and to investigate the strain types carried in the nose and throat of the same subject.

Highly dynamic transient colonization by Staphylococcus aureus in healthy Malaysian students