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Aims/Introduction  Evidence suggests that diabetes might cause an increase in colonization of  Staphylococcus aureus  ( S. aureus ) and methicillin‐resistant  S. aureus  ( MRSA ) in community settings. We carried out a cross‐sectional study to determine the prevalence and influencing factors of  S. aureus  and  MRSA  nasal colonization among a community‐based diabetes population, and to identify the characteristics of the isolated strains.    Materials and Methods  A total of 956 participants from 11 community settings were included in the study.    Results  Of the 529 diabetes participants, 46 were colonized with  S. aureus  and 22 were colonized with  MRSA . Of the 427 non‐diabetes participants, 25 were colonized with  S. aureus  and 12 were colonized with  MRSA . Men (odds ratio 0.45, 95% confidence interval 0.20–0.99,  P  = 0.047) were less likely to have  S. aureus  nasal colonization, and those with well‐controlled blood glucose (odds ratio 2.04, 95% confidence interval 1.01–4.13,  P  = 0.047) among the diabetes population were more likely to have  S. aureus  nasal colonization. The proportion of multidrug‐resistant  S. aureus  strains in the diabetes population (52.17%) was higher than that in the non‐diabetes population (28.00%; χ 2  = 3.848,  P  = 0.050). The most common clonal complex type and Staphylococcal chromosome cassette  mec  type of  MRSA  in diabetes population was clonal complex 5 (40.91%) and type  IV  (27.27%), respectively. The proportion of Panton–Valentine leukocidin gene in  MRSA  strains was 17.65%. There was great sequence type diversity in  MRSA  strains.    Conclusions  The prevalence of  MRSA  in the community‐based diabetes population was moderate, and the high proportions of multidrug‐resistant  S. aureus  strains and diverse molecular characteristics in the diabetes population should be noticed.

journal of diabetes investigation

Prevalence and characteristics of  Staphylococcus aureus  and methicillin‐resistant  Staphylococcus aureus  nasal colonization among a community‐based diabetes population in Foshan, China