Citation
William, John Laurence
(2005)
The Presence Of Staphylococcus Aureus on The Skin, Nose, and Ear of Adolescent Footballers Before and After Training.
Doctoral thesis, Universiti Putra Malaysia.
Abstract
The objective of the study was to determine the number of adolescent
footballers carrying Staphylococcus aureus during outdoor and indoor
training. One hundred twenty healthy male subjects age from 13 to 15
participated in the study. The subjects were assigned into two different
training venues; outdoors and indoors. Swabs were taken before and after
training at three sites of the body; skin, ear and nose. The strains were
incubated in Baird Parker agar plates at 37OC. There was no significant
difference for the numbers of S. aureus strains carriers between pre and
post result for the skin, nose, and ear for outdoor training.Results for the number of S. aureus strains carriers on the skin, and nose
between pre and post indoor training showed significant difference
(p<0.05), however no significant difference was observed for the results
on the ear. Number of carriers on the skin, ear, and nose for pre training
was 60 (loo%), 56 (93%) and 56 (93%)) respectively, whereas for post
training on the same sites were 44 (73%), 56 (93%), and 60 (loo%),
respectively. As fur the estimated mean plate count of S. aureus strains,
there was significant difference between the pre and post results on the
ear and nose of Malays during outdoor training (~~0.05a)n d no
significant difference for the estimated mean plate count of strain on the
skin. The estimated mean plate count of S. aureus strain for Malays from
the skin, ear and nose before training were 138*103, 190k 147 and
395k83, respectively and after training were 97*77, 71S4 and 498k75,
respectively. For Indians, there was no significant difference for the plate
count of S. aureus strain on the skin, ear, and nose between the pre and
post results during outdoor training. As for indoor training, both Malays
and Indians showed a significant difference between the pre and post
results (p<0.05). The estimated mean plate count of strain during indoor
training for Malays from the skin, ear and nose before training was 33*17,
71e8 and 312f55, respectively and 21k16, 44e6 and 452k89,
respectively after training. For Indians, the estimated mean plate count of
strain on the skin, ear, and nose before training was 72&1, 80Q1 and 309~104re spectively and 55*19,20062, and 466f1 09 respectively after
training. In conclusion, the adolescent footballers are carriers during
training either indoor or outdoor.
Representative strains from the skin of adolescent footballers and
environment were selected randomly for antibiotic resistance, plasmid,
coagulase, and RAPD-PCR analysis. For the antibiotic resistance test,
nineteen antibiotics were tested. Antibiotic resistance patterns with the
strains tested from footbalfers training indoor, outdoor and environment
were diverse. However, norfioxacine (0%), rifampicin (0%), imipenem
(O%), methicillin (0%) and trirnethoprim-sulfamethoxazole (1 00%) showed
a similar resistance patterns with the strains tested from footballers and
the environment. Strains from the adolescent footballers training indoors
and indoor environment have a higher Multiple Antibiotic Resistance
(MAR) index compared from the strains from outdoor adolescent
footballers and outdoor environment. The plasmid profiles of S. aureus
strains isolated from the skin of footballers and the environment ranged
between 1.8 to 3.4 megaDalton (mDa). The results of the plasmid profiles
and antibiotic resistance showed that there was no correlation between
plasmid carriage and resistance to a particular antibiotic tested. Thir4y-two
S. aureus strains isolated from outdoors and indoors were found to be
carrying coagulase genes of different sizes. Two strains produced three amplified coagulase gene fragments while one strain produ~ed two
amplified coagulase gene fragments. The rest of the strains produced
only one amplified coagulase gene fragment. As for the strains from the
environment, Wo strains produced two amplified coagulase gene
fragments and seven produced only one arnplifed coagulase gene
fragment. The profiles obtained from RAPD contained 1 to 9 bands within
the molecular size of 0.3 kbp to 5.0 kbp. From the dendrogram, the strains
were divided into 2 major clusters and at 100% similarity there were four
groups of strains. It can be concluded that the strains isolated from the
footballers and environment were pathogenic due to the present of the
coagulase gene.
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