Dergiler / EMU Journal of Pharmaceutical Sciences / 2026 / Volume: 9 Issue: 1

Microbiological Assessment of Staphylococcus aureus Nasal Colonization and Antibiotic Resistance Patterns According to Nasal Septal Deviation Types

Barış Ali Ömer(EASTERN MEDITARRANEAN UNIVERSITY, SCHOOL OF MEDICINE)0009-0006-7145-3199
Ekin Ceylanlı(EASTERN MEDITARRANEAN UNIVERSITY, SCHOOL OF MEDICINE)0009-0000-4078-352X
Dilara Kuşi(EASTERN MEDITARRANEAN UNIVERSITY, SCHOOL OF MEDICINE)0009-0001-9247-2376
Laden Tepetmez(EASTERN MEDITARRANEAN UNIVERSITY, SCHOOL OF MEDICINE)0009-0003-7702-7850
Muharrem İyican(EASTERN MEDITARRANEAN UNIVERSITY, SCHOOL OF MEDICINE)0009-0007-3965-4190
Kadir Çakıral(DOĞU AKDENİZ ÜNİVERSİTESİ)0000-0003-4639-7528
Mümtaz Güran(EASTERN MEDITARRANEAN UNIVERSITY, SCHOOL OF MEDICINE)0000-0002-1536-8831
Didem Rıfkı(Department of Head and Neck Surgery, Famagusta State Hospital)0000-0003-2928-3158
Sayfa
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Yayın Tarihi
2026-05-21
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Preoperative screening protocols should incorporate comprehensive risk assessments beyond anatomical classification alone.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Nasal septal deviation (NSD) may facilitate bacterial colonization by impairing airflow.
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Temel Bulgular & Veri:We further sought to determine if specific clinical comorbidities and environmental exposures serve as independent catalysts for staphylococcal niche colonization.A multicenter prospective observational study was conducted (November 2023–June 2024) in Northern Cyprus. 105 patients with NSD underwent endoscopic examination and were classified using Mladina’s system.
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Sonuç & Katkı:Preoperative screening protocols should incorporate comprehensive risk assessments beyond anatomical classification alone.
🔬Tür:Research Article
📍Kapsam:2023 Verileri
⚙️Değişkenler:Mladina classification · MRSA · MSSA

Abstract

Nasal septal deviation (NSD) may facilitate bacterial colonization by impairing airflow. The relationship between specific anatomical types (Mladina classification) and Staphylococcus aureus colonization, including methicillin-resistant (MRSA) strains remains unclear. This study aims to evaluate the prevalence and antibiotic susceptibility profiles of Staphylococcus aureus, within the altered microenvironments created by different Mladina-classified nasal septal deviations (NSD). We further sought to determine if specific clinical comorbidities and environmental exposures serve as independent catalysts for staphylococcal niche colonization.A multicenter prospective observational study was conducted (November 2023–June 2024) in Northern Cyprus. 105 patients with NSD underwent endoscopic examination and were classified using Mladina’s system. Nasal swabs were cultured, and antibiotic susceptibility was determined via EUCAST guidelines.MRSA colonization was detected in 21.0% of patients. Although colonization rates varied across Mladina types (7.7%–29.4%), no statistically significant association was found (p>0.05). Chronic sinusitis, allergic rhinitis, and smoking showed numerically higher MRSA rates but lacked statistical significance.Mladina’s NSD classification does not independently predict MRSA colonization risk. Preoperative screening protocols should incorporate comprehensive risk assessments beyond anatomical classification alone.

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Bu Makaleye Atıf Yap

Ömer, B. A., Ceylanlı, E., Kuşi, D., Tepetmez, L., İyican, M., Çakıral, K., Güran, M., Rıfkı, D. (2026). Microbiological Assessment of Staphylococcus aureus Nasal Colonization and Antibiotic Resistance Patterns According to Nasal Septal Deviation Types. EMU Journal of Pharmaceutical Sciences, Volume: 9 Issue: 1. https://doi.org/10.54994/emujpharmsci.1839816

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Kaynakça (29)

  1. Abbas MM, Almasri M, Abu-Zant A, Sharef S, Mahajne S, et al. (2023). Prevalence of anterior nares colonization of Palestinian diabetic patients with Staphylococcus aureus or methicillin-resistant Staphylococcus aureus. QASCF 15(4): 32–41.
  2. Abie S, Tiruneh M, Abebe W (2020). Methicillin-resistant Staphylococcus aureus nasal carriage among janitors working in hospital and non-hospital areas: a comparative cross-sectional study. Ann Clin Microbiol Antimicrob 19(1): 47.
  3. Acker W, Smothers L, Alsoubani M, Campion M, Andujar-Vazquez GM (2025). Evaluating the Appropriateness of MRSA Nasal PCR Screening for De-escalation of MRSA-directed Therapy. Antimicrobial Stewardship and Healthcare Epidemiology 5(Suppl 2):66–7.
  4. Amanian D, Yaghmaei S, Jalilpour M, Taziki MH, Soltaniesmaeili A (2024). Computed Tomography Analysis of the Nasal Septal Deviation and Related Paranasal Sinus Pathologies. Frontiers in Biomedical Technologies 11(4): 622–630.
  5. Bessesen MT, Kotter CV, Wagner BD, Adams JC, Kingery S, et al. (2015). MRSA colonization and the nasal microbiome in adults at high risk of colonization and infection. Journal of Infection 71(6): 649–657.
  6. Bruno G, Stefani A De, Benetazzo C, Cavallin,F, Gracco, A. (2020). Changes in nasal septum morphology after rapid maxillary expansion: a Cone-Beam Computed Tomography study in pre-pubertal patient. Dental Press Journal of Orthodontics 25(5): 51–56.
  7. Chen C, Chang H, Huang Y (2010). Nasal meticillin-resistant Staphylococcus aureus carriage among intensive care unit hospitalised adult patients in a Taiwanese medical centre: one time-point prevalence, molecular characteristics and risk factors for carriage. Journal of Hospital Infection 74(3): 238–244.
  8. EUCAST. (2023). European Committee on Antimicrobial Susceptibility Testing Breakpoint tables for interpretation of MICs and zone diameters European Committee on Antimicrobial Susceptibility Testing Breakpoint tables for interpretation of MICs and zone diameters. The European Committee on Antimicrobial Susceptibility Testing. Breakpoint Tables for Interpretation of MICs and Zone Diameters. Version 13.0, 2023.
  9. Foster TJ (2017). Antibiotic resistance in Staphylococcus aureus. Current status and future prospects. FEMS Microbiology Reviews 41(3): 430–449.
  10. Giri N, Maharjan S, Thapa TB, Pokhrel S, Joshi G, et al. (2021). Nasal Carriage of Methicillin-Resistant Staphylococcus aureus among Healthcare Workers in a Tertiary Care Hospital, Kathmandu, Nepal. International Journal of Microbiology 2021: 1–8.
  11. Gupta K, Martinello RA, Young M, Strymish J, Cho K, et al. (2013). MRSA Nasal Carriage Patterns and the Subsequent Risk of Conversion between Patterns, Infection, and Death. PLoS ONE 8(1): e53674.
  12. Hricová K, Pudová V, Fišerová K, Htoutou Sedláková M, Karpíšková R, et al. (2025). [Molecular biological analysis of methicillin-resistant Staphylococcus aureus (MRSA) isolates of human and animal origin]. Klinicka Mikrobiologie a Infekcni Lekarstvi 31(1): 5–10.
  13. Hulterström AK, Sellin M, Monsen T, Widerström M, Gurram BK, et al. (2016). Bacterial flora and the epidemiology of staphylococcus aureus in the nose among patients with symptomatic nasal septal perforations. Acta Oto-Laryngologica 136(6): 620–625.
  14. Jain S, Deshmukh PT (2021). A Review on Deviated Nasal Septum: Classification, Clinical Features and Management. Journal of Pharmaceutical Research International 432–437.
  15. Jayathilaka N, Piyumali M, Weerasinghe TG, Nakkawita D, Senaratne T (2024). Nasal Colonization of Methicillin-Resistant Staphylococcus aureus among Nurses at a Sri Lankan Hospital. South Asian Journal of Research in Microbiology 18(9): 1–9.
  16. Kent SE, Reid AP, Nairn ER, Brain DJ (1988). Neonatal Septal Deviations. Journal of the Royal Society of Medicine 81(3): 132–135.
  17. Mahmud A, Salisu AD, Kolo ES, Hasheem MG, Bello‐Muhammad N, et al. (2023). Impact of smoking on nasal mucociliary clearance time in Kano metropolis, Nigeria. World Journal of Otorhinolaryngology - Head and Neck Surgery 9(1): 53–58.
  18. Manarey CRA, Anand VK, Huang C (2004). Incidence of Methicillin-Resistant Staphylococcus aureus Causing Chronic Rhinosinusitis. The Laryngoscope 114(5): 939–941.
  19. McEachern EK, Hwang JH, Sladewski KM, Nicatia S, Dewitz C, et al. (2015). Analysis of the Effects of Cigarette Smoke on Staphylococcal Virulence Phenotypes. Infection and Immunity 83(6): 2443–2452.
  20. Mehraj J, Witte W, Akmatov MK, Layer F, Werner G, et al. (2016). Epidemiology of Staphylococcus aureus Nasal Carriage Patterns in the Community. In Current Topics in Microbiology and Immunology (Vol. 398, pp. 55–87). Springer, Cham.
  21. Mladina R, Čujić E, Šubarić M, Vuković K (2008). Nasal septal deformities in ear, nose, and throat patients. American Journal of Otolaryngology 29(2): 75–82.
  22. Moshfeghi M, Abedian B, Ghazizadeh Ahsaie M, Tajdini F (2020). Prevalence of nasal septum deviation using cone-beam computed tomography: A cross-sectional study. Contemporary Clinical Dentistry 11(3): 223.
  23. Newman NI, Mendonça DS, de Silva PG, de B Ribeiro EC, Costa FWG (2023). Prevalence of septation and symmetry of sphenoid sinus and nasal septal deviation in multislice computed tomography. Brazilian Journal of Case Reports 3(Suppl.8): 11.
  24. Poorey VK, Gupta N (2014). Endoscopic and Computed Tomographic Evaluation of Influence of Nasal Septal Deviation on Lateral Wall of Nose and Its Relation to Sinus Diseases. Indian Journal of Otolaryngology and Head & Neck Surgery 66(3): 330–335.
  25. Shams N, Razavi M, Zabihzadeh M, Shokuhifar M, Rakhshan V (2022). Associations between the severity of nasal septal deviation and nasopharynx volume in different ages and sexes: a cone-beam computed tomography study. Maxillofacial Plastic and Reconstructive Surgery 44(1): 13.
  26. Shume T, Urgesa K, Mekonnen S, Ayele F, Tesfa T, et al. (2024). Nasal carriage of MRSA among clinically affiliated undergraduate students at the College of Health and Medical Sciences, Haramaya University, Ethiopia. Scientific Reports 14(1): 29977.
  27. Teixeira J, Certal V, Chang ET, Camacho M (2016). Nasal Septal Deviations: A Systematic Review of Classification Systems. Plastic Surgery International 2016(1): 7089123.
  28. Titouche Y, Akkou M, Djaoui Y, Mechoub D, Fatihi A, et al. (2024). Nasal carriage of Staphylococcus aureus in healthy dairy cows in Algeria: antibiotic resistance, enterotoxin genes and biofilm formation. BMC Veterinary Research 20(1): 247.
  29. Vanderpool EJ, Rumbaugh KP (2023). Host-microbe interactions in chronic rhinosinusitis biofilms and models for investigation. Biofilm 6: 100160.