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Topic:Nasal

The nasal cavity in horses is a complex anatomical structure that plays a significant role in respiration and olfaction. It consists of a series of passages lined with mucous membranes and cilia that filter, humidify, and warm the air before it reaches the lungs. The nasal cavity is also involved in vocalization and serves as a conduit for pheromonal communication. Various conditions can affect the equine nasal cavity, including infections, allergies, and structural abnormalities, which can impact a horse's respiratory efficiency and overall health. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, and pathologies associated with the nasal cavity in horses, as well as diagnostic and therapeutic approaches.
Prevalence of equine coronavirus in nasal secretions from horses with fever and upper respiratory tract infection.
The Veterinary record    August 10, 2015   Volume 177, Issue 11 289 doi: 10.1136/vr.103263
Pusterla N, Holzenkaempfer N, Mapes S, Kass P.No abstract available
Viral load of equine herpesviruses 2 and 5 in nasal swabs of actively racing Standardbred trotters: Temporal relationship of shedding to clinical findings and poor performance.
Veterinary microbiology    June 11, 2015   Volume 179, Issue 3-4 142-148 doi: 10.1016/j.vetmic.2015.06.002
Back H, Ullman K, Treiberg Berndtsson L, Riihimäki M, Penell J, Ståhl K, Valarcher JF, Pringle J.The equine gamma herpesviruses 2 and 5 (EHV-2 and -5) have frequently been observed in the equine population and until recently presumed low to nonpathogenic. However, recent reports linking presence of equine gamma herpesviruses with clinical signs of mild to severe lung disease, suggest that the role of these viruses in respiratory disease and poor performance syndrome is still unclear. Moreover, baseline data regarding the temporal pattern of shedding of EHV-2 and EHV-5 within stables and within individual actively racing horses have been lacking. In a prospective longitudinal study, we fol...
Safety and immunogenicity of a novel cold-adapted modified-live equine influenza virus vaccine.
Australian veterinary journal    October 29, 2014   Volume 92, Issue 11 450-457 doi: 10.1111/avj.12248
Tabynov K, Kydyrbayev Z, Ryskeldinova S, Assanzhanova N, Kozhamkulov Y, Inkarbekov D, Sansyzbay A.To design and evaluate the safety and immunogenicity of a modified-live vaccine to prevent equine influenza virus (EIV) infection based on the novel reassortant cold-adapted strain A/HK/Otar/6:2/2010. Methods: Surface proteins (HA, NA) from the wild-type strain A/equine/Otar/764/2007 (H3N8) and internal proteins (PB2, PB1, PA, NP, M, NS) from the attenuated cold-adapted donor strain A/Hong Kong/1/68/162/35CA (H3N2) were included in the vaccine. Horses were administered 10(9.2) EID50 /mL of the modified-live vaccine or saline solution using a nasal spray. The clinical condition of the animals w...
Impact of equine herpesvirus type 1 (EHV-1) infection on the migration of monocytic cells through equine nasal mucosa.
Comparative immunology, microbiology and infectious diseases    October 8, 2014   Volume 37, Issue 5-6 321-329 doi: 10.1016/j.cimid.2014.09.004
Baghi HB, Nauwynck HJ.The mucosal surfaces are important sites of entry for a majority of pathogens, and viruses in particular. The migration of antigen presenting cells (APCs) from the apical side of the mucosal epithelium to the lymph node is a key event in the development of mucosal immunity during viral infections. However, the mechanism by which viruses utilize the transmigration of these cells to invade the mucosa is largely unexplored. Here, we establish an ex vivo explant model of monocytic cell transmigration across the nasal mucosal epithelium and lamina propria. Equine nasal mucosal CD172a(+) cells (nmCD...
Empyema of the nasal conchal bulla as a cause of chronic unilateral nasal discharge in the horse: 10 cases (2013-2014).
Equine veterinary journal    September 10, 2014   Volume 47, Issue 4 445-449 doi: 10.1111/evj.12322
Dixon PM, Froydenlund T, Luiti T, Kane-Smyth J, Horbal A, Reardon RJ.Empyema of the nasal conchal bullae has recently been identified in horses suffering from chronic unilateral nasal discharge. The diagnosis and management of such cases has not been reported previously. Objective: To describe the diagnosis and treatment of cases suffering from empyema of the nasal conchal bullae and report the frequency of diagnosis from a population of horses referred for head computed tomography (CT). Methods: Retrospective case review. Methods: Records from cases diagnosed with nasal conchal bulla disease using CT were reviewed. Results: Abnormalities of the nasal conchal b...
Nasal and ocular amyloidosis in a 15-year-old horse.
Acta veterinaria Scandinavica    August 27, 2014   Volume 56, Issue 1 50 doi: 10.1186/s13028-014-0050-6
Østevik L, Gunnes G, de Souza GA, Wien TN, Sørby R.Localized nasal, conjunctival and corneal amyloidosis was diagnosed in a 15-year-old pony with nasal and conjunctival masses and severe dyspnoea. Multiple swellings had been evident in the nostrils for at least two years and had gradually increased in size before presentation due to dyspnoea and exercise intolerance. Surgical debulking of the masses was performed and histological examination revealed large amounts of extracellular, hyaline, eosinophilic, Congo red positive material in the lamina propria of the nasal mucosa. A tentative diagnosis of localized nasal amyloidosis was made. The tre...
Characterisation of nasal Staphylococcus delphini and Staphylococcus pseudintermedius isolates from healthy donkeys in Tunisia.
Equine veterinary journal    August 14, 2014   Volume 47, Issue 4 463-466 doi: 10.1111/evj.12305
Gharsa H, Slama KB, Gómez-Sanz E, Gómez P, Klibi N, Zarazaga M, Boudabous A, Torres C.Staphylococcus intermedius group (SIG) bacteria can colonise the nares of some animals but are also emerging pathogens in humans and animals. Objective: To analyse SIG nasal carriage in healthy donkeys destined for food consumption in Tunisia and to characterise recovered isolates. Methods: Nasal swabs from 100 healthy donkeys were tested for SIG recovery, and isolates were identified by biochemical and molecular methods. Antimicrobial susceptibility of isolates was tested and detection of antimicrobial resistance and virulence genes was performed. Isolates were typed at the clonal level by mu...
Equine influenza diagnosis: sample collection and transport.
Methods in molecular biology (Clifton, N.J.)    June 6, 2014   Volume 1161 371-377 doi: 10.1007/978-1-4939-0758-8_32
Chambers TM, Reedy SE.In horses, presumptive diagnosis of equine influenza is commonly made on the basis of clinical signs. This alone is insufficient for confirmation of equine influenza, because other equine infectious respiratory diseases can in some degree have similar clinical presentations. Surveillance and control of equine influenza also necessitate detection of subclinical cases. Effective diagnosis of equine influenza virus infection is critically dependent on obtaining adequate specimens of virus-containing respiratory secretions for testing. These specimens are also valuable as sources for isolation of ...
Diode laser photoablation to correct distal nasolacrimal duct atresia in an adult horse.
Veterinary ophthalmology    March 25, 2014   Volume 17 Suppl 1 174-178 doi: 10.1111/vop.12164
Stoppini R, Tassan S, Barachetti L.An 8-year-old Hanoverian mare was presented for chronic mucopurulent discharge in the left eye, which was responsive to topical antibiotic therapy. Results: The nasolacrimal orifice was absent in the left nasal meatum, and anterograde irrigation of left nasolacrimal duct was not possible. Dacryocystorhinography was performed and revealed about 4-6 cm of distal nasolacrimal duct atresia. Unassigned: A novel technique was attempted with the horse under standing sedation using an urinary catheter and a 980 nm diode laser with a 600 μm diameter flexible bare quartz fiber. A nasolacrimal orifice w...
Characteristics of respiratory tract disease in horses inoculated with equine rhinitis A virus.
American journal of veterinary research    January 30, 2014   Volume 75, Issue 2 169-178 doi: 10.2460/ajvr.75.2.169
Diaz-Méndez A, Hewson J, Shewen P, Nagy E, Viel L.To develop a method for experimental induction of equine rhinitis A virus (ERAV) infection in equids and to determine the clinical characteristics of such infection. Methods: 8 ponies (age, 8 to 12 months) seronegative for antibodies against ERAV. PROCEDURES-Nebulization was used to administer ERAV (strain ERAV/ON/05; n = 4 ponies) or cell culture medium (control ponies; 4) into airways of ponies; 4 previously ERAV-inoculated ponies were reinoculated 1 year later. Physical examinations and pulmonary function testing were performed at various times for 21 days after ERAV or mock inoculation. Va...
Evaluation of coughing and nasal discharge as early indicators for an increased risk to develop equine recurrent airway obstruction (RAO).
Journal of veterinary internal medicine    January 13, 2014   Volume 28, Issue 2 618-623 doi: 10.1111/jvim.12279
Bosshard S, Gerber V.It is often assumed that horses with mild respiratory clinical signs, such as mucous nasal discharge and occasional coughing, have an increased risk of developing recurrent airway obstruction (RAO). Objective: Compared to horses without any clinical signs of respiratory disease, those with occasional coughing, mucous nasal discharge, or both have an increased risk of developing signs of RAO (frequent coughing, increased breathing effort, exercise intolerance, or a combination of these) as characterized by the Horse Owner Assessed Respiratory Signs Index (HOARSI 1-4). Methods: Two half-sibling ...
Isolation and characterization of equine nasal mucosal CD172a + cells.
Veterinary immunology and immunopathology    December 6, 2013   Volume 157, Issue 3-4 155-163 doi: 10.1016/j.vetimm.2013.12.001
Baghi HB, Laval K, Favoreel H, Nauwynck HJ.The nasal mucosa surface is continuously confronted with a broad variety of environmental antigens, ranging from harmless agents to potentially harmful pathogens. This area is under rigorous control of professional antigen presenting cells (APCs), such as dendritic cells (DCs) and macrophages. Mucosal APCs play a crucial role in inducing primary immune responses and the establishment of an immunological memory. In the present study, a detailed characterization of CD172a(+) cells, containing the APCs residing in the equine nasal mucosa was performed for the first time. CD172a(+) cells were isol...
Bacteriological and Molecular Detection of Streptococcus equi subsp. equi and Streptococcus equi subsp. zooepidemicus in Equines of Northern India.
Journal of equine science    September 30, 2013   Volume 24, Issue 3 53-55 doi: 10.1294/jes.24.53
Mir IA, Kumar B, Taku A, Faridi F, Bhat MA, Baba NA, Maqbool T.Present study was undertaken to study the prevalence of β-haemolytic streptococci in equine of northern temperate region of Jammu and Kashmir, India. One hundred and forty one samples were collected in duplicate from nasopharyngeal tract of diseased (53) and apparently healthy equine (88) for isolation and direct PCR. A total of 77 isolates of streptococci were recovered from 141 samples with an overall prevalence rate of 54.60%. Out of these 77 isolates, 52 were from diseased and 25 from apparently healthy animals. Of the 77 isolates, 4 were identified as Streptococcus equi subsp. equi, 56 a...
Two- and three-dimensional anatomy of paranasal sinuses in Arabian foals.
The Journal of veterinary medical science    September 5, 2013   Volume 76, Issue 1 37-44 doi: 10.1292/jvms.13-0172
Bahar S, Bolat D, Dayan MO, Paksoy Y.The 2- and 3-dimensional (3D) anatomy and the morphometric properties of the paranasal sinuses of the foal have received little or no attention in the literature. The aim of this study was to obtain details of the paranasal sinuses using multiplane CT imaging to create 3D models and to determine morphological and morphometric data for the sinuses using the 3D models. The heads of five female foals were used in this study. The heads were scanned using computed tomography (CT) in the rostrocaudal direction. After the heads had been frozen, anatomical sections were obtained in the scan position. ...
Recalibrating Equus evolution using the genome sequence of an early Middle Pleistocene horse.
Nature    June 26, 2013   Volume 499, Issue 7456 74-78 doi: 10.1038/nature12323
Orlando L, Ginolhac A, Zhang G, Froese D, Albrechtsen A, Stiller M, Schubert M, Cappellini E, Petersen B, Moltke I, Johnson PL, Fumagalli M....The rich fossil record of equids has made them a model for evolutionary processes. Here we present a 1.12-times coverage draft genome from a horse bone recovered from permafrost dated to approximately 560-780 thousand years before present (kyr BP). Our data represent the oldest full genome sequence determined so far by almost an order of magnitude. For comparison, we sequenced the genome of a Late Pleistocene horse (43 kyr BP), and modern genomes of five domestic horse breeds (Equus ferus caballus), a Przewalski's horse (E. f. przewalskii) and a donkey (E. asinus). Our analyses suggest that ...
Species of Candida as a component of the nasal microbiota of healthy horses.
Medical mycology    May 8, 2013   Volume 51, Issue 7 731-736 doi: 10.3109/13693786.2013.777858
Cordeiro Rde A, Bittencourt PV, Brilhante RS, Teixeira CE, Castelo-Branco Dde S, Silva ST, De Alencar LP, Souza ER, Bandeira Tde J, Monteiro AJ....Respiratory infections are a common problem among equines and occur with variable rates of morbidity and mortality. Although some fungal species are considered primary agents of respiratory tract infections in several mammals, their relevance in respiratory diseases of equines is frequently neglected. In the present study, we performed an active search for Candida spp. in the nasal cavity of horses. The presence of Candida spp. was investigated through the use of nasal swabs that were streaked on culture media. These yeasts were identified through physiological testing and their in vitro antif...
A comparative evaluation of methicillin-resistant staphylococci isolated from harness racing-horses, breeding mares and riding-horses in Italy.
Asian Pacific journal of tropical biomedicine    April 27, 2013   Volume 3, Issue 3 169-173 doi: 10.1016/S2221-1691(13)60044-1
Mallardo K, Nizza S, Fiorito F, Pagnini U, De Martino L.To investigate the prevalence of methicillin-resistant staphylococci (MRS) which is a potencial risk factor of transmission between animals and humans in different types of horses (harness racing-horses, breeding mares and riding-horses) and to compare the antimicrobial resistance of the isolates. Methods: A total of 191 healthy horses, housed at different locations of the Campania Region (Italy), were included in the study. Nasal swab samples were collected from each nostril of the horses. The mecA gene was detected by a nested PCR technique. Antibiotic susceptibility was tested for each isol...
Comparison of sampling sites and laboratory diagnostic tests for S. equi subsp. equi in horses from confirmed strangles outbreaks.
Journal of veterinary internal medicine    March 25, 2013   Volume 27, Issue 3 542-547 doi: 10.1111/jvim.12063
Lindahl S, Båverud V, Egenvall A, Aspán A, Pringle J.Strangles is a contagious equine-specific disease caused by Streptococcus equi subsp. equi. Unfortunately, detection of S. equi can fail in up to 40% of horses with strangles. Whereas recent molecular biologic methods and sampling techniques have improved recovery of S. equi optimal sampling methods and laboratory analyses remain ill-defined. Objective: To determine the yield of S. equi from horses with acute strangles in confirmed outbreaks by field-sampling methods subjected to culture and biochemical identification, and real-time PCR directly and after culture. Methods: Fifty-seven horses o...
The nasal vestibulum is the optimal sampling site for MRSA screening in hospitalised horses.
Veterinary journal (London, England : 1997)    March 7, 2013   Volume 197, Issue 2 415-419 doi: 10.1016/j.tvjl.2013.01.031
Van den Eede A, Hermans K, Van den Abeele A, Floré K, Dewulf J, Vanderhaeghen W, Némeghaire S, Butaye P, Gasthuys F, Haesebrouck F, Martens A.The increased incidence of methicillin-resistant Staphylococcus aureus (MRSA) infection in equine hospitals highlights the need for infection control protocols based on optimal patient screening. In horses, the deep ventral meatus of the nasal cavity is the principal site sampled to detect MRSA. However, in humans, the anterior nares are the preferred sampling site. The objective of this study was to determine the optimal sampling location in the nasal chambers for MRSA in horses by comparing the results obtained from three different locations (the vestibulum, diverticulum and ventral meatus) ...
A survey of respiratory viruses in New Zealand horses.
New Zealand veterinary journal    February 21, 2013   Volume 61, Issue 5 254-261 doi: 10.1080/00480169.2012.745211
McBrearty KA, Murray A, Dunowska M.To determine which viruses circulate among selected populations of New Zealand horses and whether or not viral infections were associated with development of respiratory disease. Methods: Nasal swabs were collected from 33 healthy horses and 52 horses with respiratory disease and tested by virus isolation and/or PCR for the presence of equine herpesviruses (EHV) and equine rhinitis viruses. Results: Herpesviruses were the only viruses detected in nasal swab samples. When both the results of nasal swab PCR and virus isolation were considered together, a total of 41/52 (79%) horses with respirat...
Histiocytic sarcoma of the nasal cavity in a horse.
Research in veterinary science    February 8, 2013   Volume 94, Issue 3 648-650 doi: 10.1016/j.rvsc.2013.01.005
Paciello O, Passantino G, Costagliola A, Papparella S, Perillo A.Histiocytic diseases in veterinary medicine have been revised in the last few decades, but these are considered relatively rare in horses. This report describes a 9-year-old female horse, Dutch Warmblood, presented for investigation of severe nasal bleeding. A multinodular bilateral mass of 5 cm, reddish to white in color, that invaded and destroyed the surrounding tissues, was observed during a clinical examination of the nostril The morphological features of the tumor cells were represented by cytologically bizarre, highly phagocytic, multinucleated giant cells. These findings, together with...
A single caudally based frontonasal bone flap for treatment of bilateral mucocele in the paranasal sinuses of an American miniature horse.
Veterinary surgery : VS    February 1, 2013   Volume 42, Issue 4 427-432 doi: 10.1111/j.1532-950X.2013.01093.x
Easley JT, Freeman DE.To describe successful surgical treatment of bilateral mucocele in an American Miniature horse using a single bone flap to approach right and left paranasal sinuses simultaneously. Methods: Clinical report. Methods: A castrated 6-year-old American Miniature Horse with a bilateral mucocele of the paranasal sinuses. Methods: A single bilateral frontonasal sinus flap was used in a standing procedure to access the left and right conchofrontal sinuses simultaneously to remove the mucous contents and to establish permanent drainage into the nasal cavities. Results: The novel procedure used in this h...
Low MRSA prevalence in horses at farm level.
BMC veterinary research    November 7, 2012   Volume 8 213 doi: 10.1186/1746-6148-8-213
Van den Eede A, Martens A, Feryn I, Vanderhaeghen W, Lipinska U, Gasthuys F, Butaye P, Haesebrouck F, Hermans K.In Europe, methicillin-resistant Staphylococcus aureus (MRSA) belonging to the clonal complex (CC) 398 has become an important pathogen in horses, circulating in equine clinics and causing both colonization and infection. Whether equine MRSA is bound to hospitals or can also circulate in the general horse population is currently unknown. This study, therefore, reports the nasal and perianal MRSA screening of 189 horses on 10 farms in a suspected high prevalence region (East- and West-Flanders, Belgium). Results: Only one horse (0.53%) from one farm (10%) tested positive in the nose. It carried...
Guttural pouch mycosis in horses: a retrospective study of 28 cases.
The Veterinary record    October 31, 2012   Volume 171, Issue 22 561 doi: 10.1136/vr.100700
Dobesova O, Schwarz B, Velde K, Jahn P, Zert Z, Bezdekova B.The medical records of 28 horses with guttural pouch mycosis were reviewed. The most commonly observed clinical signs were nasal discharge, epistaxis, dysphagia and/or cough. All 28 horses had the disease unilaterally, however, in five of them, it had spread into the contralateral pouch via the mesial septum. Three horses were treated medically, 11 horses underwent surgery and seven horses were treated both medically and surgically. Fifty percent of horses (14/28) were euthanased or died, fifty percent of horses (14/28) survived. There was no significant correlation between treatment method (m...
Magnetic resonance imaging features of sinonasal disorders in horses. Tessier C, Brühschwein A, Lang J, Konar M, Wilke M, Brehm W, Kircher P.Diseases of paranasal sinuses and nasal passages in horses can be a diagnostic challenge because of the complex anatomy of the head and limitations of many diagnostic modalities. Our hypothesis was that magnetic resonance (MR) imaging would provide excellent anatomical detail and soft tissue resolution, and would be accurate in the diagnosis of diseases of the paranasal sinuses and nasal passages in horses. Fourteen horses were imaged. Inclusion criteria were lesions located to the sinuses or nasal passages that underwent MR imaging and subsequent surgical intervention and/or histopathologic e...
Identification and methicillin resistance of coagulase-negative staphylococci isolated from nasal cavity of healthy horses.
Journal of microbiology (Seoul, Korea)    June 30, 2012   Volume 50, Issue 3 444-451 doi: 10.1007/s12275-012-1550-6
Karakulska J, Fijałkowski K, Nawrotek P, Pobucewicz A, Poszumski F, Czernomysy-Furowicz D.The aim of this study was an analysis of the staphylococcal flora of the nasal cavity of 42 healthy horses from 4 farms, along with species identification of CoNS isolates and determination of resistance to 18 antimicrobial agents, particularly phenotypic and genotypic methicillin resistance. From the 81 swabs, 87 staphylococci were isolated. All isolates possessed the gap gene but the coa gene was not detected in any of these isolates. Using PCR-RFLP of the gap gene, 82.8% of CoNS were identified: S. equorum (14.9%), S. warneri (14.9%), S. sciuri (12.6%), S. vitulinus (12.6%), S. xylosus (11....
Evaluation of a laryngotomy approach for near-total resection of the nasal septum in the horse.
Veterinary surgery : VS    April 30, 2012   Volume 41, Issue 5 643-648 doi: 10.1111/j.1532-950X.2012.00974.x
Loinaz RJ, Boutros CP, Rakestraw PC, Taylor TS.To report a laryngotomy approach for the removal of the nasal septum in adult horses. Methods: Descriptive study. Methods: Horses (n = 10). Methods: Near-total resection of the nasal septum was made using a modification of a previously reported 3-wire technique using a trephination approach and a 2-wire technique using a laryngotomy approach. Surgical time, ease of technique, complications, and outcome were recorded. At 45 days, horses were euthanatized and septal measurements made. Results: Near-total resection of the nasal septum was accomplished with both techniques without complications. I...
Association of clinical signs with endoscopic findings in horses with nasopharyngeal cicatrix syndrome: 118 cases (2003-2008).
Journal of the American Veterinary Medical Association    March 3, 2012   Volume 240, Issue 6 734-739 doi: 10.2460/javma.240.6.734
Norman TE, Chaffin MK, Bisset WT, Thompson JA.To characterize the associations between clinical signs of nasopharyngeal cicatrix syndrome (NCS) and endoscopic findings in horses. Methods: Retrospective, case-control study. Methods: 239 horses (118 case horses and 121 control horses). Methods: Medical records of horses that had an endoscopic evaluation of the upper airway performed between January 2003 and December 2008 were reviewed. Clinical signs and the appearance and anatomic locations of lesions identified during endoscopic evaluation were reviewed and recorded for each horse. The associations between clinical signs and endoscopic fi...
Nasal shedding of equine herpesvirus-1 from horses in an outbreak of equine herpes myeloencephalopathy in Western Canada.
Journal of veterinary internal medicine    February 15, 2012   Volume 26, Issue 2 384-392 doi: 10.1111/j.1939-1676.2012.00885.x
Burgess BA, Tokateloff N, Manning S, Lohmann K, Lunn DP, Hussey SB, Morley PS.There is little information on the duration of nasal shedding of EHV-1 from horses with naturally occurring equine herpesvirus myeloencephalopathy (EHM). Objective: To evaluate the duration of nasal shedding of EHV-1 in horses affected by EHM. Methods: One hundred and four horses naturally exposed to EHV-1, 20 of which had clinical signs of EHM. Methods: All horses on affected premises were monitored. Those horses developing EHM were sampled in a longitudinal outbreak investigation. Nasal swabs were collected daily from 16 of 20 horses affected by EHM. A qPCR was performed on 98 of 246 nasal s...
Methicillin-resistant Staphylococcus aureus (MRSA) on the skin of long-term hospitalised horses.
Veterinary journal (London, England : 1997)    January 20, 2012   Volume 193, Issue 2 408-411 doi: 10.1016/j.tvjl.2011.12.004
Van den Eede A, Hermans K, Van den Abeele A, Floré K, Dewulf J, Vanderhaeghen W, Crombé F, Butaye P, Gasthuys F, Haesebrouck F, Martens A.Given the significance of methicillin-resistant Staphylococcus aureus (MRSA) infections for both horses and staff in equine veterinary hospitals, protocols are required to minimise the risk of nosocomial transmission, including the screening of the skin and nasal chambers of equine patients for evidence of infection. The objective of this study was to clarify the potential existence and extent of MRSA on the skin of horses requiring long-term hospitalisation (≥ 6 months). Thirty such horses were sampled at eight different locations on their skin and from their nasal chambers. MRSA was isolat...
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