Key takeaways:
Staphylococcus aureus, or “staph,” is a bacteria that can live on the skin and in the nose.
People with staph infections in their nose can experience nose pain, crusting, and bleeding.
Before a surgery, a healthcare professional may test to see if you have staph in your nose. If you have staph, you might need topical antibiotics or an antiseptic wash to reduce the amount of bacteria on your skin before surgery.
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Staphylococcus aureus is a common bacteria that also goes by the names S. aureus and “staph.” You can get a staph infection in your nose, but carrying staph in your nose is far more common. Around 1 in 3 people in the U.S. carry staph in their nose. Most of the time, this doesn’t cause any problems and doesn’t need treatment.
Let’s take a look at the difference between carrying staph and a staph infection in your nose.
What is a staphylococcal nasal infection?
Staphylococcal nasal infection is an infection of the skin or tissues inside your nose. The bacteria S. aureus is usually the culprit. Most people with S. aureus in their nose never get sick, because the bacteria live harmlessly on the surface without invading the skin. Infections can happen when those bacteria get past that skin barrier, usually through a small break in your skin.
How do you get staph inside your nose?
Everyone has bacteria that live on and inside their body. Bacteria live on your skin, nose, mouth, intestines, and genitals. In most cases these bacteria aren’t harmful — some even help with digestion, and others prevent infection from more dangerous bacteria. “Colonization” occurs when a bacteria lives on you without causing damage.
S. aureus, or staph, may live harmlessly on your skin and inside your nose. Staph can colonize you when you come into contact with another person who has the bacteria or if you touch a surface that has staph on it.
Everyone will come into contact with staph bacteria at some point in their lives. But it isn’t clear why only some people become colonized and carry staph in their nose or on their skin.
Is a staphylococcal nasal infection serious?
A nasal staph infection can be serious because it can spread to other parts of the body and cause serious infections. The most common types of nasal staph infections are:
Nasal folliculitis (vestibulitis)
Nasal furunculosis
Chronic nasal sores
People who carry staph in their nose can develop nasal staph infections. Some things increase your risk of developing a nasal staph infection, such as:
Picking your nose
Blowing your nose often, like when having an upper respiratory tract infection or allergies
Waxing or plucking nasal hair
Having a nasal piercing
People who are receiving certain types of cancer treatment or who have diabetes may also be at higher risk of developing these types of nasal staph infections.
What are the symptoms of a staphylococcal nasal infection?
Symptoms of a nasal staph infection can include:
Pain
Redness
Crusting around the nostrils
Warmth of the nose
A bump inside the nose
How do you diagnose a staphylococcal nasal infection?
A healthcare professional can test you for staph infections in your nose. They can also test if you carry staph in your nose.
In both cases, they will do a quick test where they rub a nasal swab on the inside of your nose. Then they test this swab for staph bacteria. If you need surgery, you might need to do this test a few days before your surgery.
What’s the treatment for a staphylococcal nasal infection?
If you have a staph infection in your nose, treatment can include:
Topical antibiotics, like mupirocin ointment
Oral antibiotics, like clindamycin
Pain medication, like acetaminophen (Tylenol) or ibuprofen (Advil)
Warm compresses and nasal saline rinses
You will also need to avoid touching your nose as much as possible until the infection heals.
Frequently asked questions
Staph spreads very easily, which is why about 1 in 3 people have staph in their nose. Nasal staph spreads when you come into contact with the bacteria. This can happen when you touch a surface that has staph on it.
A blood test doesn’t directly show whether you have a staph infection. But blood test results can help you figure out if you may be dealing with an infection. If a healthcare professional suspects a nasal staph infection, they’ll use a swab to take a sample from your nose and then send it to a lab. But keep in mind that you can have staph without having an infection.
Yes, using mupirocin before surgery can reduce the amount of bacteria on your skin or in your nose. And this can lower the risk of an infection after surgery. Your care team may also ask you to use chlorhexidine liquid soap before surgery as well.
Staph spreads very easily, which is why about 1 in 3 people have staph in their nose. Nasal staph spreads when you come into contact with the bacteria. This can happen when you touch a surface that has staph on it.
A blood test doesn’t directly show whether you have a staph infection. But blood test results can help you figure out if you may be dealing with an infection. If a healthcare professional suspects a nasal staph infection, they’ll use a swab to take a sample from your nose and then send it to a lab. But keep in mind that you can have staph without having an infection.
Yes, using mupirocin before surgery can reduce the amount of bacteria on your skin or in your nose. And this can lower the risk of an infection after surgery. Your care team may also ask you to use chlorhexidine liquid soap before surgery as well.
The bottom line
Staphylococcus aureus is a bacteria that can live on the skin and in the nose. Some people can develop nasal staph infections after plucking or waxing nasal hair. You may have a higher risk if you often blow or pick your nose. To stop a more serious infection from developing, these infections need treatment with antibiotics. Other people can carry staph in their nose and not have any symptoms. But these people might need treatment to reduce the amount of staph in their nose before surgery.
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References
Agency for Healthcare Research and Quality. (2022). Standardized nursing protocol: Basin bed bathing with 2% liquid chlorhexidine (CHG) and showering with 4% CHG liquid soap.
Cathcart-Rake, E. J., et al. (2017). Nasal vestibulitis as an under-recognized and undertreated side effect of cancer treatment. Journal of Clinical Oncology.
Center for Disease Control and Prevention. (2025). Clinical overview of methicillin-resistant Staphylococcus aureus (MRSA) in healthcare settings.
Fried, M. P., et al. (2025). Bacterial nasal infections. Merck Manual Professional Version.
Lipschitz, N., et al. (2017). Nasal vestibulitis: etiology, risk factors, and clinical characteristics: A retrospective study of 118 cases. Diagnostic Microbiology and Infectious Disease.
Mohamed-Yassin, M. S., et al. (2020). A red and swollen nose. Malaysian Family Physician.
Otto, M. (2010). Staphylococcus colonization of the skin and antimicrobial peptides. Expert Review of Dermatology.
van Rijen, M., et al. (2008). Mupirocin ointment for preventing staphylococcus aureus infection in nasal carriers. Cochrane Database Systematic Reviews.







