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routine clinical work and to enable radiomics research without observer-bias. Staphylococcus aureus has been associated with the exacerbation and severity of atopic dermatitis (AD). Studies have not investigated the colonisation dynamics of S. aureus lineages in African toddlers with AD. We determined the prevalence and population structure of S. aureus in toddlers with and without AD from rural and urban South African settings. We conducted a study of AD-affected and non-atopic AmaXhosa toddlers from rural Umtata and urban C