Saikia Lahari, Nath Reema, Choudhury Basabdatta, Sarkar Mili
Department of Microbiology, Assam Medical College, Dibrugarh-786 002, India.
Indian J Crit Care Med. 2009 Jul-Sep;13(3):156-8. doi: 10.4103/0972-5229.58542.
Methicillin-resistant Staphylococcus aureus (MRSA) has become a serious problem in intensive care units, because of development of multiresistance, and also intrinsic resistance to beta-lactam antibiotics. The present study was carried out to investigate the prevalence of MRSA and their rate of resistance to different antistaphylococcal antibiotics.
Between January 2007 and February 2008, the clinical specimens submitted at the microbiology laboratory were processed and all S. aureus isolates were included in this study. All isolates were identified morphologically and biochemically by standard laboratory procedures and antibiotic susceptibility pattern was determined by modified Kirby Bauer disc diffusion method.
Methicillin resistance was observed in 34.78% of isolates, of which 37.5% were found to be resistant to all commonly used antibiotics. In MRSA isolates, 50% had constitutive resistance, 9.38% had inducible MLS(B) resistance and 18.75% had MS phenotype.
There is a progressive increase in MRSA prevalence in the country but the present rate is still low in comparison to values found in some other institutes. The rate of inducible MLS(B) resistance was also lower in comparison with findings from other parts of the country.
耐甲氧西林金黄色葡萄球菌(MRSA)已成为重症监护病房的一个严重问题,这是由于其多重耐药性的发展以及对β-内酰胺类抗生素的固有耐药性。本研究旨在调查MRSA的流行情况及其对不同抗葡萄球菌抗生素的耐药率。
2007年1月至2008年2月期间,对微生物实验室提交的临床标本进行处理,本研究纳入所有金黄色葡萄球菌分离株。所有分离株均通过标准实验室程序进行形态学和生化鉴定,并采用改良的 Kirby Bauer 纸片扩散法测定抗生素敏感性模式。
在34.78%的分离株中观察到耐甲氧西林现象,其中37.5%的分离株对所有常用抗生素耐药。在MRSA分离株中,50%具有组成型耐药,9.38%具有诱导型MLS(B)耐药,18.75%具有MS表型。
该国MRSA的流行率呈逐渐上升趋势,但与其他一些机构的数值相比,目前的流行率仍然较低。与该国其他地区的研究结果相比,诱导型MLS(B)耐药率也较低。