Arora Shilpa, Devi Pushpa, Arora Usha, Devi Bimla
Department of Microbiology, Govt. Medical College, Amritsar, India.
J Lab Physicians. 2010 Jul;2(2):78-81. doi: 10.4103/0974-2727.72154.
The emergence of Methicillin-resistant Staphylococcus aureus (MRSA) has posed a serious therapeutic challenge. We report the prevalence and antibiotic susceptibility pattern of MRSA in the hospitals attached to GMC, Amritsar, Punjab.
The study comprised of 250 coagulase-positive staphylococci (COPS) isolated from a total of 6743 clinical specimens (like pus, blood, urine, high vaginal swab, sputum, etc.) of patients admitted in hospitals attached to Government Medical College, Amritsar from January 2008-February 2009. Routine antibiotic susceptibility testing was performed and interpreted as per standard guidelines. Methicillin resistance was detected using oxacillin and cefoxitin disc diffusion method, oxacillin screen agar method, and minimum inhibitory concentration using broth macrodilution method.
A total of 115 (46%) strains were found to be methicillin resistant. Multidrug resistance was observed in 73% MRSA strains. However, no strain was resistant to vancomycin.
Regular surveillance of hospital-associated infection and monitoring of antibiotic sensitivity pattern is required to reduce MRSA prevalence.
耐甲氧西林金黄色葡萄球菌(MRSA)的出现带来了严峻的治疗挑战。我们报告了旁遮普邦阿姆利则政府医学院附属医院中MRSA的流行情况及抗生素敏感性模式。
该研究包括从2008年1月至2009年2月在阿姆利则政府医学院附属医院住院的患者的6743份临床标本(如脓液、血液、尿液、高阴道拭子、痰液等)中分离出的250株凝固酶阳性葡萄球菌(COPS)。按照标准指南进行常规抗生素敏感性测试并进行解读。使用苯唑西林和头孢西丁纸片扩散法、苯唑西林筛选琼脂法以及肉汤稀释法测定最低抑菌浓度来检测耐甲氧西林情况。
共发现115株(46%)菌株耐甲氧西林。73%的MRSA菌株存在多重耐药性。然而,没有菌株对万古霉素耐药。
需要定期监测医院相关感染并监测抗生素敏感性模式以降低MRSA的流行率。