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厄立特里亚金黄色葡萄球菌临床分离株的抗菌药敏模式研究。

A study on antimicrobial susceptibility pattern in clinical isolates of Staphylococcus aureus in Eritrea.

作者信息

Naik Durgadas, Teclu Alem

机构信息

Microbiologist/Associate Professor, College of Health Sciences, Asmara, Eritrea.

出版信息

Pan Afr Med J. 2009 Aug 17;3:1. doi: 10.4314/pamj.v3i1.52439.

Abstract

BACKGROUND

Staphylococcus aureus is a major pathogen in skin and soft tissue infections. Methicillin resistant S.aureus (MRSA) is prevalent in most of the countries wherever it is sought for. MRSA is one of the important pathogens implicated in hospital acquired infection. The main objectives of this study was to find out the antimicrobial susceptibility pattern of S.aureus isolates, the prevalence of methicillin resistant S.aureus (MRSA) and nasal carriage rate in healthy hospital staff.

METHOD

A total of 278 S.aureus strains isolated from clinical specimens were tested for antimicrobial susceptibility and 30 anterior nares swabs from healthy hospital staff were screened for S.aureus organisms using standard methods.

RESULTS

High resistance was observed against ampicillin, penicillin and tetracycline. High sensitivity was recorded against amikasin, amoxicillin-c and ciprofloxacin. Of the 278 isolates 26 (9%) isolates were methicillin resistant S.aureus (MRSA). 17 % of the hospital staff were positive for nasal carriage of Staphylococcus aureus .

CONCLUSION

Our study emphasizes the need for continuous monitoring of the antimicrobial susceptibility pattern of S.aureus isolates including MRSA for the selection of appropriate therapy. In Eritrea, from the present findings it appears that the spread of MRSA in community and hospital settings is limited.

摘要

背景

金黄色葡萄球菌是皮肤和软组织感染的主要病原体。耐甲氧西林金黄色葡萄球菌(MRSA)在大多数被检测的国家中普遍存在。MRSA是医院获得性感染的重要病原体之一。本研究的主要目的是了解金黄色葡萄球菌分离株的抗菌药敏模式、耐甲氧西林金黄色葡萄球菌(MRSA)的流行情况以及健康医院工作人员的鼻腔携带率。

方法

采用标准方法对从临床标本中分离出的278株金黄色葡萄球菌菌株进行抗菌药敏测试,并对30名健康医院工作人员的前鼻孔拭子进行金黄色葡萄球菌检测。

结果

观察到对氨苄西林、青霉素和四环素的高耐药性。对阿米卡星、阿莫西林 - c和环丙沙星记录到高敏感性。在278株分离株中,26株(9%)为耐甲氧西林金黄色葡萄球菌(MRSA)。17%的医院工作人员鼻腔携带金黄色葡萄球菌呈阳性。

结论

我们的研究强调需要持续监测金黄色葡萄球菌分离株(包括MRSA)的抗菌药敏模式,以选择合适的治疗方法。在厄立特里亚,从目前的研究结果来看,MRSA在社区和医院环境中的传播似乎是有限的。

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