Department of Botany and Microbiology, College of Science, King Saud University, Riyadh, Saudi Arabia.
Department of Pathology, College of Medicine and University Hospitals, King Saud University, Riyadh, Saudi Arabia.
Medicine (Baltimore). 2024 Apr 19;103(16):e37860. doi: 10.1097/MD.0000000000037860.
Staphylococcus aureus is an important human pathogen that has a major impact on public health. The objective of the present work was to determine the prevalence and the pattern of antibiotic susceptibility in S aureus (MRSA) isolates from the King Khalid University Hospital (KKUH) in Riyadh, Saudi Arabia. The isolates were collected from different body sites of infection and the antibiotic susceptibility was confirmed on the Vitek 2 system. A total of 371 MRSA isolates from clinical samples were received over a 12-month period from January 2021 to December 2021. The results showed that infection was predominant among males (55.8%) and most of the isolates occurred in the older age groups, with a mean age of 43.7 years and an age span from <1 to 89 years old. The majority (34.5%) recovered from wound infection followed by (14.6%) from blood. We have observed peaks of MRSA infections during the autumn, especially in September and November. All MRSA isolates were resistant to Amoxicillin + clavulanic acid, Ampicillin, Imipenem, Oxacillin, Cloxacillin, and Penicillin while all isolates were sensitive to Daptomycin and Nitrofurantoin. Furthermore, Vancomycin was resistant in (0.3%) of MRSA isolates, and (2.9%) was resistant to Linezolid. The current study concluded that MRSA strains had developed resistance toward 24 tested antibiotics, including the previous effective drugs vancomycin and linezolid. Therefore, there is an urgent need for continuous review of infection control practices to prevent any further spread of resistant strains.
金黄色葡萄球菌是一种重要的人类病原体,对公共卫生有重大影响。本研究旨在确定沙特阿拉伯利雅得的哈立德国王大学医院(KKUH)金黄色葡萄球菌(MRSA)分离株的流行率和抗生素敏感性模式。这些分离株来自不同部位的感染,抗生素敏感性在 Vitek 2 系统上得到确认。在 2021 年 1 月至 2021 年 12 月的 12 个月期间,共收到 371 株来自临床样本的 MRSA 分离株。结果表明,感染主要发生在男性(55.8%)中,大多数分离株发生在年龄较大的人群中,平均年龄为 43.7 岁,年龄范围为 1 至 89 岁。大多数(34.5%)从伤口感染中恢复,其次是(14.6%)从血液中恢复。我们观察到 MRSA 感染在秋季,尤其是在 9 月和 11 月达到高峰。所有 MRSA 分离株均对阿莫西林+克拉维酸、氨苄西林、亚胺培南、苯唑西林、氯唑西林和青霉素耐药,而所有分离株对达托霉素和呋喃妥因敏感。此外,万古霉素耐药的 MRSA 分离株占(0.3%),利奈唑胺耐药的占(2.9%)。本研究表明,MRSA 菌株对 24 种测试抗生素产生了耐药性,包括以前有效的药物万古霉素和利奈唑胺。因此,迫切需要不断审查感染控制措施,以防止耐药菌株的进一步传播。