Thomas Abisha, Palathoti Nagarjuna, Azam Mohammed Afzal
Department of Pharmaceutical Chemistry, JSS College of Pharmacy, JSS Academy of Higher Education and Research, Ooty, Nilgiris, Tamil Nadu, India.
College of Pharmacy, JSS Academy of Technical Education, Noida, Uttar Pradesh, India.
Curr Pharm Biotechnol. 2025;26(9):1331-1347. doi: 10.2174/0113892010310231240529075731.
Methicillin-resistant (MRSA) is a potential threat globally since it is associated with high morbidity and mortality. In addition, the ability of MRSA to develop resistance and adapt to various environments makes it exceptional from other bacterial strains. Effective management is best determined by the site of infection.
This study aims to summarize and assess the epidemiology of MRSA, resistance, detection of MRSA in humans, animals, and food products, treatment employed, and combination therapy.
For the present review, we collected data from PubMed, Embase, Web of Science, BioMed Central, Medline, Encyclopedia of Life Sciences, Scopus, Cochrane Library, and ScienceDirect that report the epidemiology of MRSA, drug resistance in MRSA, spread of MRSA infection, diagnosis of infection, existing and emerging remedies of MRSA infections. Collected data were analyzed and represented in this article with the help of Figures and Tables.
resistance to vancomycin is because of genetic adaptation and also due to the widespread and indiscriminate use of antibiotics in the treatment of MRSA infection. Specifically, infections related to vancomycin-resistant S. aureus are life-threatening and difficult to treat. MRSA epidemiology with the recognition of community-acquired-MRSA transmission between livestock and humans is also reported and is alarming. Multiple studies suggested that early detection of MRSA colonization and elimination of carriage can help reduce the risk of subsequent infection. Specifically, PCR-based screening from different body sites offers the highest overall sensitivity for the detection of MRSA carriage.
Screening novel mutants and methods of transmission in each environment will assist in managing MRSA. Further, effective MRSA control in all clinical setups is required with the avoidance of uncontrolled antibiotic usage.
耐甲氧西林金黄色葡萄球菌(MRSA)是全球范围内的一个潜在威胁,因为它与高发病率和死亡率相关。此外,MRSA产生耐药性并适应各种环境的能力使其有别于其他细菌菌株。有效的管理最好根据感染部位来确定。
本研究旨在总结和评估MRSA的流行病学、耐药性、在人、动物和食品中MRSA的检测、所采用的治疗方法以及联合治疗。
对于本综述,我们从PubMed、Embase、科学引文索引、生物医学中心、医学在线、生命科学百科全书、Scopus、考克兰图书馆和科学Direct收集数据,这些数据库报告了MRSA的流行病学、MRSA中的耐药性、MRSA感染的传播、感染的诊断、MRSA感染的现有和新出现的治疗方法。收集到的数据在图表的帮助下进行了分析并在本文中呈现。
对万古霉素的耐药性是由于基因适应以及在治疗MRSA感染时抗生素的广泛和滥用。具体而言,与耐万古霉素金黄色葡萄球菌相关的感染危及生命且难以治疗。还报告了认识到社区获得性MRSA在牲畜和人类之间传播的MRSA流行病学情况,这令人担忧。多项研究表明,早期检测MRSA定植并消除携带状态有助于降低后续感染的风险。具体而言,基于PCR的不同身体部位筛查对检测MRSA携带状态具有最高的总体敏感性。
筛查每个环境中的新型突变体和传播方法将有助于管理MRSA。此外,需要在所有临床环境中有效控制MRSA,避免抗生素的无节制使用。