Original Article
 
Prevalence of methicillin-resistant Staphylococcus aureus isolates and their antibiotic susceptibility in tertiary care hospitals, India
Jeza Muhamad Abdul Aziz1, Francisca Kalavathi1
1Department of Microbiology, Bangalore City College, Bangalore University, Bangalore, India

Article ID: 100008M08JA2017
doi: 10.5348/M08-2017-8-OA-3

Corresponding Author:
Jeza Muhamad Abdul Aziz
Molecular Diagnostic Laboratory, Sulaimani Veterinary Directorate
Sulaimani City, Kurdistan Region Northern
Iraq

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How to cite this article
Abdul Aziz JM, Kalavathi F. Prevalence of methicillin-resistant Staphylococcus aureus isolates and their antibiotic susceptibility in tertiary care hospitals, India. Edorium J Microbiol 2017;3:18–23.


Abstract

Aims: The broad range antibiotic resistance of Staphylococcus aureus (S. aureus) is a significant global threat to treatment of health care and community-associated infections. This study was aimed the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) and the antibiotic susceptibility pattern of S. aureus isolates in tertiary care hospitals in Bangalore, India from June 2012 to February 2013.
Methods: Standard methods were used to identify S. aureus from 100 clinical swab samples (45 wounds, 33 nasopharyngeal, and 22 high vaginal swabs), and the Kirby-Bauer disk diffusion method was used to investigate their antibiotic resistance patterns.
Results: Among the 100 samples, 45 (45%) were positive for S. aureus, including 15 high vaginal swab specimens, 16 wound swab specimens, and 14 nasopharyngeal swab samples. All S. aureus isolates were screened for methicillin resistance using the cefoxitin disk diffusion test and were confirmed by conventional PCR. The MRSA were resistant to both amoxicillin and ampicillin (100% of isolates), kanamycin (89.6%), ciprofloxacin (72.4%), cotrimoxazole (65.5%), chloramphenicol (44.8%), and gentamicin (55.1%). Only 3.4% of MRSA isolates were resistant to linezolid.
Conclusion: The results indicate a problematic prevalence of MRSA and multidrug-resistant MRSA in Bangalore hospitals. Linezolid is recommended as the drug of choice for treatment of MRSA infections in these settings.

Keywords: Linezolid, Methicillin-resistant Staphylococcus aureus, Multidrug resistance, Prevalence


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Acknowledgements

We gratefully acknowledge Bangalore City College for providing laboratory facilities for this work.


Author Contributions
Jeza Muhamad Abdul Aziz – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Francisca Kalavathi – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Conflict of Interest
Authors declare no conflict of interest.
Copyright
© 2017 Jeza Muhamad Abdul Aziz et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.