STAPHYLOCOCCUS AUREUS- HOSPITAL ACQUIRED AND COMMUNITY ACQUIRED, AND ANTIMICROBIAL TESTING IN A TERTIARY CARE HOSPITAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 40
Abstract
BACKGROUND Staphylococcus aureus is a major pathogen causing a diversity of infections including bacteraemia, pneumonia, skin and soft tissue and osteoarticular infections. Infections due to MRSA are associated with increased morbidity and mortality in hospitalised patients. It also has the potential to cause sudden outbreaks in hospitals. Cost of treatment is another major problem found by patients in developing countries. Aims and Objectives1. To differentiate MRSA into Hospital Acquired (HA) MRSA and Community Associated (CA) MRSA. 2. To know the antimicrobial susceptibility pattern of MRSA and Methicillin Sensitive Staphylococcus aureus (MSSA). MATERIALS AND METHODS This was a descriptive study. A total of 150 clinical isolates of Staphylococcus aureus from pus/ wound, blood, sputum, indwelling urinary catheter and urine during Nov 2011 to January 2013 were included. The S. aureus isolates were labelled as MRSA/ MSSA using cefoxitin (30 ug) discs and as hospital acquired and community acquired based on CDC criteria. RESULTS Out of 150 samples, 74 were MRSA and 76 were MSSA. Out of 74 MRSA samples, 51 were isolated from male and 23 were isolated from female. Out of 51 males, 41 were hospital acquired and 10 were community acquired. Out of 23 females, 21 were hospital acquired and 2 were community acquired. CONCLUSION Methicillin resistant S. aureus is a health risk in the community and to patients. HA-MRSA is an infection that can cause serious complications. This study emphasises the need for surveillance of patients who are admitted with HA-MRSA infection. This has important implication for MRSA epidemiology, infection control practices and empiric antimicrobial drug selection.
Authors and Affiliations
Padmavathy M, Priyanka S, Malini J
Keywords
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- EP ID EP548231
- DOI 10.14260/jemds/2018/978
- Views 79
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