Antibiotic Sensitivity to Methicillin and Methicillin Plus Macrolide- Lincosamide-Streptogramins Resistant Staphylococcus Aureus

Hamzulla Khan, Fazli Bari, Sahibzada Fawad, A. Masood, Irfan A. Khan, Khushaal Khan
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Abstract

This study was conducted from May 2018 to Oct 2019 to determine the culture and sensitivity pattern of Methicillin resistant Staphylococcus aureus (MRSA) and MRSA with Macrolide Lincosamide and Streptogramin-B (MLS-B) antibiotics in a tertiary care hospital of Nowshera. A total of 235 isolates were studies and 86 samples showed MRSA. The prevalence rate of MRSA was 89/235 (37.87%). Out of 86 isolates with MRSA, 19 (22.09%) were also resistant to MLS-B antibiotics.Regarding gender specification, 52 (60.5%) were females and 34 (39.5%) were males. The mean age with standard deviation of patients was 29 + 6.8 years. The sensitivity pattern to MRSA was; Vancomycin 100%, Linezolid 100%, Rifampicin 86.04%, Clindamycin, 73.25%, Fusidic acid 60.46%, Erythromycin 44.18%., Doxycyclin 32.55%, levofloxacin 16.27%, Gentamycin 13.95% and Ciprofloxacin 11. 62%. Sensitivity of Vancomycin & Linezolid was 100% in MRSA and MLS-B resistant isolates, and should be kept reserved for MRSA cases to avoid misuse of antibiotics and to reduce resistance.
对甲氧西林和甲氧西林加大环内酯-林可沙胺-链状gramins耐药金黄色葡萄球菌的敏感性
本研究于2018年5月至2019年10月在诺舍拉市某三级医院进行耐甲氧西林金黄色葡萄球菌(MRSA)和耐甲氧西林金黄色葡萄球菌(MRSA)与大环内酯林科胺和链状gramin- b (MLS-B)抗生素的培养及敏感性分析。共分离235株,86份样品显示MRSA。MRSA感染率为89/235(37.87%)。在86株MRSA分离株中,19株(22.09%)也对MLS-B抗生素耐药。性别方面,女性52例(60.5%),男性34例(39.5%)。患者平均年龄(标准差)为29 + 6.8岁。对MRSA的敏感型为;万古霉素100%,利奈唑胺100%,利福平86.04%,克林霉素73.25%,福西地酸60.46%,红霉素44.18%。,多西环素32.55%,左氧氟沙星16.27%,庆大霉素13.95%,环丙沙星11。62%。万古霉素和利奈唑胺对MRSA和MLS-B耐药菌株的敏感性为100%,应保留用于MRSA病例,以避免滥用抗生素并减少耐药性。
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