哈罗蒂地区某三级医院耐甲氧西林金黄色葡萄球菌流行及易感模式的研究

A. Garg, L. Agarwal, Mamta Gupta, M. Agarwal
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引用次数: 0

摘要

背景和目的:新出现的抗菌素耐药性是全世界主要的公共卫生威胁之一。它可导致发病率和死亡率增加,同时增加治疗费用和住院时间。耐甲氧西林金黄色葡萄球菌(MRSA)已成为一个全球性的挑战。它是医院和社区获得性感染的主要原因。其流行程度因国家而异,在一个国家的医院内也各不相同。目前的研究估计了MRSA的流行程度。材料与方法:从各种临床标本中分离出162株金黄色葡萄球菌,按照临床与实验室标准协会的指南进行头孢西丁片(30 μg)的药敏试验和鉴定。结果:162株金黄色葡萄球菌中检出MRSA 92株。耐药率最高的是青霉素(100),其次是红霉素(97%)、克林霉素(57%)、四环素(13%)、磺胺甲恶唑-甲氧苄啶(SXT)(55%)、环丙沙星(23%)、庆大霉素(2%)。所有菌株对利奈唑胺和万古霉素均敏感。结论:由于抗生素的选择有限,耐多药MRSA的治疗仍然存在问题。这一分析将有助于临床医生选择一个适当的行动方案,为MRSA感染。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Study on the Prevalence and Susceptibility Pattern of MRSA in a Tertiary Care Hospital of Haroti Region
Background and Aims: Emerging antimicrobial resistance is one of the major public health threats worldwide. It can result in increased morbidity and mortality rates along with increased treatment costs and hospitalization stays. Methicillin-resistant Staphylococcus aureus (MRSA) has become a global challenge. It is a major cause of nosocomial and community-acquired infections. Its prevalence varies with country and within hospitals within a country. The current study estimates the prevalence of MRSA. Materials and Methods: A total of 162 Staphylococcus aureus strains were isolated from various clinical specimens, and antibiotic susceptibility tests and identification by cefoxitin disc (30 μg) were performed as per Clinical and Laboratory Standards Institute guidelines. Results: Among 162 Staphylococcus aureus 92 isolates were found to be MRSA. The highest rate of resistance was detected for penicillin (100), followed by erythromycin (97%), clindamycin (57%), tetracycline (13%), sulfamethoxazole-trimethoprim (SXT) (55%), ciprofloxacin (23%), and gentamicin (2%). All of the isolates were susceptible to linezolid and vancomycin. Conclusions: Treatment of multi-drug resistant MRSA is still problematic because of the limited choice of antibiotic. This analysis will assist clinicians to choose an appropriate course of action for MRSA infections.
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