IN VITRO ACTIVITIES OF 28 ANTIMICROBIAL AGENTS AGAINST METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) FROM A CLINICAL SETTING IN MALAYSIA

Methicillin-resistant Staphylococcus aureus (MRSA), an established nosocomial and emerging community pathogen associated with many fatalities due to its hyper-virulence and multiple drug resistant properties, is on the continuous rise. To update the current status on the susceptibility of local MRSA...

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Veröffentlicht in:Southeast Asian journal of tropical medicine and public health 2008-09, Vol.39 (5), p.885-892
Hauptverfasser: NEELA, V, SASIKUMAR, M, GHAZNAVI, G. R, ZAMBERI, S, MARIANA, S
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container_title Southeast Asian journal of tropical medicine and public health
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creator NEELA, V
SASIKUMAR, M
GHAZNAVI, G. R
ZAMBERI, S
MARIANA, S
description Methicillin-resistant Staphylococcus aureus (MRSA), an established nosocomial and emerging community pathogen associated with many fatalities due to its hyper-virulence and multiple drug resistant properties, is on the continuous rise. To update the current status on the susceptibility of local MRSA isolates to various classes of antibiotics and to identify the most potent antibiotics, thirty-two clinical isolates comprised of hospital acquired (HA) and community acquired (CA) infections were investigated by disk diffusion test. Of the 32 MRSA isolates, 14 (43.75%) and 18 (56.25%) were community and hospital acquired MRSA, respectively. All isolates were multiple drug resistant to more than 3 classes of antibiotics despite the source or specimen from which it was isolated. The oxacillin MICs for all isolates ranged from 2 to > or = 256 microg/ml. Twenty-five of 26 erythromycin-resistant MRSA isolates exhibited an inducible MLS(B) resistance phenotype while one showed an MS phenotype. More than half the isolates (68.75%) were resistant to at least one of the six aminoglycosides tested, with netilmicin as the most susceptible. The most effective antistaphylococcal agents were linezolid, vancomycin, teicoplanin and quinupristin/dalfopristin exhibited 100% susceptibility. Since MRSA is under continuous pressure of acquiring multiple drug resistance, it is imperative to focus routine surveillance on HA and CA-MRSA strains to monitor and limit the spread of this organism.
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To update the current status on the susceptibility of local MRSA isolates to various classes of antibiotics and to identify the most potent antibiotics, thirty-two clinical isolates comprised of hospital acquired (HA) and community acquired (CA) infections were investigated by disk diffusion test. Of the 32 MRSA isolates, 14 (43.75%) and 18 (56.25%) were community and hospital acquired MRSA, respectively. All isolates were multiple drug resistant to more than 3 classes of antibiotics despite the source or specimen from which it was isolated. The oxacillin MICs for all isolates ranged from 2 to &gt; or = 256 microg/ml. Twenty-five of 26 erythromycin-resistant MRSA isolates exhibited an inducible MLS(B) resistance phenotype while one showed an MS phenotype. More than half the isolates (68.75%) were resistant to at least one of the six aminoglycosides tested, with netilmicin as the most susceptible. 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ispartof Southeast Asian journal of tropical medicine and public health, 2008-09, Vol.39 (5), p.885-892
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Anti-Bacterial Agents - pharmacology
Bacterial diseases
Biological and medical sciences
Community-Acquired Infections - microbiology
Cross Infection - microbiology
Disk Diffusion Antimicrobial Tests
Drug Resistance, Multiple, Bacterial
General aspects
Human bacterial diseases
Humans
Infectious diseases
Malaysia
Medical sciences
Methicillin Resistance
Staphylococcal infections, streptococcal infections, pneumococcal infections
Staphylococcus aureus - drug effects
Staphylococcus aureus - isolation & purification
title IN VITRO ACTIVITIES OF 28 ANTIMICROBIAL AGENTS AGAINST METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) FROM A CLINICAL SETTING IN MALAYSIA
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