The Detection of Mupirocin Resistance and the Distribution of Methicillin-resistant Staphylococcus aureus at the University Hospital of the West Indies, Jamaica
The objectives of this study were to determine the susceptibility of Methicillin Resistant Staphylococcus aureus (MRSA) isolates to Mupirocin and other antimicrobial agents and to record the prevalence and distribution of this organism at the University Hospital of the West Indies (UHWI). MRSA isola...
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| Veröffentlicht in: | West Indian medical journal 2010-10, Vol.59 (5), p.509-513 |
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| creator | NICHOLSON, A. M THOMS, C WINT, H DIDIER, M WILLIS, R MCMORRIS, N CASTLE, D MAHARAJ, N ORRETT, F. A |
| description | The objectives of this study were to determine the susceptibility of Methicillin Resistant Staphylococcus aureus (MRSA) isolates to Mupirocin and other antimicrobial agents and to record the prevalence and distribution of this organism at the University Hospital of the West Indies (UHWI).
MRSA isolates collected between January 1, 2008 and December 31, 2008, were tested for low and high level resistance to Mupirocin. Susceptibility testing to other antibiotics including cotrimoxazole, minocycline, tetracycline, clindamycin, erythromycin, gentamicin and vancomycin was also done. Laboratory records for all patients from whom MRSA was recovered were reviewed and data on type and source of isolates, clinical diagnosis, history of previous hospitalization and use of mupirocin were extracted. In addition, the laboratory records for 2004 and 2005 were also reviewed to determine prevalence during these periods.
Seven per cent of Staphylococcus aureus isolates were resistant to methicillin (MRSA) and of these, 30% and 24% showed low level and high level resistance to mupirocin, respectively. Ninety-four per cent of MRSA strains were resistant to erythromycin while 52% showed resistance to clindamycin. Resistance to tetracycline, co-trimoxazole and minocycline was 27%, 12% and 6%, respectively, while about one-third of the isolates were resistant to gentamicin. There was no resistance to vancomycin. More than half (58%) of the isolates were from skin and soft tissue specimens while isolates from respiratory and urinary tracts and the bloodstream accounted for 19%, 13% and 4%, respectively. There has been a steady increase in prevalence from 4% in 2004 to 5% in 2007 and 7% in 2008.
Resistance of MRSA to mupirocin appears to be an emerging problem at the UHWI and must be monitored carefully. There is also significant resistance to commonly used antimicrobial agents and strict adherence to antibiotic policy is required to preserve the usefulness of these agents. |
| format | Article |
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MRSA isolates collected between January 1, 2008 and December 31, 2008, were tested for low and high level resistance to Mupirocin. Susceptibility testing to other antibiotics including cotrimoxazole, minocycline, tetracycline, clindamycin, erythromycin, gentamicin and vancomycin was also done. Laboratory records for all patients from whom MRSA was recovered were reviewed and data on type and source of isolates, clinical diagnosis, history of previous hospitalization and use of mupirocin were extracted. In addition, the laboratory records for 2004 and 2005 were also reviewed to determine prevalence during these periods.
Seven per cent of Staphylococcus aureus isolates were resistant to methicillin (MRSA) and of these, 30% and 24% showed low level and high level resistance to mupirocin, respectively. Ninety-four per cent of MRSA strains were resistant to erythromycin while 52% showed resistance to clindamycin. Resistance to tetracycline, co-trimoxazole and minocycline was 27%, 12% and 6%, respectively, while about one-third of the isolates were resistant to gentamicin. There was no resistance to vancomycin. More than half (58%) of the isolates were from skin and soft tissue specimens while isolates from respiratory and urinary tracts and the bloodstream accounted for 19%, 13% and 4%, respectively. There has been a steady increase in prevalence from 4% in 2004 to 5% in 2007 and 7% in 2008.
Resistance of MRSA to mupirocin appears to be an emerging problem at the UHWI and must be monitored carefully. There is also significant resistance to commonly used antimicrobial agents and strict adherence to antibiotic policy is required to preserve the usefulness of these agents.</description><identifier>ISSN: 0043-3144</identifier><identifier>PMID: 21473397</identifier><identifier>CODEN: WIMJAD</identifier><language>eng</language><publisher>Mona: University of West Indies, Faculty of Medical Sciences</publisher><subject>Anti-Bacterial Agents - pharmacology ; Antibacterial agents ; Antibiotics. Antiinfectious agents. Antiparasitic agents ; Bacterial diseases ; Biological and medical sciences ; Cross Infection - drug therapy ; Cross Infection - epidemiology ; Cross Infection - microbiology ; Drug Resistance, Multiple, Bacterial ; General aspects ; Hospitals ; Human bacterial diseases ; Humans ; Infectious diseases ; Jamaica - epidemiology ; Medical sciences ; Methicillin-Resistant Staphylococcus aureus - drug effects ; Methicillin-Resistant Staphylococcus aureus - isolation & purification ; Mupirocin - pharmacology ; Pharmacology. Drug treatments ; Prevalence ; Staphylococcal Infections - drug therapy ; Staphylococcal Infections - epidemiology ; Staphylococcal Infections - microbiology ; Staphylococcal infections, streptococcal infections, pneumococcal infections</subject><ispartof>West Indian medical journal, 2010-10, Vol.59 (5), p.509-513</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24027715$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21473397$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>NICHOLSON, A. M</creatorcontrib><creatorcontrib>THOMS, C</creatorcontrib><creatorcontrib>WINT, H</creatorcontrib><creatorcontrib>DIDIER, M</creatorcontrib><creatorcontrib>WILLIS, R</creatorcontrib><creatorcontrib>MCMORRIS, N</creatorcontrib><creatorcontrib>CASTLE, D</creatorcontrib><creatorcontrib>MAHARAJ, N</creatorcontrib><creatorcontrib>ORRETT, F. A</creatorcontrib><title>The Detection of Mupirocin Resistance and the Distribution of Methicillin-resistant Staphylococcus aureus at the University Hospital of the West Indies, Jamaica</title><title>West Indian medical journal</title><addtitle>West Indian Med J</addtitle><description>The objectives of this study were to determine the susceptibility of Methicillin Resistant Staphylococcus aureus (MRSA) isolates to Mupirocin and other antimicrobial agents and to record the prevalence and distribution of this organism at the University Hospital of the West Indies (UHWI).
MRSA isolates collected between January 1, 2008 and December 31, 2008, were tested for low and high level resistance to Mupirocin. Susceptibility testing to other antibiotics including cotrimoxazole, minocycline, tetracycline, clindamycin, erythromycin, gentamicin and vancomycin was also done. Laboratory records for all patients from whom MRSA was recovered were reviewed and data on type and source of isolates, clinical diagnosis, history of previous hospitalization and use of mupirocin were extracted. In addition, the laboratory records for 2004 and 2005 were also reviewed to determine prevalence during these periods.
Seven per cent of Staphylococcus aureus isolates were resistant to methicillin (MRSA) and of these, 30% and 24% showed low level and high level resistance to mupirocin, respectively. Ninety-four per cent of MRSA strains were resistant to erythromycin while 52% showed resistance to clindamycin. Resistance to tetracycline, co-trimoxazole and minocycline was 27%, 12% and 6%, respectively, while about one-third of the isolates were resistant to gentamicin. There was no resistance to vancomycin. More than half (58%) of the isolates were from skin and soft tissue specimens while isolates from respiratory and urinary tracts and the bloodstream accounted for 19%, 13% and 4%, respectively. There has been a steady increase in prevalence from 4% in 2004 to 5% in 2007 and 7% in 2008.
Resistance of MRSA to mupirocin appears to be an emerging problem at the UHWI and must be monitored carefully. There is also significant resistance to commonly used antimicrobial agents and strict adherence to antibiotic policy is required to preserve the usefulness of these agents.</description><subject>Anti-Bacterial Agents - pharmacology</subject><subject>Antibacterial agents</subject><subject>Antibiotics. Antiinfectious agents. Antiparasitic agents</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Cross Infection - drug therapy</subject><subject>Cross Infection - epidemiology</subject><subject>Cross Infection - microbiology</subject><subject>Drug Resistance, Multiple, Bacterial</subject><subject>General aspects</subject><subject>Hospitals</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Jamaica - epidemiology</subject><subject>Medical sciences</subject><subject>Methicillin-Resistant Staphylococcus aureus - drug effects</subject><subject>Methicillin-Resistant Staphylococcus aureus - isolation & purification</subject><subject>Mupirocin - pharmacology</subject><subject>Pharmacology. Drug treatments</subject><subject>Prevalence</subject><subject>Staphylococcal Infections - drug therapy</subject><subject>Staphylococcal Infections - epidemiology</subject><subject>Staphylococcal Infections - microbiology</subject><subject>Staphylococcal infections, streptococcal infections, pneumococcal infections</subject><issn>0043-3144</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0NtKxDAQBuBeKO56eAXJjXhjIW3atL2U9bArK4Lu4mWZpBM2kh5MUmHfxke11apXAzMfP8N_EMwpTVjIoiSZBcfOvVHKWcTpUTCLoyRjrMjmwedmh-QGPUqv24a0ijz2nbat1A15Rqedh0YigaYifpTDwmrR_2H0Oy21MboJ7cQ9efHQ7famla2UvSPQWxyH_47YNvoDrdN-T5at67QHMyaNp1d0nqyaSqO7Ig9Qg5ZwGhwqMA7PpnkSbO9uN4tluH66Xy2u12EXJ9SHihU5pkhFkeVCCCXTKEpYJQTwXKWqKjIlcsiBgqBpzCVNhYglIFNSKhTIToLLn9zOtu_98EhZayfRGGiw7V2Z8yimGed8kOeT7EWNVdlZXYPdl7-lDuBiAuAkGGWHCrX7dwmNsyxK2RfZ54RM</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>NICHOLSON, A. M</creator><creator>THOMS, C</creator><creator>WINT, H</creator><creator>DIDIER, M</creator><creator>WILLIS, R</creator><creator>MCMORRIS, N</creator><creator>CASTLE, D</creator><creator>MAHARAJ, N</creator><creator>ORRETT, F. A</creator><general>University of West Indies, Faculty of Medical Sciences</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20101001</creationdate><title>The Detection of Mupirocin Resistance and the Distribution of Methicillin-resistant Staphylococcus aureus at the University Hospital of the West Indies, Jamaica</title><author>NICHOLSON, A. M ; THOMS, C ; WINT, H ; DIDIER, M ; WILLIS, R ; MCMORRIS, N ; CASTLE, D ; MAHARAJ, N ; ORRETT, F. A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p240t-f398e5e0b978bbbfc51143dbba68f5fd97fb8a8a0ab0526c05bb2cae3fccfebe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Anti-Bacterial Agents - pharmacology</topic><topic>Antibacterial agents</topic><topic>Antibiotics. Antiinfectious agents. Antiparasitic agents</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Cross Infection - drug therapy</topic><topic>Cross Infection - epidemiology</topic><topic>Cross Infection - microbiology</topic><topic>Drug Resistance, Multiple, Bacterial</topic><topic>General aspects</topic><topic>Hospitals</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Jamaica - epidemiology</topic><topic>Medical sciences</topic><topic>Methicillin-Resistant Staphylococcus aureus - drug effects</topic><topic>Methicillin-Resistant Staphylococcus aureus - isolation & purification</topic><topic>Mupirocin - pharmacology</topic><topic>Pharmacology. Drug treatments</topic><topic>Prevalence</topic><topic>Staphylococcal Infections - drug therapy</topic><topic>Staphylococcal Infections - epidemiology</topic><topic>Staphylococcal Infections - microbiology</topic><topic>Staphylococcal infections, streptococcal infections, pneumococcal infections</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>NICHOLSON, A. M</creatorcontrib><creatorcontrib>THOMS, C</creatorcontrib><creatorcontrib>WINT, H</creatorcontrib><creatorcontrib>DIDIER, M</creatorcontrib><creatorcontrib>WILLIS, R</creatorcontrib><creatorcontrib>MCMORRIS, N</creatorcontrib><creatorcontrib>CASTLE, D</creatorcontrib><creatorcontrib>MAHARAJ, N</creatorcontrib><creatorcontrib>ORRETT, F. A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>West Indian medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>NICHOLSON, A. M</au><au>THOMS, C</au><au>WINT, H</au><au>DIDIER, M</au><au>WILLIS, R</au><au>MCMORRIS, N</au><au>CASTLE, D</au><au>MAHARAJ, N</au><au>ORRETT, F. A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Detection of Mupirocin Resistance and the Distribution of Methicillin-resistant Staphylococcus aureus at the University Hospital of the West Indies, Jamaica</atitle><jtitle>West Indian medical journal</jtitle><addtitle>West Indian Med J</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>59</volume><issue>5</issue><spage>509</spage><epage>513</epage><pages>509-513</pages><issn>0043-3144</issn><coden>WIMJAD</coden><abstract>The objectives of this study were to determine the susceptibility of Methicillin Resistant Staphylococcus aureus (MRSA) isolates to Mupirocin and other antimicrobial agents and to record the prevalence and distribution of this organism at the University Hospital of the West Indies (UHWI).
MRSA isolates collected between January 1, 2008 and December 31, 2008, were tested for low and high level resistance to Mupirocin. Susceptibility testing to other antibiotics including cotrimoxazole, minocycline, tetracycline, clindamycin, erythromycin, gentamicin and vancomycin was also done. Laboratory records for all patients from whom MRSA was recovered were reviewed and data on type and source of isolates, clinical diagnosis, history of previous hospitalization and use of mupirocin were extracted. In addition, the laboratory records for 2004 and 2005 were also reviewed to determine prevalence during these periods.
Seven per cent of Staphylococcus aureus isolates were resistant to methicillin (MRSA) and of these, 30% and 24% showed low level and high level resistance to mupirocin, respectively. Ninety-four per cent of MRSA strains were resistant to erythromycin while 52% showed resistance to clindamycin. Resistance to tetracycline, co-trimoxazole and minocycline was 27%, 12% and 6%, respectively, while about one-third of the isolates were resistant to gentamicin. There was no resistance to vancomycin. More than half (58%) of the isolates were from skin and soft tissue specimens while isolates from respiratory and urinary tracts and the bloodstream accounted for 19%, 13% and 4%, respectively. There has been a steady increase in prevalence from 4% in 2004 to 5% in 2007 and 7% in 2008.
Resistance of MRSA to mupirocin appears to be an emerging problem at the UHWI and must be monitored carefully. There is also significant resistance to commonly used antimicrobial agents and strict adherence to antibiotic policy is required to preserve the usefulness of these agents.</abstract><cop>Mona</cop><pub>University of West Indies, Faculty of Medical Sciences</pub><pmid>21473397</pmid><tpages>5</tpages></addata></record> |
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| ispartof | West Indian medical journal, 2010-10, Vol.59 (5), p.509-513 |
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| subjects | Anti-Bacterial Agents - pharmacology Antibacterial agents Antibiotics. Antiinfectious agents. Antiparasitic agents Bacterial diseases Biological and medical sciences Cross Infection - drug therapy Cross Infection - epidemiology Cross Infection - microbiology Drug Resistance, Multiple, Bacterial General aspects Hospitals Human bacterial diseases Humans Infectious diseases Jamaica - epidemiology Medical sciences Methicillin-Resistant Staphylococcus aureus - drug effects Methicillin-Resistant Staphylococcus aureus - isolation & purification Mupirocin - pharmacology Pharmacology. Drug treatments Prevalence Staphylococcal Infections - drug therapy Staphylococcal Infections - epidemiology Staphylococcal Infections - microbiology Staphylococcal infections, streptococcal infections, pneumococcal infections |
| title | The Detection of Mupirocin Resistance and the Distribution of Methicillin-resistant Staphylococcus aureus at the University Hospital of the West Indies, Jamaica |
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