Variation in Methicillin-Resistant Staphylococcus aureus Occurrence by Geographic Location and Hospital Characteristics

1987 ◽  
Vol 8 (4) ◽  
pp. 151-157 ◽  
Author(s):  
Douglas S. Wakefield ◽  
Michael Pfaller ◽  
R. Michael Massanari ◽  
Glenn T. Hammons
Keyword(s):  
Staphylococcus Aureus ◽  
Antimicrobial Susceptibility ◽  
Medical Center ◽  
Geographic Location ◽  
Mean Value ◽  
Methicillin Resistant ◽  
Hospital Size ◽  
Antimicrobial Susceptibility Tests ◽  
Susceptibility Tests ◽  
Hospital Characteristics

AbstractA survey of 162 Veterans Administration Medical Center (VAMC) laboratories performing antimicrobial susceptibility testing was performed to determine variation in reported rates of methicillin-resistant Staphylococcus aureus (MRSA) isolation by geographic location and hospital characteristics. Of the 162 VAMC laboratories surveyed, 136 (84%) provided usable data. The percentage of S aureus isolates reported as resistant to methicillin ranged from 0% to 52% with a mean value of 10% among the 136 survey respondents. MRSA were isolated in every VA Medical District and 96% of all respondent laboratories reported isolating at least one MRSA isolate during the preceding year. These data are considered an underestimate of the time MRSA rate in the VA system due to the fact that many laboratories failed to follow key methodologic guidelines for optimal detection of MRSA. A positive correlation was found between MRSA isolation rate and several measures of hospital size and activity including total beds, total admissions, and total antimicrobial susceptibility tests performed. Geographic clustering of MRSA isolation was observed with distinct areas of very high and very low percentages of S aureus isolates reported as MRSA. The data suggest that the geographic distribution of MRSA within the VA system should be monitored closely for evidence of spread from areas with high-MRSA rates to areas of mid- or low-MRSA rates. Evidence of increased MRSA isolation within these areas may necessitate increased caution in patient referral and transfer patterns within the VA system.

scholarly journals Antimicrobial Resistance Profile of Different Clinical Isolates against Third-Generation Cephalosporins

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Fanta Gashe ◽  
Eshetu Mulisa ◽  
Mekidim Mekonnen ◽  
Gemechu Zeleke
Keyword(s):  
Escherichia Coli ◽  
Staphylococcus Aureus ◽  
Antimicrobial Resistance ◽  
Antimicrobial Susceptibility ◽  
Generation Cephalosporin ◽  
Third Generation ◽  
Bacterial Isolates ◽  
Antimicrobial Susceptibility Tests ◽  
Susceptibility Tests ◽  
Jimma University

Background. Drug resistant microorganisms lead to an increase in morbidity and mortality as they boost the risk of inappropriate therapy. Hence, data on antimicrobial resistance help define the best possible treatment for individual patients. Therefore, this study aimed to screen the antimicrobial resistant profile of 3rd generation cephalosporin drugs in Jimma University Specialized Teaching Hospital. Methods. A hospital based prospective cross-sectional study was conducted in Jimma University Specialized Hospital (JUSH) from April to August 2016. The clinical samples such as wound swab, urine, sputum, and stool were collected from hospitalized patients. Then, bacterial species were isolated and identified as per the standard microbiological methods. Antimicrobial susceptibility tests were carried out using various antimicrobial discs by Kirby–Bauer disc diffusion method. Results. Totally, 248 bacterial isolates were obtained from 154 (62.1%) male and 94 (37.9%) female patients. Escherichia coli (25.4%) and Staphylococcus aureus (19.0 %) were the predominant organisms isolated from specimens. About 140 (56.5%) and 149 (60.1%) of the total bacterial isolates were found to be resistant to ceftriaxone and ceftazidime, respectively. The majority of Escherichia coli isolates 46 (73%) were resistant to ceftriaxone and 41 (65%) of them were resistant to ceftazidime. Staphylococcus aureus, which accounted 19% of the total bacterial isolates, showed 23.4% and 34% resistance to ceftriaxone and ceftazidime, respectively. Among the bacterial strains revealing resistant to ceftriazone and ceftazidime, about 109 (44%) and 108 (43.5%) of them were resistant to two, three, or four other drugs, respectively. Conclusion. Bacterial resistance towards third-generation cephalosporin (ceftriaxone and ceftazidime) is escalating as more than half of the isolated strains demonstrated resistance to these drugs. Moreover, these strains also revealed multidrug resistance mainly against clinically used drugs which could render therapy unsuccessful. Therefore, in clinical use appropriate medications should be selected based on the data obtained from antimicrobial susceptibility tests.

scholarly journals Characterization of SCCmec, spa types and Multi Drug Resistant of methicillin-resistant Staphylococcus aureus isolates among inpatients and outpatients in a referral hospital in Shiraz, Iran

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Zahra Hashemizadeh ◽  
Nahal Hadi ◽  
Samane Mohebi ◽  
Davood Kalantar-Neyestanaki ◽  
Abdollah Bazargani
Keyword(s):  
Staphylococcus Aureus ◽  
Diffusion Method ◽  
Biochemical Tests ◽  
Spa Typing ◽  
Disk Diffusion Method ◽  
Methicillin Resistant ◽  
Tertiary Hospitals ◽  
Antimicrobial Susceptibility Tests ◽  
Susceptibility Tests ◽  
Spa Types

Abstract Objectives Molecular typing such as spa typing is used to control and prevent Staphylococcus aureus widespread in hospitals and communities. Hence, the aim of this study was to find the most common types of S. aureus strain circulating in Shiraz via spa and SCCmec typing methods. Results Total of 159 S. aureus isolates were collected from two tertiary hospitals in Shiraz. Isolates were identified by biochemical tests. Antimicrobial susceptibility tests were performed by standard disk diffusion method and then genetic analysis of bacteria was performed using SCCmec and spa typing. In this study 31.4% of the isolates were methicillin-resistant S. aureus. The majority of isolates were SSCmec type III. Spa type t030 was the most prominent type among MRSA strains. For the first time in Iran, spa003, t386, t1877, t314, t186, t1816, t304, t325, t345 were reported in this study. It was shown that there is a possibility that these spa types are native to this region. Our findings showed that SCCmec II, III and IV disseminate from hospital to community and vice versa. Thus, effective monitoring of MRSA in hospital and community is necessary.

scholarly journals Bacterial Causes and their Antimicrobial Susceptibility Testing among Urinary Tract Infection Patients in Tobruk Area, Libya

2021 ◽  
Vol 36 (4) ◽  
pp. 253-262
Author(s):  
Mohammed T. Mostafa ◽  
Khalid S. Mustafa ◽  
Brijesh Kumar
Keyword(s):  
Urinary Tract ◽  
Antimicrobial Susceptibility ◽  
Medical Center ◽  
Laboratory Diagnosis ◽  
Antimicrobial Susceptibility Tests ◽  
Amoxicillin Clavulanic Acid ◽  
Antibiotic Susceptibility Patterns ◽  
Susceptibility Tests ◽  
The Right ◽  
Tract Infections

Urinary tract infections are very common among people of all ages, but the disease is more prevalent in women, so proper clinical and laboratory diagnosis, and the right treatment are very important to avoid complications and antimicrobial resistance. This study aimed to determine the bacterial causes and antibiotic susceptibility patterns of UTI patients. Recorded results of 6065 urine sample cultures and their antimicrobial susceptibility tests from the Department of Microbiology in Tobruk Medical Center, Tobruk City, were obtained from September 2016 to December 2018. The data was analyzed and discussed in compare with other studies. The study showed that a UTI is more common in females (78.8%) compared with male patients (21.2%). Gram-negative bacteria accounted for the majority of urinary pathogens (90%), where E. coli alone was (58.4%), klebsiellae (17.4%), Proteus (10.7%), while Pseudomonas species was the least common (3.3%) of the total. While the Gram-positive bacteria S. aureus constituted 9.6% of the total. The study was found statistically significant (P=0.000). The most effective antibiotics against all uropathogens were Imipenem and Amikacin, and less effective antibiotics were Ampicillin and Amoxicillin-clavulanic acid. This study concluded that the most common cause of UTI in Tobruk was Escherichia coli and the most effective antibiotics appear to be Imipenem and Amikacin.

scholarly journals 1593. Analysis of Hospital Antimicrobial Susceptibility Test Results for Patterns of Antibiotic Resistance

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S581-S581
Author(s):  
Andrew Beckley ◽  
Erik S Wright
Keyword(s):  
Antibiotic Resistance ◽  
Antimicrobial Susceptibility ◽  
Medical Center ◽  
Clinical Samples ◽  
University Of Pittsburgh ◽  
Collateral Sensitivity ◽  
Treatment Techniques ◽  
Antimicrobial Susceptibility Tests ◽  
Susceptibility Tests ◽  
Organism Identification

Abstract Background Antimicrobial susceptibility tests (ASTs) are routinely performed on pathogens isolated from clinical samples. ASTs are used by clinicians to select the most appropriate treatment for antibiotic-resistant microorganisms. In aggregate, ASTs offer insight into the rise and spread of antibiotic resistance across hospitals. Here, we used ASTs to identify patterns of antibiotic resistance across drugs and microorganisms. Methods We conducted a retrospective analysis of 364,813 AST results from the University of Pittsburgh Medical Center from 2015 to 2018. Data regarding infection site, hospital laboratory testing, organism identification, and antibiotic susceptibilities were extracted from the laboratory information system and anonymized prior to use. The pathogens studied included Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, Acinetobacter baumannii, Staphylococcus aureus, Proteus mirabilis, and Enterococcus faecalis. Results We identified 21 antibiotic-pathogen combinations where resistance was found in less than 1% of AST results. Concordant susceptibility results of levofloxacin and ciprofloxacin occurred the most frequently among antibiotic pairs. Additionally, concordant susceptibility results were more common within antibiotics belonging to the same antibiotic class than between classes. P. aeruginosa had the highest rate of overall concordant results with concordance occurring within all -lactam classes. In contrast, K. pneumoniae and P. mirabilis showed the least concordance, suggesting that their resistance profiles are less predictable. Notably, we did not identify any pairs of antibiotics that strongly exhibited discordant susceptibility results regardless of the microorganism. Conclusion Using routinely collected clinical microbiological data, we were able to characterize pathogen-antibiotic combinations where resistance is rarely seen. Additionally, we identified pairs of antibiotics that frequently exhibited concordance susceptibilities both within and between classes. Lastly, we were unable to find evidence of discordant susceptibility results, indicating that more clinical research is needed to determine the efficacy of collateral sensitivity treatment techniques. Disclosures All authors: No reported disclosures.

Molecular Characteristics and Changing Trend of Methicillin-Resistant Staphylococcus Aureus From Invasive Infections between 2012 and 2018

2020 ◽  
Author(s):  
Yonghong Xiao ◽  
Yunying Zhu ◽  
Yuan Wang ◽  
Hao Xu ◽  
Tingting Xiao ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Lower Probability ◽  
Molecular Characteristics ◽  
Methicillin Resistant ◽  
Invasive Infections ◽  
Antimicrobial Susceptibility Tests ◽  
Changing Trend ◽  
Mrsa Strains ◽  
Susceptibility Tests

Abstract Background Methicillin-resistant Staphylococcus aureus (MRSA) is a major global problem. The analysis of the molecular characteristics and changing trend of MRSA is essential for the control and treatment of diseases caused by the pathogen.Methods A total of 162 MRSA isolates from invasive infections between 2012 and 2018 were collected, molecular typing and antimicrobial susceptibility tests to explore its molecular epidemiologic change in a hospital were performed.Results All of the 162 MRSA isolates (86.4% HA-MRSA and 13.6% CA-MRSA) were divided into 16 different ST and 30 Spa types. The major STs were ST5 (96/162, 59.3%) and the predominant spa type was t311(83/162, 51.2%). Five SCCmec types were found and the most common SCCmec type was type II (101/162, 61.7%). The prevalence of ST5 MRSA gradually declined from 2014 to 2018 but the prevalence of ST59 MRSA significantly increased. At the same time, livestock-associated methicillin-resistant S.aureus ST239 and ST9 were detected. 28 isolates were Panton-valentine leucocidin (pvl) gene positive (28/162, 17.3%). The most prevalent pvl-positive clone was ST59-IVa-t437. Comparing with HA-MRSA, CA-MRSA had a lower probability of ST5 (9.1% vs, 67.1%, P=0.000) but a higher probability of ST59 (63.6% vs. 11.4%, P=0.000), not only that, it was more likely to carrying pvl-positive gene (36.4% vs. 14.3%, P=0.028).Conclusions The molecular types of MRSA were getting complex over time. ST5-II-t311 was the predominant clone of MRSA isolate with a downward incidence from 2012 to 2018. ST59 MRSA strains, which is thought community related strain are spreading into hospitals and has an upward incidence during the investigational period.

scholarly journals Diagnosis and Treatment of Human Salmonellosis in Addis Ababa City, Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Legesse Garedew ◽  
Semaria Solomon ◽  
Yoseph Worku ◽  
Hilina Worku ◽  
Debela Gemeda ◽  
...  
Keyword(s):  
Antimicrobial Susceptibility ◽  
Addis Ababa ◽  
Clinical Signs ◽  
Diagnosis And Treatment ◽  
Widal Test ◽  
Predictive Values ◽  
Blood Samples ◽  
Antimicrobial Susceptibility Tests ◽  
Stool Samples ◽  
Susceptibility Tests

Background. Diagnosis using reliable tools and treatment followingin vitroantimicrobial susceptibility tests are critical to proper addressing of antibiotic-resistantSalmonellainfection.Methodology. A cross-sectional study was conducted to assess the practice of diagnosis and treatment of salmonellosis in Addis Ababa. Tube Widal test (for blood samples only), culture, biochemical and carbohydrate fermentation, serotyping, and antimicrobial susceptibility tests were employed for both blood and stool samples.Results. Of all the diseases listed in the diagnosis, nontyphoidal (n=72, 13.71%) and typhoidal (n=47, 8.95%) salmonellosis were the second and third common diseases. Among the 288 blood samples, almost half were positive for O, H, or both antigens. However, only 1 (0.68%) of the positive blood samples yieldedSalmonellaisolate during culture. The study demonstrated low specificity (0.68%) and positive predictive value (48.78%) of Widal test. Conversely, the test showed 100% sensitivity and negative predictive values.Salmonellaisolates were identified from 7 (7.07%) of 99 stool samples. Two-thirds of salmonellosis suspected patients received antibiotic treatment. However, only half of the confirmed salmonellosis patients were treated with appropriate antibiotics. All of the isolates were susceptible to ciprofloxacin and ceftriaxone but resistant to ampicillin.Conclusions. Majority of the patients who participated in this study were wrongly diagnosed using symptoms, clinical signs, and tube Widal test. Consequently, most of the patients received inappropriate treatment.

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