Intravenous Antibiotics Used in the Treatment of Methicillin-Resistant Staphylococcus Aureus

2015 ◽  
Vol 26 (3) ◽  
pp. 233-243
Author(s):  
Kristine Anne Scordo

Methicillin-resistant Staphylococcus aureus (MRSA) continues to cause significant morbidity and mortality. Despite advances in medical care, the prevalence of both community-acquired and hospital-acquired MRSA has progressively increased. Community-acquired MRSA typically occurs in patients without recent illness or hospitalization, presents as acute skin and soft tissue infections, and is usually not multidrug resistant. Hospital-acquired MRSA, however, presents in patients recently hospitalized or treated in long-term care settings and in those who have had medical procedures and is usually associated with multidrug-resistant strains. Both types of infections, if not properly treated, have the potential to become invasive. This article discusses current intravenous antibiotics that are available for the empiric treatment of MRSA infections along with a newer phenomenon known as the “seesaw effect.”

2000 ◽  
Vol 21 (4) ◽  
pp. 270-271 ◽  
Author(s):  
Elizabeth A. Bryce ◽  
Shelley M. Tiffin ◽  
Judith L. Isaac-Renton ◽  
Charles J. Wright

This retrospective case-control study examined whether there was a difference in length of time awaiting long-term-care lacement for patients identified as having methicillin-resistant Staphylococcus aureus or vancomycin-resistant Enterococcus compared to controls. Thirty-nine patients with methicillin-resistant Staphylococcus aureus or vancomycin-resistant Enterococcus waited for placement an average of 61 days longer than controls (P<.0002). The average number of requests for placement was 2.5 compared to 1.7 for controls (P=.015).


2013 ◽  
Vol 12 (4) ◽  
pp. 427-431
Author(s):  
S Ahmad

Background: Methicillin resistant Staphylococcus aureus (MRSA) is a multidrug resistant organism that threatens the effectiveness of antibiotics worldwide and is a threat in hospitals and long-term care settings. Aims: To determine the proportion of MRSA strains and their in vitro antibiotic susceptibility patterns against various antibiotics. Material and Methods: Different clinical specimens (n= 679) received at Al-Haram Diagnostic, Research and Training Center, Kashmir during a two year period commencing January, 2009 to December, 2010 were cultured, the isolates identified using standard microbiological techniques and their antibiotic susceptibilities determined. Results: Of the 679 specimens, Staphylococcus. aureus was isolated in 127 and 32 (25.2%) of these 127 were found be MRSA. No significant association with age or sex were observed in the MRSA positive specimens. MRSA were mainly isolated from burns, and skin and superficial soft tissue infections. MRSA isolates were found to be 100% sensitive to Vancomycin and 94%, 87%, 81%, 78% and 75% of isolates were resistant to Gentamycin, Tetracycline, Clindamycin, Erythromycin and Co-trimoxazole respectively. Conclusions: The relatively high proportion of MRSA and the associated antibiotic resistance seen in this study emphasizes the need for local or country based surveillance to characterize and monitor MRSA and to develop strategies that will improve MRSA treatment and control. DOI: http://dx.doi.org/10.3329/bjms.v12i4.16663 Bangladesh Journal of Medical Science Vol. 12 No. 04 October ’13 Page 427-431


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