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[Staphylococci resistant to antibiotic therapy].

R Leclercq1

  • 1Service de microbiologie, centre hospitalier et universitaire de la Côte-de-Nacre, 14033 Caen, France. leclercq-r@chu-caen.fr

Annales Francaises D'Anesthesie Et De Reanimation
|June 25, 2002
PubMed
Summary

Antibiotic resistance in Staphylococcus aureus is a growing concern. While hospital-acquired infections show high rates of multi-drug resistant strains, community spread poses a future threat, necessitating ongoing surveillance.

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Area of Science:

  • Microbiology
  • Infectious Diseases
  • Pharmacology

Context:

  • Staphylococcus aureus antibiotic resistance is increasing globally.
  • Methicillin-resistant Staphylococcus aureus (MRSA) is primarily a hospital-associated issue.
  • Community-acquired infections by resistant staphylococci are an emerging concern.

Purpose:

  • To review antibiotic resistance mechanisms in staphylococci.
  • To report the current incidence of antibiotic resistance in Staphylococcus aureus in France.
  • To highlight the challenges in detecting resistance, particularly to glycopeptides.

Summary:

  • Antibiotic resistance in Staphylococcus aureus is a significant public health concern.
  • Hospital-acquired infections exhibit high rates of multiply resistant strains, including MRSA.

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  • Community-acquired strains, while generally less resistant, present a potential future threat.
  • Glycopeptide resistance is rare but may be underestimated due to detection difficulties.
  • Oxacillin resistance incidence appears stable after a recent decline.
  • Methicillin-resistant strains display a wide variety of resistance phenotypes, notably concerning gentamicin susceptibility.

    • Impact:

    • Informs public health strategies for controlling antibiotic resistance.
    • Highlights the need for continuous resistance surveillance.
    • Guides clinical management of Staphylococcus aureus infections.
    • Emphasizes the importance of accurate in vitro susceptibility testing.
    • Underscores the distinct resistance challenges in hospital versus community settings.