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Related Experiment Videos

Clinically significant coagulase-negative staphylococci: identification and resistance patterns.

K Refsahl1, B M Andersen

  • 1Department of Medical Microbiology, University Hospital, Tromsø, Norway.

The Journal of Hospital Infection
|September 1, 1992
PubMed
Summary

Coagulase-negative staphylococci (CNS) are a significant cause of infection. Methicillin-resistant Staphylococcus epidermidis increased notably, showing resistance to common antibiotics but remaining sensitive to vancomycin and rifampicin.

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Area of Science:

  • Microbiology
  • Clinical Infectious Diseases
  • Antimicrobial Resistance

Background:

  • Coagulase-negative staphylococci (CNS) are clinically significant pathogens.
  • Prevalence and antimicrobial resistance patterns of CNS vary geographically and over time.
  • Understanding CNS epidemiology is crucial for effective infection control.

Purpose of the Study:

  • To investigate the prevalence and antimicrobial susceptibility of CNS isolates in northern Norway between 1989-90.
  • To determine the rate of methicillin resistance in CNS, particularly Staphylococcus epidermidis.
  • To assess the trends in methicillin-resistant Staphylococcus epidermidis (MRSE) over a two-year period.

Main Methods:

  • Isolation and identification of CNS from various clinical samples (blood, catheters, wounds, urine) from 131 patients.

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  • Species identification using Gram-positive Identification Card (Vitek) and 'Staph-zym' (Rosco).
  • Antimicrobial susceptibility testing, including methicillin resistance, against a panel of antibiotics.
  • Main Results:

    • Staphylococcus epidermidis was the predominant CNS species (72.3%).
    • Overall methicillin resistance among CNS was 30.5%, with 35.4% of S. epidermidis isolates being methicillin-resistant (MRSE).
    • MRSE strains exhibited multi-drug resistance, except for sulfonamides, and were resistant to all beta-lactams, including imipenem. Methicillin resistance in S. epidermidis increased from 10% in 1987 to 35.4% in 1989-90. All strains remained sensitive to vancomycin and rifampicin.

    Conclusions:

    • Methicillin resistance is a growing concern in CNS, particularly S. epidermidis, in northern Norway.
    • The increasing prevalence of MRSE necessitates careful antibiotic selection, with vancomycin and rifampicin as reliable options.
    • Continued surveillance of CNS antimicrobial resistance is essential for guiding clinical practice and public health strategies.