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Staphylococcus aureus carriage in selected communities and their antibiotic susceptibility patterns
A Norazah1, V K Lim, S N Munirah
1Bacteriology Unit, Infectious Diseases Research Centre, Institute for Medical Research, Jalan Pahang, 50588, Kuala Lumpur.
The Medical Journal of Malaysia
|October 23, 2003
Summary
Staphylococcus aureus nasal carriage is common in both healthy adults and nursing home residents. Multi-antibiotic resistant strains were found even in healthy individuals, highlighting a community-wide concern.
Area of Science:
- Microbiology
- Infectious Diseases
- Public Health
Background:
- Staphylococcus aureus is a significant human pathogen.
- Understanding its carriage and antibiotic resistance is crucial for infection control.
- Community-acquired infections pose a growing challenge.
Purpose of the Study:
- To determine Staphylococcus aureus carriage rates in healthy adults and nursing home residents.
- To analyze antibiotic susceptibility patterns of isolated Staphylococcus aureus strains.
- To identify risk factors associated with carriage and resistance.
Main Methods:
- Swab samples (nasal, throat, axillary) collected from 100 healthy adults and 90 nursing home inmates.
- Antibiotic disc susceptibility testing performed using the National Committee for Clinical Laboratory Standards (NCCLS) method.
- Data analyzed to determine carriage prevalence and resistance profiles.
Main Results:
- Staphylococcus aureus carriage was observed in 29% of healthy adults and 47.7% of nursing home inmates.
- High resistance rates noted for penicillin (92.4%) and moderate resistance to fusidic acid (11.3%).
- Methicillin-resistant Staphylococcus aureus (MRSA) was not detected; however, multi-antibiotic resistant strains were found in healthy individuals.
Conclusions:
- Staphylococcus aureus colonization is prevalent in both community and institutional settings.
- Multi-antibiotic resistant strains exist in the community, even in individuals without typical risk factors.
- Surveillance of carriage and resistance patterns is essential for effective public health strategies.