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Updated: Jun 23, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
The first vancomycin-intermediate Staphylococcus aureus strains isolated from patients in Thailand
Aroonlug Lulitanond1, Chulapan Engchanil, Prajuab Chaimanee
1Centre for Research and Development in Medical Diagnostic Laboratory 2, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand.
Abstract:
We screened 533 and 361 methicillin (meticillin)-resistant Staphylococcus aureus strains isolated in a university hospital in 2002 and 2003 and in 2006 and 2007, respectively, and identified 4 (0.8%) of the strains in the first group and 8 (2.2%) of the strains in second group as heterogeneous vancomycin-resistant S. aureus (heterogeneous VISA) strains and 3 (0.8%) of the strains in the second group as VISA strains. This is the first report of VISA strains isolated from patients in Thailand.
Insights
We identified increasing rates of vancomycin-resistant Staphylococcus aureus (VRSA) in a Thai university hospital. This study highlights the emergence of VRSA and heterogeneous VRSA strains, necessitating vigilant monitoring.
Area of Science:
- Infectious Diseases
- Microbiology
- Antimicrobial Resistance
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) poses a significant global health threat.
- Vancomycin remains a critical antibiotic for treating MRSA infections.
- The emergence of vancomycin resistance in MRSA strains (VRSA) is a growing concern.
Purpose of the Study:
- To determine the prevalence of vancomycin-resistant Staphylococcus aureus (VRSA) and heterogeneous VRSA strains.
- To analyze trends in VRSA and heterogeneous VRSA isolation over time.
- To report the first isolation of VRSA strains from patients in Thailand.
Main Methods:
- Screening of MRSA strains isolated from a university hospital.
- Phenotypic detection of vancomycin resistance.
- Analysis of strain data from two distinct time periods (2002-2003 and 2006-2007).
Main Results:
- Identified 4 (0.8%) heterogeneous VRSA strains in 2002-2003.
- Identified 8 (2.2%) heterogeneous VRSA strains in 2006-2007, showing an increase.
- Detected 3 (0.8%) VRSA strains in 2006-2007.
- This marks the first report of VRSA strains in Thailand.
Conclusions:
- The prevalence of heterogeneous VRSA and VRSA strains has increased over the study period.
- The findings underscore the emergence of vancomycin resistance in S. aureus in Thailand.
- Continuous surveillance for VRSA is crucial for effective infection control and treatment strategies.
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