Methicillin-resistant Staphylococcus aureus carriage in infants with protein-energy malnutrition

Laura Florescu1, Teodora Vremeră2, Genoveva Bălănică1

  • 1Discipline of Infant Care, University of Medicine and Pharmacy "Grigore T. Popa"- Iasi.

Insights

Methicillin-resistant Staphylococcus aureus (MRSA) colonization is high in infants with protein-energy malnutrition (PEM). Most MRSA strains found were multidrug-resistant, highlighting a significant public health concern.

Area of Science:

  • Medical Microbiology
  • Pediatrics
  • Infectious Diseases

Background:

  • Protein-energy malnutrition (PEM) can compromise immune function in infants.
  • Methicillin-resistant Staphylococcus aureus (MRSA) is a significant pathogen with increasing prevalence.
  • Infants with malnutrition may be at higher risk for infections and colonization by resistant bacteria.

Purpose of the Study:

  • To determine the frequency of MRSA colonization in infants diagnosed with PEM.
  • To analyze the antibiotic susceptibility profiles of MRSA strains isolated from these infants.

Main Methods:

  • A cohort of 123 infants with PEM was studied.
  • Nasal, pharyngeal, and conjunctival swabs were collected upon admission and discharge.
  • Standard microbiological techniques were used for MRSA detection and antibiotic susceptibility testing.

Main Results:

  • A high prevalence of MRSA colonization was observed in 62.60% of infants with PEM.
  • The majority of isolated MRSA strains (86.13%) exhibited multidrug resistance.
  • Common resistance patterns included aminoglycosides, macrolides, and inducible clindamycin resistance, with nasal carriage being predominant (88%).

Conclusions:

  • The high rate of MRSA colonization and multidrug resistance in infants with PEM underscores the need for targeted surveillance.
  • Early identification of MRSA carriers is crucial for implementing effective infection control measures.
  • These findings emphasize the importance of monitoring antibiotic resistance in vulnerable pediatric populations.
Abstract

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