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Updated: May 3, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus MRSA
Published on: February 9, 2011
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.
Aim:
The aim of the present study was to investigate the frequency of methicillin-resistant S. aureus (MRSA) colonization in infants with protein-energy malnutrition (PEM) and to characterize the antibiotic susceptibility patterns in isolated strains.
Material And Methods:
The study included 123 infants with PEM, admitted to the Paediatric Rehabilitation Department of,,St. Mary" Emergency Clinical Children's Hospital Iaşi, during October 1st 2010 and August 30th 2011. Nasal, pharyngeal and conjunctival swabs were collected for detection of colonization upon admission and at discharge.
Results:
The study revealed a high rate of MRSA carriage among infants with PEM (62.60%), most of the isolated strains being multidrug-resistant (86.13%), with additional resistance to aminoglycosides, macrolides and inducible resistance to clindamycin. 88% of colonized infants were nasal carriers.
Conclusions:
Identification of MRSA carriers permits the implementation of measures that decrease the risk for subsequent infection.
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