Threat of drug resistant Staphylococcus aureus to health in Nepal

Shamshul Ansari1, Hari Prasad Nepal, Rajendra Gautam

  • 1Department of Microbiology, Chitwan Medical College, Bharatpur, Chitwan, Nepal. shamshulansari483@yahoo.com.

Abstract

Insights

High rates of methicillin-resistant Staphylococcus aureus (MRSA) were found in clinical samples. This highlights the urgent need for antibiotic stewardship and surveillance of Staphylococcus aureus resistance patterns.

Area of Science:

  • Clinical microbiology
  • Infectious diseases
  • Antimicrobial resistance

Background:

  • Staphylococcus aureus is a common cause of hospital-acquired infections.
  • Increasing resistance to methicillin-resistant Staphylococcus aureus (MRSA) and other antibiotics complicates treatment.
  • Emerging resistance necessitates updated surveillance and treatment strategies.

Purpose of the Study:

  • To determine the prevalence of Staphylococcus aureus in clinical samples.
  • To assess the rates of MRSA and inducible clindamycin resistance.
  • To profile the full antibiotic susceptibility of Staphylococcus aureus isolates.

Main Methods:

  • Standard microbiological methods were used for Staphylococcus aureus identification.
  • Methicillin resistance was confirmed using cefoxitin and oxacillin disk diffusion.
  • Inducible clindamycin resistance was detected using the D-zone test.

Main Results:

  • 306 Staphylococcus aureus isolates were recovered from clinical samples.
  • 43.1% of isolates exhibited methicillin resistance (MRSA).
  • 12.4% of isolates showed inducible clindamycin resistance.

Conclusions:

  • High rates of antibiotic resistance in Staphylococcus aureus clinical isolates were observed.
  • The alarming rate of MRSA underscores concerns regarding antibiotic use.
  • Vigilant laboratory surveillance of resistance is crucial, particularly in Nepal.

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