Antibiotic resistance patterns of Staphylococcus aureus: A multi center study from India

Suresh Kumar Mendem1, Triveni Alasthimannahalli Gangadhara1, Channappa T Shivannavar1

  • 1Department of P. G Studies and Research in Microbiology, Gulbarga University, Kalaburagi, 585 106, Karnataka, India.

Insights

Antibiotic resistance in Staphylococcus aureus is a growing threat in India. This study found high rates of Methicillin-resistant Staphylococcus aureus (MRSA) and Vancomycin-resistant Staphylococcus aureus (VRSA), highlighting the urgent need for new treatments.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Pharmacology

Background:

  • The rise of multidrug-resistant (MDR) strains of Staphylococcus aureus, including hospital and community-acquired strains, poses a significant global health threat.
  • Antibiotic resistance in Staphylococcus aureus necessitates ongoing surveillance and research into effective treatment strategies.

Purpose of the Study:

  • To investigate the prevalence of antibiotic resistance patterns in Staphylococcus aureus isolated from clinical samples across various Indian cities.
  • To determine the incidence of Methicillin-resistant Staphylococcus aureus (MRSA) and Vancomycin-resistant Staphylococcus aureus (VRSA) in these isolates.

Main Methods:

  • Antibiotic sensitivity testing was conducted using the Kirby-Bauer disk diffusion method.
  • Minimum inhibitory concentrations (MICs) for vancomycin and methicillin were determined following Clinical and Laboratory Standards Institute (CLSI) 2014 guidelines.
  • Staphylococcus aureus isolates were obtained from clinical samples including pus, blood, and urine.

Main Results:

  • Out of 212 Staphylococcus aureus isolates, widespread resistance was observed, with resistance rates ranging from 10.13% for Chloramphenicol to 97% for Penicillin.
  • A significant proportion of isolates were identified as MRSA (44.8%) and VRSA (10.84%).
  • A majority of MRSA isolates exhibited inducible Clindamycin resistance.

Conclusions:

  • The high prevalence of MDR, MRSA, and VRSA strains of Staphylococcus aureus in India underscores a critical public health challenge.
  • There is an urgent need to explore alternative medicines and novel therapeutic approaches to effectively combat Staphylococcus aureus infections.