Antibiotic Sensitivity and Clinico- epidemiological Profile of Staphylococcal Infections

Manas Kumar Mahapatra1, Devdeep Mukherjee, Sumon Poddar

  • 1Departments of Pediatric Medicine and #Microbiology, Institute of Child Health, Kolkata. devdeep_dm@rediffmail.com.

Indian Pediatrics
|October 25, 2016
PubMed

Insights

Antibiotic resistance in Staphylococcus aureus (S. aureus) among children in Kolkata is a concern. A significant portion of S. aureus isolates were resistant to clindamycin, particularly methicillin-resistant strains.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Pediatrics

Background:

  • Staphylococcus aureus (S. aureus) is a common cause of pediatric infections.
  • Antibiotic resistance in S. aureus is a growing global health threat.
  • Understanding local resistance patterns is crucial for effective treatment.

Purpose of the Study:

  • To determine the antibiotic sensitivity profile of S. aureus isolates from admitted children.
  • To identify the prevalence of methicillin-resistant S. aureus (MRSA) in this pediatric population.
  • To assess resistance rates to clindamycin in both methicillin-sensitive and methicillin-resistant S. aureus strains.

Main Methods:

  • A hospital-based study was conducted on 66 S. aureus isolates from pediatric patients (age 0-18 years).
  • Isolates were collected from a tertiary hospital in Kolkata, India.
  • Antibiotic sensitivity testing was performed, with a focus on methicillin and clindamycin resistance.

Main Results:

  • Methicillin-resistant S. aureus (MRSA) accounted for 16.7% (n=11) of all S. aureus isolates.
  • High rates of clindamycin resistance were observed: 60% in methicillin-sensitive S. aureus and 82% in MRSA.
  • These findings highlight significant clindamycin resistance in pediatric S. aureus infections.

Conclusions:

  • Pediatric S. aureus infections in Kolkata show concerning levels of antibiotic resistance.
  • Methicillin-resistant S. aureus is prevalent, and clindamycin resistance is particularly high in both sensitive and resistant strains.
  • Local antibiotic resistance data is essential for guiding empirical therapy in pediatric infectious diseases.