Drug sensitivity pattern of various Staphylococcus species isolated at a tertiary care hospital

Lavan Singh1, M P Cariappa2, N K Das3

  • 1Senior Adviser (Pathology), Military Hospital Meerut, UP, India.

Abstract

Insights

Staphylococcus aureus and coagulase-negative staphylococci (CoNS) are significant causes of hospital infections. Rising multidrug resistance in these bacteria poses a serious treatment challenge.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Antimicrobial Resistance

Background:

  • Staphylococcus species are primary causes of hospital-acquired infections.
  • These bacteria are frequently isolated from pus and blood cultures.
  • Multidrug resistance complicates treatment of staphylococcal infections.

Purpose of the Study:

  • To identify and characterize Staphylococcus species isolated from clinical samples.
  • To assess the prevalence of different Staphylococcus species in a tertiary care setting.
  • To investigate antimicrobial resistance patterns in isolated staphylococci.

Main Methods:

  • Prospective isolation of 524 Staphylococcus species from pus, blood, and urine over one year.
  • Species-level identification of all isolates.
  • Assessment of antimicrobial resistance mechanisms including beta-lactamase production, PBP alteration, and MLSB resistance.

Main Results:

  • Staphylococcus aureus was the predominant species (70.8%), especially in pus samples (91%).
  • Coagulase-negative staphylococci (CoNS) constituted 29.20%, with a higher proportion in blood cultures (63.58%).
  • Staphylococcus hemolyticus was the most common CoNS isolate; various resistance mechanisms were observed.

Conclusions:

  • Coagulase-negative staphylococci are an emerging cause of infections in tertiary care centers.
  • Increasing multidrug resistance among Staphylococcus species is a significant concern.
  • Effective measures are needed to prevent the spread of these resistant bacteria in healthcare settings and the community.