BACTERIOPHAGE PATTERN AND METHICILLIN RESISTANCE OF STAPHYLOCOCCUS AUREUS ISOLATED FROM HOSPITALISED PATIENTS

R N Misra1, Y D Singh2, R N Misra2

  • 1Classified Specialist (Pathology), Dept of Microbiology, Dept of Medicine, Armed Forces Medical College, Pune - 411040.

Insights

Most Staphylococcus aureus strains from hospitalized patients were methicillin-resistant, especially untypable strains. Phage typing limitations and rising resistance highlight public health concerns.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Antimicrobial Resistance

Background:

  • Staphylococcus aureus is a significant cause of hospital-acquired infections.
  • Methicillin resistance in Staphylococcus aureus (MRSA) poses a major treatment challenge.
  • Phage typing is a traditional method for differentiating bacterial strains.

Purpose of the Study:

  • To characterize Staphylococcus aureus strains from hospitalized patients using phage grouping and typing.
  • To determine the prevalence of methicillin resistance among these strains.
  • To assess the utility of phage typing in the context of emerging resistance patterns.

Main Methods:

  • Isolation and identification of Staphylococcus aureus from clinical samples.
  • Phage grouping and phage typing of the isolated strains.
  • Antimicrobial susceptibility testing, focusing on methicillin resistance.

Main Results:

  • 48.9% of strains were nontypable by the available phages.
  • 25% of strains belonged to the mixed phage group.
  • A majority of strains exhibited methicillin resistance, with 73.3% of nontypable strains and 52% of mixed-group strains being resistant.

Conclusions:

  • The study highlights a high prevalence of methicillin resistance in Staphylococcus aureus, particularly in strains that are difficult to type.
  • Inadequacy of current phage typing sets for comprehensive strain differentiation was observed.
  • Variability in phage groups and types across different locations suggests the need for updated typing methodologies and surveillance.

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