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Biosensor for Detection of Antibiotic Resistant Staphylococcus Bacteria
Published on: May 8, 2013
High-Level Mupirocin Resistance in Staphylococcus spp. among Health Care Workers in a Tertiary Care Hospital
E Kavitha1,2, R Srikumar3
1Research Scholar, Bharath University, Chennai, India, kavimicro23@gmail.com.
Background:
Nasal carriage of Staphylococcus aureus is very common among health care workers, and treatment with mupirocin is one of the choicest antibiotics available. But with the rampant usage of mupirocin like other antibiotics, the emergence of mupirocin resistance is also on rise. This resistance is both low level as well as high level among the isolated strains.
Aim:
To screen for the high-level mupirocin resistance among the isolated Staphylococcus strains by Kirby Bauer disk diffusion method.
Materials And Methods:
A total of 200 clinical isolates were tested for high level mupirocin resistance by disk diffusion method using Himedia disks.
Results:
Among the 200 nasal swabs, 26 (13%) showed growth of S. aureus, whereas 174 (87%) showed the growth of coagulase negative staphylococcus (CONS) spp. Mupirocin resistance was observed only among CONS spp, which was 15% for low-level mupirocin and 8% for high-level mupirocin resistance. No mupirocin resistance was observed among the Staphylococcus spp.
Conclusion:
The identification of Mupirocin resistance will guide us to utilize the antibiotic in a judicious way to treat the nasal carriage effectively.
Insights
High-level mupirocin resistance is prevalent in coagulase-negative staphylococci (CONS) nasal carriage, not Staphylococcus aureus. This finding is crucial for judicious antibiotic use in healthcare settings.
Area of Science:
- Clinical Microbiology
- Infectious Diseases
- Antimicrobial Resistance
Background:
- Nasal carriage of Staphylococcus aureus is common in healthcare workers.
- Mupirocin is a primary antibiotic for treatment, but resistance is increasing.
- Resistance can be low-level or high-level in isolated strains.
Purpose of the Study:
- To screen for high-level mupirocin resistance in Staphylococcus strains.
- Utilize the Kirby Bauer disk diffusion method for screening.
Main Methods:
- Tested 200 clinical isolates for high-level mupirocin resistance.
- Employed the disk diffusion method with Himedia disks.
Main Results:
- 26% S. aureus and 87% coagulase-negative staphylococci (CONS) were isolated.
- Mupirocin resistance was found only in CONS (15% low-level, 8% high-level).
- No mupirocin resistance was observed in Staphylococcus aureus.
Conclusions:
- Mupirocin resistance identified primarily in CONS.
- Judicious antibiotic utilization is guided by resistance data.
- Effective treatment of nasal carriage can be improved.
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