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Methicillin-resistant Staphylococcus aureus in Europe

A Voss1, D Milatovic, C Wallrauch-Schwarz

  • 1Technical University of Munich, Institute of Medical Microbiology, Germany.

European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology
|January 1, 1994
PubMed
Summary
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Methicillin-resistant Staphylococcus aureus (MRSA) is a growing concern across Europe. This study found MRSA prevalence varies significantly by country, with higher rates in southern Europe and specific patient populations.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Public Health

Background:

  • Methicillin-resistant Staphylococcus aureus (MRSA) poses a significant global health threat.
  • Understanding the pan-European epidemiology of MRSA is crucial for effective control strategies.

Purpose of the Study:

  • To gather pan-European data on the prevalence and characteristics of MRSA.
  • To assess geographic variations in MRSA rates and antibiotic resistance patterns across Europe.

Main Methods:

  • A collaborative study involving 43 laboratories across ten European countries.
  • Screening of 7,333 Staphylococcus aureus isolates for methicillin resistance using a uniform oxacillin-supplemented plate.
  • MRSA isolates were reconfirmed, tested for susceptibility to other antibiotics, and phage typed.

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Main Results:

  • Overall MRSA prevalence was 12.8%, with significant variation: <1% in Scandinavia to >30% in Spain, France, and Italy.
  • Wounds were the most common source, and MRSA was more frequent in intensive care and surgical/medical patients.
  • Rifampin showed the lowest resistance rates, while ciprofloxacin had the highest among non-glycopeptide antibiotics.

Conclusions:

  • MRSA is an increasing problem in Europe, particularly in southern regions with high incidence and antibiotic resistance.
  • The MRSA population comprises a mix of epidemic and non-epidemic strains, with phage group III being dominant.
  • Targeted surveillance and control measures are needed, considering geographic variations and patient risk factors.