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[Methicillin-resistant Staphylococcus aureus in Dakar]

A I Sow1, A Wade, M A Faye-Niang

  • 1Laboratoire de Bactériologie, Centre Hospitalier Universitaire de Fann, Dakar, Sénégal. aisow@ucad.refer.sn

Medecine Tropicale : Revue Du Corps De Sante Colonial
|October 29, 1998
PubMed
Summary
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Methicillin-resistant Staphylococcus aureus (MRSA) prevalence was high (66.4%) in Senegal. Vancomycin and fucidic acid showed high effectiveness, with chloramphenicol and cotrimoxazole recommended as alternative treatments.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Clinical Medicine

Context:

  • Study conducted at Fann University Hospital Center, Dakar, Senegal (1994-1996).
  • Investigated Staphylococcus aureus strains from diverse clinical specimens.
  • Focused on antibiotic resistance patterns in a hospital setting.

Purpose:

  • To determine the prevalence of methicillin-resistant Staphylococcus aureus (MRSA).
  • To evaluate antibiotic susceptibility of isolated Staphylococcus aureus strains.
  • To propose alternative therapeutic options for MRSA infections.

Summary:

  • Isolated 149 Staphylococcus aureus strains; 66.4% exhibited methicillin resistance.
  • All strains were susceptible to vancomycin; high efficacy also noted for fucidic acid, aminoglycosides, cotrimoxazole, and norfloxacin.

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  • Lincosamine and streptogramin resistance was common; recommended chloramphenicol and cotrimoxazole as alternative first-line treatments.

    • Impact:

    • Highlights the increasing prevalence of MRSA in Senegal.
    • Provides crucial data for antimicrobial stewardship and treatment guidelines.
    • Informs clinical decision-making for managing Staphylococcus aureus infections in the region.