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285543

Resistance to Mupirocin among Methicillin Resistant Staphylococcus Aureus Isolates from Community Acquired Infections, Hospital Acquired Infections, and colonized Health Care Wor

Article

Last updated: 28 Dec 2024

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Abstract

Background: Mupirocin is prescribed as a topical treatment of Staphylococcus aureus infections as well as in decolonization of methicillin-resistant S. aureus (MRSA) in both patients and health care workers (HCWs). Availability and increased use of this drug has led to emergence of resistance especially among MRSA compared to methicillin sensitive S. aureus (MSSA). Objectives: Our study aimed to evaluate the prevalence of mupirocin resistant MRSA isolated from clinical infections and from colonized HCWs. Methodology: Between January to August 2017, 61 MRSA isolates were collected. Mupirocin MICs were detected using mupirocin E-test. mupA PCR was performed for resistant isolates. Results: 86.9%of MRSA were isolated from clinical infections; 22.9% were Community acquired (CA-MRSA) and 64% were Health Care acquired (HCA-MRSA). 13.1% of total isolated MRSA were from HCWs. 23% of all MRSA were mupirocin resistant. The percentages of mupirocin resistance in CA-MRSA, HCA-MRSA, and MRSA nasal carriers of HCWs were 1.6%, 18.1%, 3.3% of the total Mupirocin resistant MRSA, respectively. 14.8% of MRSA showed low level resistance, while 8.2% were high level Mupirocin resistant. MupA gene was detected in 42.9% of strains with high level mupirocin resistance. Conclusions: Routine MRSA testing for mupirocin resistance is recommended for early detection and control of the spread of resistance.

DOI

10.21608/ejmm.2018.285543

Keywords

Methicillin-resistant S. aureus (MRSA), Mupirocin, resistance

Authors

First Name

Marwa

Last Name

Shalaby

MiddleName

M.

Affiliation

Department of Microbiology and Immunology, Faculty of Medicine, Tanta University, Egypt

Email

dr_memo_2004@yahoo.com

City

-

Orcid

-

First Name

Dina

Last Name

El Shahat

MiddleName

A.

Affiliation

Department of Clinical Pathology, Faculty of Medicine, Tanta University, Egypt

Email

-

City

-

Orcid

-

Volume

27

Article Issue

2

Related Issue

39632

Issue Date

2018-04-01

Receive Date

2023-02-14

Publish Date

2018-04-01

Page Start

65

Page End

69

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_285543.html

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https://ejmm.journals.ekb.eg/service?article_code=285543

Order

285,543

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

Resistance to Mupirocin among Methicillin Resistant Staphylococcus Aureus Isolates from Community Acquired Infections, Hospital Acquired Infections, and colonized Health Care Workers

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Article

Created At

28 Dec 2024