413280

Prevalence and Antimicrobial Susceptibility Profile of Methicillin-Resistant Staphylococcus aureus Among Patients in Various Intensive Care Units

Article

Last updated: 29 Mar 2025

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Abstract

The incidence of Methicillin-resistant Staphylococcus aureus (MRSA) infection poses significant challenges to epidemiology, infection control, and therapeutic management, particularly within intensive care units (ICUs). This study aimed to monitor MRSA infection rates among patients in various ICUs at Luxor International Hospital (LIH), one of the largest healthcare facilities in Upper Egypt. Mannitol Salt Agar (MSA), Cefoxitin disk (mecA-mediated Oxacillin resistance), Oxacillin Resistance Screening Agar Base (ORSAB), and VITEK2 COMPACT system were used for the isolation and identification of the bacterial isolates from various biological specimens. 69.6% of the staphylococcal isolates obtained from ICUs were identified as MRSA strains. Infection rates were 69.8% and 31.2% in males and females, respectively. The isolation rates of MRSA from the collected samples were as follows: blood (77.9%), sputum (11.3%), pus (9.0%), and urine (1.8%). MRSA infection was very prevalent in Moderate intensive care unit (MCU) and Neurological intensive care unit (NECU) compared to other ICUs. Antimicrobial susceptibility testing shows that the isolated MRSA strains are highly sensitive to Tigecycline, Linezolid, Vancomycin, Teicoplanin, and Rifampicin while they are highly resistant to Cefoxitin and Penicillin. Collectively, this study suggests that the prevalence of MRSA infection is high among ICUs patients, particularly MCU and NEICU patients. Findings from this study have important implications for future epidemiology, and infection control studies to develop an effective protocol to manage MRSA infection within settings.

DOI

10.21608/ejbo.2024.136101.1974

Keywords

Intensive care, Methicillin-resistant Staphylococcus aureus, MRSA, Nosocomial infection, ORSAB, VITEK2

Authors

First Name

Hosni

Last Name

Hussein

MiddleName

Ahmed mohamed

Affiliation

Botany and Microbiology, Faculty of SCience, Al-Azhar university, Assiut

Email

hosnihussein.ast@azhar.edu.eg

City

assiut

Orcid

0000-0002-3929-1429

First Name

Mahmoud

Last Name

Mohamed

MiddleName

Ali

Affiliation

1Department of Microbiology, Faculty of Science, Al-Azhar University, Assiut 71524, Egypt. 2Microbiology Unit, Luxor International Hospital, Luxor, Egypt.

Email

omarelfarooq@yahoo.com

City

assiut

Orcid

-

First Name

Mohammed

Last Name

Rawway

MiddleName

-

Affiliation

1Department of Botany Microbiology, Faculty of Science, Al-Azhar University, Assiut 71524, Egypt. 2Biology Department, College of Science, Jouf University, Saudi Arabia

Email

m_rawway@azhar.edu.eg

City

assiut

Orcid

-

First Name

Magdy

Last Name

Afifi

MiddleName

M.

Affiliation

Department of Botany and Microbiology, Faculty of Science, Al-Azhar University, Assiut 71524, Egypt.

Email

afifi_magdy@ymail.com

City

assiut

Orcid

-

Volume

65

Article Issue

2

Related Issue

54503

Issue Date

2025-03-01

Receive Date

2022-04-27

Publish Date

2025-03-16

Page Start

259

Page End

267

Print ISSN

0375-9237

Online ISSN

2357-0350

Link

https://ejbo.journals.ekb.eg/article_413280.html

Detail API

http://journals.ekb.eg?_action=service&article_code=413280

Order

16

Type

Regular issue (Original Article)

Type Code

111

Publication Type

Journal

Publication Title

Egyptian Journal of Botany

Publication Link

https://ejbo.journals.ekb.eg/

MainTitle

Prevalence and Antimicrobial Susceptibility Profile of Methicillin-Resistant Staphylococcus aureus Among Patients in Various Intensive Care Units

Details

Type

Article

Created At

29 Mar 2025