背景技术葡萄球菌是呈簇状排列的革兰氏阳性球菌。它们在人类和动物中定居。此外,金黄色葡萄球菌(S。金黄色葡萄球菌)通常与人类各种浅层至深层感染有关。由于易于传输的潜力,葡萄球菌与医院获得性感染和社区相关感染有关。耐甲氧西林金黄色葡萄球菌(MRSA)菌株带来治疗挑战。在这种情况下,万古霉素是治疗的选择。由于滥用万古霉素,最近,我们看到万古霉素中间敏感金黄色葡萄球菌(VISA)和万古霉素耐药金黄色葡萄球菌(VRSA)的出现。本研究旨在评估万古霉素和达托霉素在从人临床标本中分离的MRSA菌株中的最低抑制浓度(MIC)。方法该研究包括从2010年7月至2012年9月在26个月内收集的115个MRSA分离株。这些菌株是从脓液中分离出来的,尿液,伤口拭子,导管,血,还有痰.这些细菌是从普拉西马医学研究所的不同住院和门诊部获得的,Karimnagar,Telangana,印度。使用头孢西丁的Kirby-Bauer圆盘扩散方法用于确认MRSA分离株。琼脂稀释和Epsilometer方法(E-test)用于测试MRSA分离株对万古霉素和达托霉素的MIC,分别,由临床实验室标准协会(CLSI)推荐的标准程序。结果在115株金黄色葡萄球菌中,使用新的CLSI断点发现7株(6.08%)对万古霉素(VRSA)耐药,53株(46.08%)是VISA。对于所有MRSA分离株,达托霉素的MIC均≤1µg/ml。结论研究结果描绘了MRSA分离株中万古霉素MIC的增加趋势。几个测试的菌株显示中等敏感范围(VISA)的MIC。达托霉素对所有MRSA分离株都有效。
Background Staphylococci are Gram-positive cocci arranged in clusters. They are colonized in humans and animals. Also, Staphylococcus aureus (S. aureus) is frequently associated with various superficial to deep-seated infections in humans. Due to the potential for easy transmission, Staphylococci are associated with both hospital-acquired and community-associated infections. Strains of S. aureus resistant to methicillin (MRSA) pose treatment challenges. In such cases, vancomycin is the treatment of choice. Due to the indiscriminate use of vancomycin, recently, we are seeing the emergence of vancomycin-intermediate sensitive S. aureus (VISA) and vancomycin-resistant S. aureus (VRSA). The present
study aims to evaluate the minimum inhibitory concentrations (MICs) of vancomycin and daptomycin among MRSA strains isolated from human clinical specimens Methods The
study included 115 MRSA isolates collected over 26 months from July 2010 to September 2012. The strains were isolated from pus, urine, wound swabs, catheters, blood, and sputum. The bacteria were acquired from different inpatient and outpatient departments of Prathima Institute of Medical Sciences, Karimnagar, Telangana, India. Kirby-Bauer disk diffusion method using cefoxitin was used to confirm the MRSA isolates. The agar dilution and the Epsilometer method (E-test) were used to test the MICs of MRSA isolates against vancomycin and daptomycin, respectively, by the standard procedures recommended by the clinical laboratory standards institute (CLSI). Results Of the 115 S. aureus isolates, seven (6.08%) strains were resistant to vancomycin (VRSA) and 53 (46.08%) were found to be VISA using the new CLSI breakpoints. The MIC of the daptomycin was found to be ≤1 µg/ml for all the MRSA isolates. Conclusion The
study results depicted an increasing trend in the vancomycin MICs among the MRSA isolates. Several tested strains show MICs in the intermediate sensitive range (VISA). The daptomycin was effective against all the MRSA isolates.