Antimicrobial Resistance of Staphylococcus Aureus
Causing of Surgical Site Infections in Ear, Nose And
Throat Surgery

Salmanov, Aidyn G; Shkorbotun, Volodymyr O; Shkorbotun, Yaroslav V.

doi:10.36740/wlek201902102

Cited by 8 publications

(5 citation statements)

References 20 publications

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“…These results were consistent with the findings reported in other studies. [39][40][41] Quinolones are considered to be the most effective, with high sensitivities for most isolated S. aureus in this study. They would hence, provide a viable option for the treatment; as they are available in oral, injectables and topical ear drops as well.…”

Section: Discussionmentioning

confidence: 96%

Detection and Characterization of Staphylococcus aureus and Methicillin-resistant S. aureus (MRSA) in Ear Infections in Tanta, Egypt

Sonbol

Abdelaziz²,

El-banna³

et al. 2022

Journal of Advanced Medical and Pharmaceutical Research

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Ear infection is a common clinical problem worldwide and the main cause of preventable hearing loss in the developing world. The increasing incidence of methicillin-resistant Staphylococcus aureus infections (MRSA) in ear, nose and throat (ENT) diseases is becoming a big clinical concern. This study aimed to investigate Staphyloccocus aureus (S. aureus) as a common bacterial causative agent of ear infection, characterize the isolates resistance profiles, investigate the incidence of MRSA among S. aureus isolates, and occurrence of mecA gene among MRSA isolates in Tanta, Egypt. The main isolated bacteria in this study were S. aureus (n=108) accounting for 37.5% of the total bacterial isolates. Antimicrobial susceptibility testing of S. aureus isolates to 15 antimicrobials was performed. All S.aureus isolates (100%) were resistant to penicillin. Moreover, high resistance rates were observed against cefoxitin (63%), rifampin (57.4%), and clindamycin (50.9%). In contrast, ciprofloxacin and moxifloxacin had the lowest resistance rates (3.7% for each). In this study, 68 (63%) S. aureus isolates were recorded as MRSA using the Oxacillin Resistance Screening Agar Base (ORSAB) medium. The presence of mecA gene was detected using polymerase chain reaction (PCR) technique. The incidence of mecA gene among the selected isolates was 92.5%. In conclusion, our data demonstrated that the incidence rate of MRSA is becoming a real threat with potential major public health problems in the management of patients with ear infections in Tanta, Egypt. We recommend the necessity of regular evaluation of the microbiological pattern and antibiogram of S. aureus as one of the major pathogens of ear infection.

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Section: Discussionmentioning

confidence: 96%

Detection and Characterization of Staphylococcus aureus and Methicillin-resistant S. aureus (MRSA) in Ear Infections in Tanta, Egypt

Sonbol

Abdelaziz²,

El-banna³

et al. 2022

Journal of Advanced Medical and Pharmaceutical Research

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show abstract

Section: Discussionmentioning

confidence: 99%

“…Particularly, it is efficient against Staphylococcus aureus, the main causative organism for skin infections. 43,45 It also reduces swelling and serves moisture with the liquid paraffin. 44 The second principle is based on the necessity for immobilization of the fresh scar as much as possible and parallel, providing the wound surface with moisture for better scar hydration.…”

Section: Postoperative Scar Managementmentioning

confidence: 99%

An Algorithm for Prevention of Unsightly Facial Scars Considering the Newest Research Insights

Feinendegen

Grubnik

Feinendegen³

2022

Plastic and Reconstructive Surgery - Global Open

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Background: Unsightly scars after facial surgery might be a worry for patients and surgeons alike. To prevent unfavorable scars after facial operations, it is inevitable for the surgeon to adhere to different principles and to follow an algorithm: patient assessment, incision planning, surgical technique, suture material, and postoperative scar management. A defined knowledge about the pathophysiology of wound healing is required. The aim of this report is to serve as a teaching purpose and to verify the well-known empirical practices in scar prevention with the corresponding explanatory research. Based on these findings, the suggestion of an appropriate algorithm for the best scar management will be elaborated. Methods: This article elucidates the basics of unsightly scar prevention and the concomitant scientific proofs in detail by reviewing the literature and newest research published in PubMed. Results: The preoperative, intraoperative, and postoperative guidelines for the achievement of acceptable facial scars will be distinguished regarding the valid state of knowledge. Special attention is drawn to the “flat incision technique” as the first surgical step. Based on the newest research, an algorithm of the important preoperative, intraoperative, and postoperative features to achieve scar improvement is presented. Conclusions: To prevent unsightly facial scars, a well-defined algorithm must be followed. In summary, three well-established, empirically proven measures are documented now by the equivalent physiological scientific proof: (1) the flat incision technique, (2) the wound closure with maximal tension reduction, and (3) the postoperative scar management with further tension reduction and more moisturizing of the scar.

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“…Methicillin resistant staph aureus (MRSA) in swabs of SSI is alarming and, on the rise, as well. 7,10 As the treatment of SSI is becoming difficult, there is strong need and urge to focus on prevention of SSI. 11 Pakistan is an underdeveloped, poor resource country which has a weak health care system.…”

Section: Systematic Reviewmentioning

confidence: 99%

Microbiology and drug sensitivity of Surgical Site Infections in Pakistan: A Systematic Review

Muhammad Tahir Ghani,

Ibad Ur Rehman,

Saleem

et al. 2024

Ann Pak Inst Med Sci

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Various bacterial pathogens that are known to cause Surgical Site Infections (SSI) are becoming increasingly resistant to many antibiotics. The aim of this systematic review was to see various pathogens responsible to cause SSI in Pakistan and to see their drug sensitivity patterns according to culture and sensitivity reports during last five years. This systematic review was conducted according to the preferred reporting items for systematic reviews and met analysis (PRISMA) guidelines. Extensive search of medical databases Pubmed, Google Scholar and Pakmedinet was done. Four studies were selected from various cities of Pakistan. Most common bacterial pathogen isolated was staph aureus 49%, followed by Ecoli 18%, Enterococcus 8%, and Pseudomonas 7.4%. Methicillin resistant staph aureus (MRSA) was isolated as 5% and 18 % in two studies. Drug sensitivity pattern showed Vancomycin, Imipenem, Meropenem, Linezolid, Cefoperazone + Sulbactam to be the most sensitive drugs against all type of pathogens. Drugs found effective against staph aureus were Vancomycin, Linezolid, Meropenem and Fusidic acid. Drugs found sensitive against E coli were Cefoperazone Sulbactam combination, Linezolid and Meropenem. Ampicillin and Amoxicillin were found highly resistant against all pathogens. We concluded from our systematic review that most common bacterial pathogen responsible to cause SSI in Pakistan is staph aureus. Empirically Linezolid is found effective against all pathogens. Imipenem, Meropenem, sulbactam plus Cefoperazone combination, vancomycin, tazocin are effective drugs. Ampicillin, amoxicillin and ciprofloxacin are highly resistant in Pakistan. Key words: Surgical Site Infections (SSI), Staph aureus, E Coli, Culture and Sensitivity

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Antimicrobial Resistance of Staphylococcus Aureus Causing of Surgical Site Infections in Ear, Nose And Throat Surgery

Cited by 8 publications

References 20 publications

Detection and Characterization of Staphylococcus aureus and Methicillin-resistant S. aureus (MRSA) in Ear Infections in Tanta, Egypt

Detection and Characterization of Staphylococcus aureus and Methicillin-resistant S. aureus (MRSA) in Ear Infections in Tanta, Egypt

An Algorithm for Prevention of Unsightly Facial Scars Considering the Newest Research Insights

Microbiology and drug sensitivity of Surgical Site Infections in Pakistan: A Systematic Review

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