Community-acquired methicillin-resistant Staphylococcus aureus carriage rate and antimicrobial susceptibility in a tertiary center, Iran

Shokouhi, Shervin; Darazam, Ilad Alavi; Zamanian, Mohammad Hossein

doi:10.4103/jrms.jrms_833_16

Cited by 9 publications

(8 citation statements)

References 17 publications

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“…This might be attributed to many reasons like vancomycin which had been used rarely in Iraq during the United Nation's sanction period from 1990 to 2003; the drug was expensive and was not available in many health facilities. Also, our result was in accordance with the results of neighboring countries (Udo et al, 2009;Dangnew et al, 2012;Shokouhi et al, 2017). In contrast, Alsamarai et al, (2015) revealed that the 18.6% of studied food workers in Samara restaurants had vancomycinresistant S. aureus and Loeto et al, (2017) found that 27.3% of food handlers with MRSA also were resistant to vancomycin; this rate is near to that of the study done in Maharashtra among food handlers working in medical college restaurant (26.5%) (Kasturwar andShafee, 2011).…”

Section: Prevalence Of Vrsasupporting

confidence: 93%

“…Lower MRSA rate 9.8% was reported among food handlers working in Gondar university in Ethiopia (Dagnew et al, 2012). (Shokouhi et al, 2017) found that only 1.25% of the studied population in the tertiary outpatient center in Iran had MRSA. In contrary to our study, no cases of MRSA were detected by other studies (Castro et al, 2016;Vatansever et al, 2016).…”

Section: Prevalence Of Mrsamentioning

confidence: 85%

“…The incidence of community-acquired S. aureus infections has been rising with the increasing emergence of MRSA, earlier MRSA infections were limited to the hospitals, but it has been steadily more reported in the community (Mainous et al, 2006). Although, vancomycin is one of the first line antibiotics that used to treat patients with MRSA but recently cases of vancomycin resistance have been also recorded (Shokouhi et al, 2017). Staphylococcal food poisoning outbreaks (SFPOs) are ranked in the last years as the first cause of food-borne illness outbreaks in many countries.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Methicillin Resistant Staphylococcus Aureus Among Food Handlers in Duhok City

Abdulrahman

Taher

2018

SJUOZ

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Food handlers harbouring S. aureus on their noses or in hands are considered as the main source of food contamination. Antibiotic resistance in S. aureus is a serious issue. The study aimed to find out the prevalence of methicillin-resistant S. aureus among food handlers in restaurants of Duhok city. Nasal and hand swabs were taken from 200 food handlers. The collected swabs inoculated on mannitol salt agar and incubated at 37oC for 24-48h. Isolates identified as S. aureus underwent antimicrobial sensitivity testing to methicillin and vancomycin on Mueller Hinton agar. A total of 74 (37%) out of 200 cultures of food handlers were found to be colonized with S. aureus.53 (26.5%) isolated from the nose, compared with 8 (4.0%) from hands and 13 (6.5%) from both. 27% of the food handlers were found to be MRSA carrier, and none of the isolates were resistant to Vancomycin. The study revealed a high prevalence of MRSA among food handlers in Duhok city. Food handlers in public places are required to go through regular screening for both nasal and skin carriage of S. aureusfor the early detection and treatment of carriers. So as to protect the community from staphylococcal food poisoning and the spread of resistant S. aureus strains among the population.

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Section: Prevalence Of Vrsasupporting

confidence: 93%

Section: Prevalence Of Mrsamentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

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Prevalence of Methicillin Resistant Staphylococcus Aureus Among Food Handlers in Duhok City

Abdulrahman

Taher

2018

SJUOZ

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“…In this study, only one isolate had the pvl gene, and of 7 MRSA isolates, only one was positive for SCCmecV. [18] Of 202 S. aureus isolates collected in Chinese hospitals, SCCmec and pvl gene were observed in 10 isolates, and three of these were harbored SCCmecV. [19] In this study, of 93 isolates of S. aureus, 44 (47.82%) were found to be MRSA.…”

Section: Discussionmentioning

confidence: 55%

Untitled

Amirmozafari¹

2018

AJP

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Introduction: Panton-Valentine Leukocidin (pvl) is associated with strains of Staphylococcus aureus that produce a high level of virulence. The aim of this study was to investigate the prevalence of pvl gene and its relationship with mecA and SCCmecV in isolated samples taken from hospitalized patients in northern Iran. Materials and Methods: During a 6-month treatment period, a total of 92 clinical isolates of S. aureus were obtained. Resistance to methicillin was determined, and the prevalence of pvl gene was estimated through running a polymerase chain reaction (PCR) on chromosomal DNA. The pvl positive isolates were further analyzed for mecA and SCCmecV genes by PCR. Results: In total, 18 isolates (19.56%) were shown to be positive in terms of their carrying the pvl gene, and from among them, 15 isolates were methicillin-resistant S. aureus (MRSA), 3 were methicillin-susceptible S. aureus, and 8 were positive for mecA gene. None of the pvl positive samples had the SCCmecV gene cassette. Conclusions: The study found that the majority of pvl positive isolates were MRSA, and almost half of them had the mecA gene. Based on the results, it could be postulated that there is a significant relationship between these two variables; however, they were not correlated in regard to SCCmecV.

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“…Globally, over 90% of Staphylococcus aureus are resistant to penicillin (Lowy 2003). Globally for general communities, MRSA colonization rate is 1.25%, accounting for 5.68% of isolated S. aureus (Shokouhi et al 2017). In Hajj, the reported rates are slightly higher; MRSA colonization is 1.46%, accounting for 7.1% of noninvasive S. aureus isolates in Hajj (Memish et al 2006).…”

Section: Drug Resistant Respiratory Infections In Hajjmentioning

confidence: 99%

The Rise of Antimicrobial Resistance in Mass Gatherings

Bokhary¹,

Rashid²,

Hill-Cawthorne³

et al. 2020

Handbook of Healthcare in the Arab World

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Mass gatherings (MGs) are a common human group behavior. Antimicrobial resistance (AMR) is a major public health issue. The Arab world hosts the annual Hajj pilgrimage, a MG with diverse attendees, and the region is also a layover hub for global travels. Although AMR surveillance is still insufficient, the available data on Hajj reveal that the AMR rate is generally high and is increasing each year. Enteric infections are common in Hajj and provide grounds for AMR acquisition and transmission, including emerging resistance to β-lactams. Respiratory infections are a major concern in Hajj, where incidences of outbreaks such as meningococcal disease being documented during the pilgrimage. With the recorded high usage of antimicrobials during Hajj, including mandatory prophylaxis for high-risk travelers and the availability of over-the-counter antimicrobials, the risk of AMR development is likely to increase.

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Community-acquired methicillin-resistant Staphylococcus aureus carriage rate and antimicrobial susceptibility in a tertiary center, Iran

Cited by 9 publications

References 17 publications

Prevalence of Methicillin Resistant Staphylococcus Aureus Among Food Handlers in Duhok City

Prevalence of Methicillin Resistant Staphylococcus Aureus Among Food Handlers in Duhok City

Untitled

The Rise of Antimicrobial Resistance in Mass Gatherings

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