Acta Medica Medianae (Apr 2008)
DISTRIBUTION OF METHICILLIN - RESISTANT STAPHYLOCOCCI ISOLATED FROM PATIENT MATERIAL
Abstract
Investigation comprised multivarious patient material like: swabs of wounds, eyes, ears, puncture fluid, aspirate, peritoneal liquid, blood and liquor samples.Distribution of Staphylococcus aureus in nefrologic patients amounted to 21,71% and Coagulase Negative Staphylococci (CoNS) to 53,14% in 2003, of which methicillin- resistant Staphylococcus aureus (MRSA) was present in 63,27% and MRCoNS in 64,52% of cases. In surgical patients, the distribution of Staphylococcus aureus for the same period amounted to 22,75% and KNS to 18,11%, while MRSA was registered in 63,27% and MRCoNS 66,67% of cases. In 2004, the distribution of Staphylococcus aureus was 11,11% and KNS 24,07%. In nephrology patients, MRSA was present in 52,77% of cases and MRCoNS in 82,05%. In surgical patients, the distribution of Staphylococcus aureus was 43,38% and CoNS 35,29%, of which MRSA was present in 67,79% and MRCoNS in 81,25% of cases. In outpatients, the distribution of Staphylococcus aureus amounted to 26,02% and KNS to 12,07%, of which MRSA was present in 35,31% of cases and MRKNS in 53,65% of cases. The highest degree of resistance to other tested antibiotics was reported in nephrology patients. In these cases, in 2005, the resistance of MRSA to clindamycin was 81,82%, erythromycin 90,91%, ofloxacin 88,82%.
