Skip to content
SEAJMS|ISSN: 2520-7342
Original researchPeer-reviewedOpen Access · CC BY-NC-SA 4.0

Emergence of Methicillin Resistant Staphylococcus aureus Strains in Mahajanga

RAKOTOMALALA Rivo Solotiana1, SOANKASINA Abel Hermann2, ANDRIAMIHARISOA Stéphanie3, RABENANDRIANINA Tahirimalala4, RAJAONATAHIANA Davidra5, RAZANAKOLONA Lala Rasoamialy Soa6, RASAMINDRAKOTROKA Andry7, RAKOTO ALSON Aimée Olivat8

  1. 1 Laboratory of University hospital center PZAGA, Mahajanga, Madagascar. (corresponding author)
  2. 2 —
  3. 3 —
  4. 4 —
  5. 5 —
  6. 6 —
  7. 7 —
  8. 8 —

DOI: 10.5281/zenodo.3931131 · Published 2020-04-29 · pp. 2-5

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) becomes along decades one of the main organisms affecting the health cares area. Thus, the present study was conducted with aims of determining the resistance phenotype of the methicillin-resistant germ, to identify the type of sampling, and to locate hospital departments that are mostly exposed to risks. A retrospective, a descriptional study was conducted at the laboratory of the microbiology of the UHC Professeur Zafisaona Gabriel (PZaGa) for five years from January 2013 to December 2017. In whole, 97 samples with Staphylococcus aureus were included, and 47% (n=46) of which were resistant to methicillin. Patients aged from 28 to 38 years were severely hit by methicillin-resistant Staphylococcus aureus, which was 28,26% (n=13). No significant predominance was related to gender. The sex-ratio was of 1,08 (p>0.05). Hospitalized patients and those from outward care were respectively 59% and 41%. The Surgery Department and Reanimation Unit were mostly affected, with respectively 63% and 15%. Suppuration sampling was the most exposed, which was 30% (n=29) among which wounds from chronic suppurative sores and diabetic patients were common, respectively, with 11% and 10%. This study showed results with a high rate of MRSA. It represents half of the strains.

Keywords: S. aureus, methicillin, resistance, infection

References

  1. Antri K, Rouzic N, Boubekri I, Dauwalder O, Beloufa A, Ziane H et al. Forte prévalence des infections communautaires et nosocomiales à Staphylococus aureus résistant à la méticilline et portant le gène de la leucocidine de Panton-Valentine dans l’Algérois. Pathol Biol. 2010;58:e15-20. [Crossref] [Google Scholar]
  2. Zerouki A, Abada S, Tali-Maamar H, Rahal K, Naim M. Caractéristiques des infections du site opératoire à Staphylococcus aureus résistants à la Méticilline en chirurgie Orthopédique et Traumatologie dans un hôpital Algérien. Chir Orth et Traumato. 2015;101:176-80. [Crossref] [Google Scholar]
  3. Tattevin P. Les infections à Staphylococcus aureus resistant à la méticilline (SARM) d’acquisition communautaire. Médecine et maladies infectieuse. 2011;41:167-75 [Crossref] [Google Scholar]
  4. Miller LG, Diep BA. Clinical practice: colonization, fomites, and virulence : rethinking the pathogenesis of community-associated methicillin-resistant Staphylococcus aureus infection. Clin Infect Dis. 2008;46:752-60 [Crossref] [Google Scholar]
  5. Emmerson M. Antibiotic usage and prescribingpolicies in the intensive care unit. Intens Care Med 2000;26 Suppl1:S26-30 [Crossref] [Google Scholar]
  6. Old Salem ML, Ghaber SM, Ould Baba SEW, Ould Maouloud MM. Sensibilité aux antibiotiques des souches de Staphylococcus aureus communautaires dans la région de Nouakchout (Mauritanie). Pan Afr. Med. J. 2016;24:276-81 [Crossref] [Google Scholar]
  7. Idé G, Wahab AM, Younssa H, Haribou DMM, Aristote H-M. L’infection du site opératoire en chirurgie ortho-traumatologie proper au CHU-HKM de Cotonou. Health Sci. Dis. 2018:19(2):108-11 [Crossref] [Google Scholar]
  8. Elamurugn TP. Le problème des prélèvements bactériologiques. Int J Surg. 2011:9:214 [Crossref] [Google Scholar]
  9. Senneville E. Comparaison de prélèvement à l’aiguille versus biopsie osseuse. Clin Inf Dis. 2009;48:888-93 [Crossref] [Google Scholar]