Inducible Clindamycin Resistance Among the Staphylococcus aureus Colonizing the Anterior Nares of School Children of Udupi Taluk
DOI:
https://doi.org/10.3126/nje.v4i1.10136Keywords:
Staphylococcus aureus, D test, Inducible clindamycin resistance, MRSAAbstract
Clindamycin is one of the preferred antibiotics in the treatment of Staphylococcus aureus (SA) skin and soft tissue infections. However the emergence of inducible clindamycin resistant SA is a major concern for clinicians in the management of such infections. Information about such resistant strains of SA colonizing the anterior nares is very important in planning infection control strategies. The objective of the current study was to assess the proportion of SA showing inducible clindamycin resistance and also to know their association with methicillin resistance. Among the isolates, 11.6% (44/378) strains were showing positive D test which indicates inducible clindamycin resistance and a highly significant 71% (12/17) inducible clindamycin resistance was also noticed in the case of MRSA. The nasal carriage of inducible clindamycin resistant SA showing a significant association with MRSA strains by the paediatric population from this area warrants the inclusion of D test in the routine antibiotic susceptibility testing of SA isolates. Information about the MLSBi status among the colonizing strains would also help the public health authorities to plan and implement infection control strategies at the community level.
DOI: http://dx.doi.org/10.3126/nje.v4i1.10136
Nepal Journal of Epidemiology 2014;4 (1): 337-340
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