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Prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in community-acquired primary pyoderma

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Author(s): Patil Rahul | Baveja Sujata | Nataraj Gita | Khopkar Uday

Journal: Indian Journal of Dermatology, Venereology and Leprology
ISSN 0378-6323

Volume: 72;
Issue: 2;
Start page: 126;
Date: 2006;
Original page

Keywords: Community-acquired primary pyoderma | Methicillin-resistant Staphylococcus aureus

ABSTRACT
Background: Although prevalence of MRSA strains is reported to be increasing, there are no studies of their prevalence in community-acquired primary pyodermas in western India. Aims: This study aimed at determining the prevalence of MRSA infection in community-acquired primary pyodermas. Methods: Open, prospective survey carried out in a tertiary care hospital in Mumbai. Materials and Methods: Eighty-six patients with primary pyoderma, visiting the dermatology outpatient, were studied clinically and microbiologically. Sensitivity testing was done for vancomycin, sisomycin, gentamicin, framycetin, erythromycin, methicillin, cefazolin, cefuroxime, penicillin G and ciprofloxacin. Phage typing was done for MRSA positive strains. Results : The culture positivity rate was 83.7%. Staphylococcus aureus was isolated in all cases except two. Barring one, all strains of Staphylococcus were sensitive to methicillin. Conclusions: Methicillin resistance is uncommon in community-acquired primary pyodermas in Mumbai. Treatment with antibacterials active against MRSA is probably unwarranted for community-acquired primary pyodermas.
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