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Prevalence of mupirocin resistance in clinical isolates of Staphylococcus aureus and Staphylococcus epidermidis: results of the Antimicrobial Resistance Surveillance Study of the Paul-Ehrlich-Society for Chemotherapy, 2001
Authors:Kresken Michael,Hafner Dieter,Schmitz Franz-Josef,Wichelhaus Thomas A  Paul-Ehrlich-Society for Chemotherapy
Affiliation:

a Antiinfectives Intelligence GmbH, Immenburgstraße 20, 53121, Bonn, Germany

b Institut für Pharmakologie und klinische Pharmakologie, Heinrich-Heine-Universität, Moorenstraße 5, 40225, Düsseldorf, Germany

c Institut für Laboratoriumsmedizin, Mikrobiologie, Hygiene und Transfusionsmedizin, Kliniken im Mühlenkreis, Klinikum Minden, Friedrichstraße 17, 32427, Minden, Germany

d Institut für Medizinische Mikrobiologie, Klinikum der Johann-Wolfgang-Goethe-Universität, Paul-Ehrlich-Straße 40, 60596 Frankfurt/, Main, Germany

Abstract:A multicentre surveillance study comprising 26 laboratories located in Austria, Germany, and Switzerland was carried out in November 2001. A total of 787 isolates of Staphylococcus aureus and 456 isolates of Staphylococcus epidermidis mainly recovered from hospitalised patients, were tested. MICs for mupirocin were determined using the broth microdilution procedure. Breakpoints were ≤4 mg/l (susceptible), 8–256 mg/l (low-level resistance) and ≥512 mg/l (high-level resistance). Rates of low- and high-level resistances were 2.9 and 0.9% in S. aureus, and 9.4 and 3.3% in S. epidermidis, respectively. Mupirocin resistance was almost exclusively observed in oxacillin-resistant isolates of S. aureus (MRSA) and S. epidermidis (MRSE). High-level mupirocin resistance was detected in 3.1 and 4.5% of MRSA and MRSE, respectively.
Keywords:Mupirocin   Resistance   Staphylococcus aureus   Staphylococcus epidermidis
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