Journal

The Journal of the Japanese Society for Clinical Microbiology

Biblioraphy Information

[Vol.13 No.1 contents]
Japanese / English

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Article in Japanese

ArticleTitle Mupirocin susceptibility of Staphylococcus aureus strains isolated from nasal specimens
Language J
AuthorList Yasuhiro Shibuya1,3), Harumi Koibuchi1), Takashi Ohno2), Kouichi Itoh1)
Affiliation 1) Department of Clinical Laboratory Medicine and
2) Clinical Laboratory, Jichi Medical School
3) Present address for corresponding; Department of Respiratory Medicine, Tokyo Metropolitan Hiroo General Hospital
Publication J.J.C.M.: 13 (1), 15-18, 2003
Received November 12, 2002
Accepted March 3, 2003
Abstract The mupirocin (MUP) and oxacillin (MPIPC) susceptibility of 315 Staphylococcus aureus strains isolated from nasal specimens was evaluated. Clinically isolated strains obtained at a Japanese teaching hospital between October 2000 and March 2002 were used in this study. Minimal inhibitory concentration (MIC) was assayed by E test. MIC values of MUP were distributed between < 0.064 and 4 μ /ml. A total of 6 strains (1.9%) showed low-level resistance (MIC=4-256 μ /ml), while no strains showed high-level resistance. MUP-resistant strains included 0.9% of methicillin-susceptible S. aureus (MSSA, MIC of MPIPC < 4 μ /ml), 2.5% of methicillin-resistant S. aureus (MRSA, MIC of MPIPC 4 μ /ml), and 7.5% of high-resistance MRSA (MIC of MPIPC ≥ 256 μ /ml). Values of geometric mean for MUP were 0.069 μ /ml for high-resistance MRSA and 0.044 μ /ml for low-resistance MRSA (MIC of MPIPC=4-128 μ /ml). There were significant differences between the geometric means of those MIC values (p < 0.05). Based on theses results, we currently have no problems eradicating S. aureus from the nasal cavity, but must continue to monitor any isolation of high-resistance strains to mupirocin.
Keywords mupirocin, MRSA
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