Methicillin-resistant Staphylococcus aureus in Intensive Care Unit Setting of India: A Review of Clinical Burden, Patterns of Prevalence, Preventive Measures, and Future Strategies

JOURNAL TITLE: Indian Journal of Critical Care Medicine

Author
1. Kapil G Zirpe
2. Amit Qamra
3. Jaishid Ahdal
4. Rishi Jain
5. Rajesh Pande
6. Salman Motlekar
7. Ashit Hegde
8. Yatin Mehta
9. Varsha Gupta
ISSN
0972-5229
DOI
10.5005/jp-journals-10071-23337
Volume
24
Issue
1
Publishing Year
2020
Pages
7
Author Affiliations
1. com.mps.common.model.Contributor@43888129 ,
2. com.mps.common.model.Contributor@6a068151 ,
3. com.mps.common.model.Contributor@497c53d5 ,
4. com.mps.common.model.Contributor@513edc42 ,
5. com.mps.common.model.Contributor@56b89e85 ,
6. com.mps.common.model.Contributor@86a910a ,
7. com.mps.common.model.Contributor@23239929 ,
8. com.mps.common.model.Contributor@4588dc3 ,
9. com.mps.common.model.Contributor@1686677b
Article keywords
Antibiotic resistance, Hospital-acquired methicillin-resistant Staphylococcus aureus, Intensive care unit, Methicillin-resistant Staphylococcus aureus, Methicillin-resistant Staphylococcus aureus carrier, Methicillin-resistant Staphylococcus aureus colonization, Methicillin-resistant Staphylococcus aureus pipeline, Methicillin-resistant Staphylococcus aureus transmission

Abstract

Aim: The aim of this review article is not only to analyze the clinical burden of methicillin-resistant Staphylococcus aureus (MRSA) in intensive care unit (ICU) setting of India, along with the patterns of prevalence and its prevention measures, but also to focus on the new anti-MRSA research molecules which are in late stage of clinical development. Background: Methicillin resistance is reported to be present in 13–47% of Staphylococcus aureus infections in India. Therapeutic options to combat MRSA are becoming less, because of emerging resistance to multiple classes of antibiotics. Intensive care units are the harbinger of multidrug-resistant organisms including MRSA and are responsible for its spread within the hospital. The emergence of MRSA in ICUs is associated with poor clinical outcomes, high morbidity, mortality, and escalating treatment costs. There is an urgency to bolster the antibiotic pipeline targeting MRSA. The research efforts for antibiotic development need to match with the pace of emergence of resistance, and new antibiotics are needed to control the impending threat of untreatable MRSA infections. Review results: Fortunately, several potential antibiotic agents are in the pipeline and the future of MRSA management appears reassuring. Clinical significance: The authors believe that this knowledge may help form the basis for strategic allocation of current healthcare resources and the future needs.

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