Abstract

Background: MRSA is an emerging pathogen worldwide and is usually detected in hospitals and other health care facilities. Objective: The purpose of the present study was to compare the epidemiology of patients presented with health care associated-methicillin resistant Staphylococcus aureus and community associated-methicillin resistant Staphylococcus aureus infection. Methodology: This study was designed as descriptive type of cross sectional type study. This study was carried out in the Department of Microbiology at Shaheed Suhrawardy Medical College, Dhaka, Bangladesh. The specimens were collected from indoor as well as OPD of Shaheed Suhrawardy Medical College & Hospital, Dhaka, Bangladesh. This study was conducted from January 2013 to June 2013 for a period of six (06) months. All patients at any age with both sexes presented with skin infection, soft tissue infection, urinary tract infection (UTI), burn wound, surgical site infection, orthopedic wound, puerperal sepsis as well as infection at anybody surface area who were attended at OPD as well as indoor department of hospital were selected as study population. The laboratory diagnosis was confirmed by microbiological test. Results: A total number of 290 patients presented with infections were enrolled for this study of which 145 patients were included in group A designated as CA-MRSA infection and the rest 145 patients were included in group B designated as HA-MRSA infection. Majority of the patients are in the 15 to 30 years’ age group in both group A and group B which were 80(55.2%) cases in each. However less than 15 years’ age group was the next most common in group A which is 22(15.2%) cases. The mean (±SD) age of group A and B was 30.43 (±16.131) and 29.43 (±15.648) years respectively. The difference of mean age between group A and B was not statistically significant (p=0.593). Low socio-economic condition patient was found in 63(43.4%) cases and 48(33.1%) cases in group A and B respectively. History of smoking was present in 29(20.0%) cases and 24(16.6%) cases in group A and B respectively. Urban dwellers were found in 50(34.5%) cases and 46(31.7%) cases in group A and B respectively. Conclusion: In conclusion history of smoking is found more common in group A than group B more urban dwellers in group A than group B. Bangladesh Journal of Medical Microbiology, January 2024;18(1):3-10

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