Prevalence and Susceptibility Patterns of Methicilin-Resistance Staphylococcus Aureus (MRSA) in Social Security Hospital Lahore
DOI:
https://doi.org/10.70749/ijbr.v3i5.1223Keywords:
MRSA, Antibiotic Resistance, Staphylococcus Aureus, Hospital-Acquired InfectionsAbstract
Methicillin-resistant Staphylococcus aureus (MRSA) is a major concern in healthcare settings around the world, with rising drug resistance hampering treatment options. This study investigates the epidemiology and antibiotic resistance profile of MRSA isolates from a tertiary care hospital in Lahore, Pakistan, and provides critical information for infection management and treatment decision-making. The aim of this study was to establish the prevalence of MRSA among patients to assess the isolates drug susceptibility patterns and identify high-risk demographic groups afflicted by MRSA. A cross-sectional study was done over a six-month period. A total of 108 clinical specimens were collected and processed, including pus, blood, and wound swabs. The findings of this study shows that out of 108 samples, 80 (74%) were positive for MRSA, with females having a higher prevalence (55%). Pus samples were the most commonly used source (51%). Vancomycin (12%), linezolid (11.8%), and daptomycin (11.4%) were the most effective antibiotics, with penicillin and cefoxitin showing the most resistance. MRSA prevalence is disturbingly high at Social Security Hospital Lahore, especially among young people and women. Linezolid and vancomycin remain effective treatments. This study reveals a high prevalence of MRSA at Social Security Hospital, Lahore, mainly from skin and soft tissue infections. Despite trends by age and gender, no significant associations were found. MRSA showed resistance to beta-lactams but remained susceptible to Vancomycin, Linezolid, and Daptomycin. These findings emphasize the need for antibiotic stewardship, infection control, and improved resistance monitoring.
Downloads
References
Lee, A.S., et al., Methicillin-resistant Staphylococcus aureus. 2018. 4(1): p. 1-23.
Hassoun, A., P.K. Linden, and B.J.C.c. Friedman, Incidence, prevalence, and management of MRSA bacteremia across patient populations—a review of recent developments in MRSA management and treatment. 2017. 21: p. 1-10.
https://doi.org/10.1186/s13054-017-1801-3
Abebe, A.A., A.G.J.I. Birhanu, and d. resistance, Methicillin resistant Staphylococcus aureus: molecular mechanisms underlying drug resistance development and novel strategies to combat. 2023: p. 7641-7662.
https://doi.org/10.2147/idr.s428103
Laux, C., A. Peschel, and B.J.M.S. Krismer, Staphylococcus aureus colonization of the human nose and interaction with other microbiome members. 2019. 7(2): p. 10.1128/microbiolspec. gpp3-0029-2018.
https://doi.org/10.1128/9781683670131.ch45
González-García, S., et al., Factors of Nasopharynx that Favor the Colonization and Persistence of Staphylococcus aureus, in Pharynx-Diagnosis and Treatment. 2021, IntechOpen.
https://doi.org/10.5772/intechopen.95843
Şenel, S.J.I.j.o.m.s., An overview of physical, microbiological and immune barriers of oral mucosa. 2021. 22(15): p. 7821.
https://doi.org/10.3390/ijms22157821
Kumar, K., Evaluation of Antibiotics, Alternative Antimicrobials and their Combination in Controlling Multidrug Resistant Pseudomonas aeruginosa Infection. 2024, Indian Veterinary Research Institute.
Tefera, S., et al., Methicillin and vancomycin resistant Staphylococcus aureus and associated factors from surgical ward inpatients at Debre Markos Referral Hospital, Northwest Ethiopia. 2021: p. 3053-3062.
https://doi.org/10.2147/idr.s324042
Thomas, P., et al., Physiotherapy management for COVID-19 in the acute hospital setting and beyond: an update to clinical practice recommendations. 2022. 68(1): p. 8-25.
https://doi.org/10.1016/j.jphys.2021.12.012
Zhu, S., et al., Daphnetin weakened the pathogenicity of methicillin-resistant Staphylococcus aureus by inhibiting Sortase A and α-hemolysin. 2025. 229: p. 84-94.
https://doi.org/10.1016/j.biochi.2024.10.010
Vadakkan, K., et al., A review of chemical signaling mechanisms underlying quorum sensing and its inhibition in Staphylococcus aureus. 2024: p. 107465.
https://doi.org/10.1016/j.bioorg.2024.107465
Taj, Z. and I. Chattopadhyay, Staphylococcus aureus virulence factors and biofilm components: synthesis, structure, function and inhibitors, in ESKAPE Pathogens: Detection, Mechanisms and Treatment Strategies. 2024, Springer. p. 227-270.
https://doi.org/10.1007/978-981-99-8799-3_8
Zhu, Z., et al., Molecular characteristics and pathogenicity of Staphylococcus aureus exotoxins. 2023. 25(1): p. 395.
https://doi.org/10.3390/ijms25010395
Ordine, J.V.W., E.A. do Nascimento Silva, and L.S.J.N.R. Zaramela, Global cross-genome comparison of carbohydrate transporters in Staphylococcus aureus with distinct antimicrobial susceptibility profiles. 2025: p. 100284.
https://doi.org/10.1016/j.nexres.2025.100284
Kuria, A., Detection of Methicillin-resistant Staphylococcus aureus in Clinical Samples at Kenyatta National Hospital Using Phenotypic and Molecular Methods. 2023, University of Nairobi.
Martins, B.A., et al., Penicillin-binding proteins (PBPs) determine antibiotic action in Langmuir monolayers as nanoarchitectonics mimetic membranes of methicillin-resistant Staphylococcus aureus. 2022. 214: p. 112447.
https://doi.org/10.1016/j.colsurfb.2022.112447
Yu, J., et al., Rapid identification of methicillin-resistant Staphylococcus aureus using MALDI-TOF MS and machine learning from over 20,000 clinical isolates. 2022. 10(2): p. e00483-22.
https://doi.org/10.1128/spectrum.00483-22
Muniz, I.P.R., et al., Antimicrobial photodynamic therapy (aPDT) with curcumin controls intradermal infection by Staphylococcus aureus in mice with type 1 diabetes mellitus: a pilot study. 2021. 224: p. 112325.
https://doi.org/10.1016/j.jphotobiol.2021.112325
de Andrade Neto, J.B., et al., A mechanistic approach to the in-vitro resistance modulating effects of fluoxetine against meticillin resistant Staphylococcus aureus strains. 2019. 127: p. 335-340.
https://doi.org/10.1016/j.micpath.2018.11.056
Vajs, J., et al., Diaryltriazenes as antibacterial agents against methicillin resistant Staphylococcus aureus (MRSA) and Mycobacterium smegmatis. 2017. 127: p. 223-234.
https://doi.org/10.1016/j.ejmech.2016.12.060
Sobhy, N., et al., Community-acquired methicillin-resistant Staphylococcus aureus from skin and soft tissue infections (in a sample of Egyptian population): analysis of mec gene and staphylococcal cassette chromosome. 2012. 16: p. 426-431.
https://doi.org/10.1016/j.bjid.2012.08.004
Nguyen, B.V., et al., Endophytic fungi isolated from Vietnamese nut grass (Cyperus rotundus L. Cyperaceae)–A promising solution to mitigate the prime phenomenon of antibiotic resistance. 2025. 11(3).
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Indus Journal of Bioscience Research

This work is licensed under a Creative Commons Attribution 4.0 International License.