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J Med Microbiol 58 (2009), 644-647; DOI: 10.1099/jmm.0.007617-0
© 2009 Society for General Microbiology
ISSN 0022-2615

Community-acquired meticillin-resistant Staphylococcus aureus in Palestine

Maha H. Kaibni1, Mohammad A. Farraj1, Kamel Adwan2 and Tamer A. Essawi1

1 Master Program in Clinical Laboratory Science (MCLS), Birzeit University, Birzeit, Palestine

2 Department of Biology and Biotechnology, An-Najah N. University, Nablus, Palestine

Correspondence
Tamer A. Essawi
tessawi{at}birzeit.edu

Received October 28, 2008
Accepted February 3, 2009

Community-acquired meticillin-resistant Staphylococcus aureus (CA-MRSA) is becoming an important public-health problem. This study attempted to investigate S. aureus and MRSA colonization in nasal swabs obtained from 843 patients without a history of hospitalization at the time of hospital admission and from 72 health-care workers chosen for comparison. Of the patients, S. aureus was detected in 218/843 (25.9 %) and MRSA in 17/843 (2.0 %). Of the health-care workers, S. aureus was detected in 15/72 (20.8 %) and MRSA in 10/72 (13.9 %). The majority of the 27 MRSA isolates exhibited a sensitivity pattern expected for CA-MRSA. Multilocus restriction fragment typing resolved the isolates into eight restriction fragment types. The predominant restriction fragment types were AAACCAA and AAAAAAA, accounting for 51.9 % (14/27) of the MRSA isolates and included CC5 and CC1 groups, respectively. This study thus demonstrated the transmission of CA-MRSA strain types into a health-care setting, emphasizing the need for implementation of a revised set of control measures in both hospital and community settings.

Abbreviations: CA-MRSA, community-acquired meticillin-resistant Staphylococcus aureus; MLRFT, multilocus restriction fragment typing; RFT, restriction fragment type.






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