It should also be pointed out that healthcare in developing countries is more concentrated in urban areas and the reported catchment populations can therefore be underestimated because it is difficult to estimate the proportion of the population coming from the rural areas to a particular hospital in the city.
In conclusion, ARMed data on the MRSA epidemiology in the south-eastern Mediterranean have clearly established that many hospitals in this region show evidence of hyperendemicity.
This has major consequences not only for the countries themselves but also for neighbouring nations, since importation of resistant strains, via travellers, can result in dissemination and outbreaks in the host country at both hospitals, 22 as well as community level. Google Scholar. Oxford University Press is a department of the University of Oxford. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide.
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Prevalence of methicillin-resistant Staphylococcus aureus MRSA in invasive isolates from southern and eastern Mediterranean countries. Borg , Michael A. ARMed Project. Oxford Academic. Marlieke de Kraker. Elizabeth Scicluna. Nienke van de Sande-Bruinsma. Edine Tiemersma. Jos Monen.
Hajo Grundmann. Revision requested:. Revision received:. Cite Cite Michael A. Select Format Select format. Permissions Icon Permissions. Abstract Objectives.
Table 1 Number of invasive S. Percentage of population covered. Blood culture sets per patient days. NA, not available. Open in new tab. Figure 1. Open in new tab Download slide. Figure 2. Google Scholar Crossref. Search ADS. Emergence and resurgence of meticillin-resistant Staphylococcus aureus as a public-health threat.
Methicillin-resistant Staphylococcus aureus in Europe, — Detection of methicillin-resistant Staphylococcus aureus strains resistant to multiple antibiotics and carrying the Panton-Valentine leukocidin genes in an Algiers hospital.
Multicentre surveillance of antibiotic resistance in nosocomial Staphylococcus aureus in Cyprus. Conclusion Antibiotic resistance is a growing public health crisis in SSA, and the urgent need for local studies has been proposed. Acknowledgments The authors thank all the study participants, staff of the Maekel Zone Administration, and laboratory staff at Orotta Reference Hospital and Halibet Hospital.
Data Availability The data used to support the findings of this study are available from the corresponding author upon request.
Consent Written consent was obtained from all participants. Conflicts of Interest The authors declare that they have no conflicts of interest. References 1. Monecke S. A field guide to pandemic, epidemic and sporadic clones of methicillin-resistant Staphylococcus aureus. Naves K. Methicillin-resistant Staphylococcus aureus bloodstream infection: risk factors and clinical outcome in non-intensive-care units. Revista da Sociedade Brasileira de Medicina Tropical.
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Jaton L. Common skin infection due to Panton-Valentine leucocidin-producing Staphylococcus aureus strains in asylum seekers from Eritrea: a genome-based investigation of a suspected outbreak. AL conceived the study and wrote and revised the manuscript. All authors contributed to the article and approved the submitted version. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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