title: Mupirocin resistance among Malaysian isolates of methicillin-resistant Staphylococcus aureus.
abstract: Four hundred methicillin-resistant Staphylococcus aureus strains (MRSA) from different geographical areas in Malaysia were tested for mupirocin susceptibility using minimum inhibitory concentration (MIC) determination. The majority of these strains (98.75%) were susceptible to mupirocin with MICs of < or = 4 mg/l. Fifty-percent of these strains had MICs of 0.125 mg/l or less while 90% of the strains had MICs of 1 mg/l or less. Mupirocin resistance was detected in five strains (1.25%) and one of these (0.25%) had an MIC of 64 mg/l and the other four strains (1%), high-level resistance with MICs > 512 mg/l. Even though the rate of mupirocin resistance in MRSA is still low in Malaysia, its presence calls for a strict policy on mupirocin usage in Malaysian hospitals.
authors.affiliation: Division of Bacteriology, Institute for Medical Research, Jalan Pahang, 50588, Kuala Lumpur, Malaysia.
authors.forename: A
authors.initials: A
authors.lastname: Norazah
authors.forename: Y T
authors.initials: YT
authors.lastname: Koh
authors.forename: A
authors.initials: A
authors.lastname: Ghani Kamel
authors.forename: R
authors.initials: R
authors.lastname: Alias
authors.forename: V K
authors.initials: VK
authors.lastname: Lim
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D003428:Cross Infection / Q000382:microbiology*; D004352:Drug Resistance, Microbial; D018432:Drug Resistance, Multiple; D006801:Humans; D016106:Methicillin Resistance; D008826:Microbial Sensitivity Tests; D016712:Mupirocin / Q000494:pharmacology*; D013211:Staphylococcus aureus / Q000187:drug effects*
chemical_list: D000900:Anti-Bacterial Agents; D016712:Mupirocin