title: THE FREQUENCY OF COMMUNITY-ACQUIRED METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (CA-MRSA) AMONG SAMPLES IN INSTITUTE FOR PUBLIC HEALTH IN CANTON SARAJEVO.
abstract: BACKGROUND
  The increase in the incidence of methicillin-resistant Staphylococcus aureus (MRSA) infections lacking risk factors for exposure to the health care system has been associated with the recognition of new MRSA clones known as community-associated MRSA (CA-MRSA). These strains have been distinguished from health care-associated MRSA (HA-MRSA) strains by epidemiological, molecular and genetic means as well as by antibiotic susceptibility profile, tissue tropism and virulence traits.
  
  
  OBJECTIVE
  To assess prevalence and antibiotic susceptibility profile of CA-MRSA in Canton Sarajevo, Bosnia and Herzegovina.
  
  
  RESULTS
  Out of 1.905 positive Staphylococcus aureus isolates from various samples of outpatients collected during six months, 279 (14,64%) were MRSA isolates. Out of 279 MRSA samples, 133 (47,67%) were found in nasal swabs, from which 48 (36,09%) were in the age group <1 year and 39 (29,32 %) are in the age 1-5 year. Rate of the positive skin swabs was highest among the subject of age group <1 year (46 or 54,12 %) and 1-5 year (18 or 21,18 %). Predominantly antibiotic types among MRSA strains are resistant to penicillin and cefoxitin (36,90 %) and to penicillin, cefoxitin and erythromycin (61,35 %).
  
  
  CONCLUSIONS
  Continued monitoring of epidemiology and emerging drug resistance data is critical for the effective management of these infections.
authors.affiliation: Department of Microbiology, Institute for Public Health of Canton Sarajevo, Sarajevo, Bosnia and Herzegovina.
authors.forename: Sabaheta
authors.initials: S
authors.lastname: Bektas
authors.affiliation: Department of Microbiology, Institute for Public Health of Canton Sarajevo, Sarajevo, Bosnia and Herzegovina.
authors.forename: Amina
authors.initials: A
authors.lastname: Obradovic
authors.affiliation: Faculty of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
authors.forename: Mufida
authors.initials: M
authors.lastname: Aljicevic
authors.affiliation: Faculty of Medicine, University of Tuzla, Tuzla, Bosnia and Herzegovina.
authors.forename: Fatima
authors.initials: F
authors.lastname: Numanovic
authors.affiliation: Department of Microbiology, Institute for Public Health of Canton Sarajevo, Sarajevo, Bosnia and Herzegovina.
authors.forename: Dunja
authors.initials: D
authors.lastname: Hodzic
authors.affiliation: Community Health Centre, Sarajevo, Bosnia and Herzegovina.
authors.forename: Lutvo
authors.initials: L
authors.lastname: Sporisevic
keywords: community-associated MRSA; drug resistance; health care-associated MRSA; methicillin-resistant Staphylococcus aureus