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Microbiology: Current Research | Volume 3

May 20-21, 2019 | Vienna, Austria

Medical Microbiology

International Conference on

Relationship between overcrowding, poverty and community acquired methicillin

resistant

Staphylococcus aureus

Marcelo A Beltrán

Hospital Dr Alberto Duhau, Argentina

ngoing infections with CA-MRSA in deprived and

overcrowded areas of London was described. There

was continued arrival of this strains to the hospital setting.

Disparities in CA-MRSA was not explained by racial causes

but was associated with overcrowding. We diagnose sporadic

cases of wound infection caused by CA-MRSA post cesarean

interventions and frequent cases of SSTI (skin and soft tissue

infections). We studied familial SSTI at community level and

found association of it with overcrowding and location of

the home at the poorer neighborhoods. We found 41.3%

of the homes had history of SSTI. 22,3% of households had

extreme overcrowding. In the poorer neighborhoods 66 of

129 households (51.2%) had a history of SSTI. In the richer

neighborhoods the history of SSTI appeared in 37 of 119

(31.1%) (p=0.0019). Presence of CA-MRSA should always be

suspected in infections associated with overcrowding and

living in poor neighborhoods. A history of SSTI can be easily

correlated with the presence of CA-MRSA. We suggest:

SSTI should be treated with non beta-lactamic antibiotics,

investigate and treat familial dissemination of the infection,

explain measures of hygiene and control to block the reentry

of the organism. Community sepsis should be treated

with antibiotics that cover CA-MRSA, especially in front of

personal or family history of SSTI or an overcrowded home

or placed in disadvantaged socioeconomic zones. Restrict

caesarean births. In the event of a family history of SSTI,

extreme overcrowding or living in an area of disadvantaged

socioeconomic zone, contemplate adding vancomycin to

antibiotic prophylaxis. This recommendation should be

evaluated in depth in each programmatic area.

Microbiol Curr Res, Volume 3

DOI: 10.4066/2591-8036-C1-006