Staphylococcus aureus Archives - Revista Brasileira de Ginecologia e Obstetrícia

  • Original Article

    Bacteriological characteristics of primary breast abscesses in patients from the community in the era of microbial resistance

    Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo34

    Summary

    Original Article

    Bacteriological characteristics of primary breast abscesses in patients from the community in the era of microbial resistance

    Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo34

    DOI 10.61622/rbgo/2024rbgo34

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    Abstract

    Objective:

    The aim of this study is to evaluate the etiological profile and antimicrobial resistance in breast abscess cultures from patients from the community, treated at a public hospital located in Porto Alegre, Brazil.

    Methods:

    This is an retrospective cross-sectional study that evaluated the medical records of patients with bacterial isolates in breast abscess secretion cultures and their antibiograms, from January 2010 to August 2022.

    Results:

    Based on 129 positive cultures from women from the community diagnosed with breast abscesses and treated at Fêmina Hospital, 99 (76.7%) of the patients had positive cultures for Staphylococcus sp, 91 (92%) of which were cases of Staphylococcus aureus. Regarding the resistance profile of S. aureus, 32% of the strains were resistant to clindamycin, 26% to oxacillin and 5% to trimethoprim-sulfamethoxazole. The antimicrobials vancomycin, linezolid and tigecycline did not show resistance for S. aureus.

    Conclusion:

    Staphylococcus aureus was the most common pathogen found in the breast abscess isolates during the study period. Oxacillin remains a good option for hospitalized patients. The use of sulfamethoxazole plus trimethoprim should be considered as a good option for use at home, due to its low bacterial resistance, effectiveness and low cost.

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