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Journal of Antimicrobial Chemotherapy (1999) 44, 541-544
© 1999 The British Society for Antimicrobial Chemotherapy

Brief report

Resistance to methicillin in isolates of Staphylococcus aureus from blood and cerebrospinal fluid in Wales, 1993–1997

Mari Morgana, Roland Salmonb, Dafydd Evans-Williamsa, Ian Hoseinc and D. Nicholas Lookerd

a Public Health Laboratory Service (Wales), University Hospital of Wales, Heath Park, Cardiff CF4 4XW b Public Health Laboratory Service Communicable Disease Surveillance Centre (Wales), Abton House, Wedal Road, Roath, Cardiff CF4 3QX c Cardiff PHL, University Hospital of Wales, Heath Park, Cardiff CF4 4XW d Rhyl PHL, Glan Clwyd District General Hospital, Rhyl LL18 5UJ, UK

Surveillance data for organisms isolated from blood cultures and cerebrospinal fluid (CSF) specimens has been gathered electronically in Wales since 1993. Over this period the proportion of total reported organisms from blood cultures and CSF represented by methicillin-resistant staphylococci (MRSA) has risen steadily. This has corresponded to a rise in rates of methicillin resistance amongst Staphylococcus aureusisolated from blood cultures and CSF from 4 to 43%. In certain age/gender groups in 1997, more than 50% of isolates of S. aureus were resistant to methicillin, suggesting that a change in empirical treatment may be necessary for suspected staphylococcal sepsis.

Correspondence address. CDSC (Wales), Abton House, Wedal Road, Roath, Cardiff CF4 3QX, UK. Tel: +44-1222-521-997; Fax: +44-1222-521-987; E-mail: mari.morgan{at}cdsc.wales.nhs.uk


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