MRSA infected wounds in a community hospital in rural tropical Ecuador

David Gaus, Diego Herrera, Danny Larco


Introduction:  Although community acquired MRSA has been well described in many areas around the globe, little information is available about the prevalence of MRSA infections in rural areas of the Andean Region of South America.  This study characterizes wound infections from a rural community hospital in Ecuador.

Methods: A retrospective review of 235 bacterial isolates from infected wounds that included wound type, site, gender, etc...  

Results: Ninety-two (39.1%) isolates were Staphylococcus aureus.  Of these, forty-two (44.7%) were methicillin resistant S. aureus (MRSA). 

Conclusion: community acquired MRSA wound infections rates appear to warrant the use of empiric antibiotics that cover MRSA infections.  If wound infections reflect a bacterial epidemiology similar to that of skin and soft tissues infections, empiric anti-MRSA antibiotic coverage is also warranted.  In Ecuador, national antibiotic guidelines do not provide for such empiric coverage. 


Centers for Disease Control and Prevention (CDC). Methicillin-resistant

Staphylococcus aureus skin or soft tissue infections in a state prison–

Mississippi, 2000. MMWR Morb Mortal Wkly Rep 2001; 50:919–22.

Talan DA, Krishnadasan A, Gorwitz RJ, et al. Comparison of Staphylococcus

aureus from skin and soft-tissue infections in US emergency department

patients, 2004 and 2008. Clin Infect Dis 2011; 53:144–9.

Reyes J, Rincón S, Díaz L, et al. Dissemination of methicillin-resistant

Staphylococcus aureus USA300 sequence type 8 lineage in Latin America.

Clin Infect Dis 2009; 49:1861–7.

Arias CA, Rincon S, Chowdhury S, et al. MRSA USA300 clone and

VREF–a U.S.-Colombian connection? N Engl J Med 2008; 359:2177–9.

Planet JP, Diaz L, Kolokotronis SO, et al. Parallel epidemics of community-associated methicillin-resistant staphylococcus aureus USA300 infection in North and South America. J Inf Dis. 2015: 212: 1874-82

Alvarez CA, Barrientos OJ, Leal AL, et al. Community-associated methicillin-resistant Staphylococcus aureus, Colombia. Emerg Inf Dis. 2006: 12:12: 2000-1

Ma XX, Galiana A, Pedreira W, et al. Community-acquired Methicillin-resistant Staphylococcus aureus, Uruguay. Emerg Inf Dis 2005: 11:6: 973-6

Cuadro Nacional de Medicamentos Basicos, Registro Terapeutico Nacional. novena revision, 2014, Consejo Nacional de Salud, Ecuador


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