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Objective: To access nosocomial and community accounts of multidrug resistant strains of\udStaphylococcus aureus (S. aureus) isolated by surveillance in a teaching hospital, over a period\udof 30 months. Methods: Clinical samples from nosocomial sources, i.e. , wards and cabins,\udintensive care unit (ICU) and neonatal intensive care unit (NICU) sources, as well as community\udor outpatient department (OPD) sources of a hospital were used for isolating strains of S. aureus\udresistant to methicillin/oxacillin and vancomycin, over a period, November 2009-April 2012.\udResults: Of a total of 1 507 S. aureus isolates, 485 strains from community and 1 022 isolates were\udfrom nosocomial sources; Out of 485 (100%) OPD S. aureus isolates, 390 (80.41%) were MRSA strains.\udSimilarly, from wards and cabins of 564 (100%) isolates, 461 (81.73%) strains were MRSA; whereas of\ud458 (100%) isolates obtained from ICU and NICU, 363 (79.25%) strains were MRSA. It was ascertained\udwith χ2-tests of independence that MRSA strains were equally distributed in "community " or\ud"wards and cabins " or "ICU and NICU " sources, alike rest other drug-resistant S. aureus strains.\udAntibiotic sensitivity patterns of isolated strains with 16 antibiotics were ascertained. Out of 390\ud(100%) MRSA strains isolated from OPD, 80 (20.51%) were vancomycin resistant (VRSA) and 173\ud(44.35%) strains were moderately sensitive to vancomycin or called, vancomycin intermediate\udstrains (VISA). Similarly, from nosocomial sources, out of 461 (100%) MRSA isolates obtained from\udwards and cabins, 110 (23.86%) strains were VRSA and 208 (45.11%) were VISA strains, whereas out\udof 363 MRSA isolates obtained from ICU and NICU, 61 (16.8%) VRSA strains and 164 (45.17%) VISA\udstrains were found. A progressive increase of percent values of drug resistance to 16 antibiotics\udused for antibiotic profiling revealed its subtle infection dynamics. Conclusions: This study\udrevealed the appalling state of occurrence of MRSA and VRSA in a resource-limited setting. A\udprogressive increase of percent values of drug resistance to 16 antibiotics used revealed its subtle\udinfection dynamics

Surveillance of infection status of drug resistant Staphylococcus aureus in an Indian teaching hospital