Research Article

High Prevalence of Panton-Valentine Leukocidin (PVL) Genes in Nosocomial-Acquired Staphylococcus aureus Isolated from Tertiary Care Hospitals in Nepal

Table 1

PVL prevalence grouped according to infection site, age group, methicillin resistance, and macrolide, lincosamide, and streptogramin B resistance types.

PVL-negative isolates (%)PVL-positive isolates (%)

Infection siteBody fluid ( )1 (50.0%)1 (50.0%)
SSI ( )35 (64.8%)19 (35.3%)
Lower RTI ( )7 (77.8%)2 (22.2%)
UTI ( )4 (50.0%)4 (50.0%)

Age group≤30 years ( )17 (63.0%)10 (37.0%)
≥31 years ( )30 (65.2%)16 (34.8%)

Methicillin resistanceMSSA (27)13 (48.1%)14 (51.9%)
MRSA (46)34 (73.9%)12 (26.1%)
  (i) Heterogeneous MRSA ( )4 (26.7%)11 (73.3%)
  (ii) Homogeneous MRSA ( )30 (96.8%)1 (3.2%)
  (i) nmMRSA ( )2 (40.0%)3 (60.0%)
 (ii) mMRSA ( )32 (78.0%)9 (22.0%)

Macrolide, lincosamide, and streptogramin B resistance No resistance ( )13 (54.2%)11 (45.8%)
MSB ( )1 (6.2%)15 (93.8%)
MLSB ( )32 (100.0%)0 (0.0%)

SSI: surgical site infection; RTI: respiratory tract infection; UTI: urinary tract infection; nmMRSA: nonmultiresistant MRSA; mMRSA: multiresistant MRSA; MSB: macrolide-streptogramin B resistance; MLSB: macrolide-lincosamide-streptogramin B resistance.