Methicillin-Resistant Staphylococcus aureus among Clinical Isolates in Indonesia: A Systematic Review

Rike Syahniar^1*, Rayhana¹, Dayu Swasti Kharisma¹, Muhammad Khatami² and Dimas Bagus Bramasta Duarsa²

¹Department of Microbiology and Parasitology, Faculty of Medicine and Health, Universitas Muhammadiyah Jakarta, Indonesia.

²Department of Medicine and Health, Universitas Muhammadiyah Jakarta, Indonesia.

Corresponding Author E-mail: rikesyahniar@gmail.com

Abstract: BACKGROUND: The high infection of methicillin-resistant Staphylococcus aureus (MRSA) accompanied by increased resistance to many groups of antibiotics is a major concern in the field of infection. This study aims to evaluate the prevalence of MRSA isolates and antimicrobial susceptibility to MRSA isolates in Indonesia. METHODS: We did searches in Pubmed, Proquest, DOAJ, GARUDA, and google scholar for studies published in 2006-2020. Study in Indonesian (Bahasa) and English with the keywords "methicillin-resistant Staphylococcus aureus", "MRSA" and "Indonesia". More than 30 S.aureus isolates derived from human samples were included. RESULTS: A total of 738 articles based on the search results, 13 studies were included in this systematic review. The prevalence of MRSA reported from all studies is 0.3%-52%. The study with the largest prevalence of MRSA was found in Jakarta. The susceptibility of vancomycin antibiotics to MRSA isolates is known to range from 87%-100%. Based on all studies, Linezolid, Tigecycline, Nitrofurantoin, and quinupristin/dalfopristin were reported to have 100% susceptibility. CONCLUSIONS: The prevalence of MRSA is still found high in one of the cities in Indonesia. Surveillance of antibiotic use, monitoring of antimicrobial susceptibility patterns, and antibiotic resistance control programs need to be optimized. MRSA screening is based on a rapid diagnosis when an inpatient admission is also necessary.

Keywords: Indonesia; Methicillin-Resistant Staphylococcus Aureus; Systematic Review

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