Comparison of Absolute Neutrophil Count between Hospital and Community Acquired Methicillin-Resistant Staphylococcus aureus Infection

Introduction. The virulence factors from community acquired-methicillin resistant Staphylococcus aureus (CA-MRSA) mainly due to toxins like Panton Valentin Leukocidin (PVL) and Phenol Soluble Modulin (PSM). Both of toxins cause decrease of value through neutrophil lysis. This study aimed to identify...

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Main Authors: Kurniyanto, Widayat Djoko Santoso, Leonard Nainggolan, Juferdy Kurniawan
Format: Article
Language:Indonesian
Published: Department of Internal Medicine, Faculty of Medicine Universitas Indonesia 2018-12-01
Series:Jurnal Penyakit Dalam Indonesia
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Online Access:http://jurnalpenyakitdalam.ui.ac.id/index.php/jpdi/article/view/220/167
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author Kurniyanto
Widayat Djoko Santoso
Leonard Nainggolan
Juferdy Kurniawan
author_facet Kurniyanto
Widayat Djoko Santoso
Leonard Nainggolan
Juferdy Kurniawan
author_sort Kurniyanto
collection DOAJ
description Introduction. The virulence factors from community acquired-methicillin resistant Staphylococcus aureus (CA-MRSA) mainly due to toxins like Panton Valentin Leukocidin (PVL) and Phenol Soluble Modulin (PSM). Both of toxins cause decrease of value through neutrophil lysis. This study aimed to identify different value of absolute neutrophil count between hospital and community acquired MRSA. Methods. A cross sectional was conducted which included subjects who were infected by MRSA and hospitalized during 2012-2017. Classification of MRSA were divided due to its sensitivity and resistance to non-beta lactam antibiotics. Isolate that resistance to ≤ 2 antibiotics were classified as CA-MRSA. The others with resistance to ≥ 3 antibiotics were classified as hospital acquired MRSA. Absolute neutrophils count (ANC) were collected 24 hours from the positive MRSA culture. Data were analyzed by using independent T test and Mann-Whitney test. Results. We collected 62 subjects infected by MRSA which 35 subjects were HA-MRSA and 27 subjects were CA-MRSA. The median of ANC from CA-MRSA was 7,410.7 (1,147.3-26,560.2) and HA-MRSA was 16,198.0 (3,921.6-28,794.1) with p value < 0.001. Conclusion. There was a different value of absolute neutrophil count in infections due to community and hospital acquired MRSA.
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publishDate 2018-12-01
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spelling doaj-art-6fb6da2ad06e4ca4a4e9345366e1bceb2025-08-20T02:01:09ZindDepartment of Internal Medicine, Faculty of Medicine Universitas IndonesiaJurnal Penyakit Dalam Indonesia2406-89692549-06212018-12-0154169173http://dx.doi.org/10.7454/jpdi.v5i4.220Comparison of Absolute Neutrophil Count between Hospital and Community Acquired Methicillin-Resistant Staphylococcus aureus InfectionKurniyanto0Widayat Djoko Santoso1Leonard Nainggolan2Juferdy Kurniawan3Universitas Indonesia Divisi Penyakit Tropik dan Infeksi, Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran Universitas Indonesia, Rumah Sakit Cipto Mangunkusumo Divisi Penyakit Tropik dan Infeksi, Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran Universitas Indonesia, Rumah Sakit Cipto Mangunkusumo Indonesia Unit Epidemiologi Klinik, Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran Universitas Indonesia, Rumah Sakit Cipto Mangunkusumo Indonesia Introduction. The virulence factors from community acquired-methicillin resistant Staphylococcus aureus (CA-MRSA) mainly due to toxins like Panton Valentin Leukocidin (PVL) and Phenol Soluble Modulin (PSM). Both of toxins cause decrease of value through neutrophil lysis. This study aimed to identify different value of absolute neutrophil count between hospital and community acquired MRSA. Methods. A cross sectional was conducted which included subjects who were infected by MRSA and hospitalized during 2012-2017. Classification of MRSA were divided due to its sensitivity and resistance to non-beta lactam antibiotics. Isolate that resistance to ≤ 2 antibiotics were classified as CA-MRSA. The others with resistance to ≥ 3 antibiotics were classified as hospital acquired MRSA. Absolute neutrophils count (ANC) were collected 24 hours from the positive MRSA culture. Data were analyzed by using independent T test and Mann-Whitney test. Results. We collected 62 subjects infected by MRSA which 35 subjects were HA-MRSA and 27 subjects were CA-MRSA. The median of ANC from CA-MRSA was 7,410.7 (1,147.3-26,560.2) and HA-MRSA was 16,198.0 (3,921.6-28,794.1) with p value < 0.001. Conclusion. There was a different value of absolute neutrophil count in infections due to community and hospital acquired MRSA.http://jurnalpenyakitdalam.ui.ac.id/index.php/jpdi/article/view/220/167Absolute neutrophil countMRSAPanton valentin leukocidin
spellingShingle Kurniyanto
Widayat Djoko Santoso
Leonard Nainggolan
Juferdy Kurniawan
Comparison of Absolute Neutrophil Count between Hospital and Community Acquired Methicillin-Resistant Staphylococcus aureus Infection
Jurnal Penyakit Dalam Indonesia
Absolute neutrophil count
MRSA
Panton valentin leukocidin
title Comparison of Absolute Neutrophil Count between Hospital and Community Acquired Methicillin-Resistant Staphylococcus aureus Infection
title_full Comparison of Absolute Neutrophil Count between Hospital and Community Acquired Methicillin-Resistant Staphylococcus aureus Infection
title_fullStr Comparison of Absolute Neutrophil Count between Hospital and Community Acquired Methicillin-Resistant Staphylococcus aureus Infection
title_full_unstemmed Comparison of Absolute Neutrophil Count between Hospital and Community Acquired Methicillin-Resistant Staphylococcus aureus Infection
title_short Comparison of Absolute Neutrophil Count between Hospital and Community Acquired Methicillin-Resistant Staphylococcus aureus Infection
title_sort comparison of absolute neutrophil count between hospital and community acquired methicillin resistant staphylococcus aureus infection
topic Absolute neutrophil count
MRSA
Panton valentin leukocidin
url http://jurnalpenyakitdalam.ui.ac.id/index.php/jpdi/article/view/220/167
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AT leonardnainggolan comparisonofabsoluteneutrophilcountbetweenhospitalandcommunityacquiredmethicillinresistantstaphylococcusaureusinfection
AT juferdykurniawan comparisonofabsoluteneutrophilcountbetweenhospitalandcommunityacquiredmethicillinresistantstaphylococcusaureusinfection