Monday 19 June 2017

Methicillin resistant staphylococci | NEET Based MCQ

NIME Next Batch PGI Quest in Delhi from 10 August to 20 August


Which of the followings is not correct regarding methicillin resistant staphylococci? 

A. MRSA indicates resistance to all beta-lactarnases 
B. MRSA resistance is beta-lactamase independent 
C. it is plasmid dependent 
D. At 37°C resistance is more expressed


Ans. B. (MRSA resistance is beta-lactamase independent)
Explanation:
• Methicillin:
It is highly penicillinase resistant but not acid resistant, hence must be injected. It is also an inducer of penicillinase production.
• MRSA have emerged in many areas. These are insensitive to all penicillinase-resistant penicillins and to other betalactams as well as to erythromycin, aminoglycosides, tetracyclines, etc. The MRSA have altered PBPs which do not bind penicillins.
• The drug of choice for these organisms is vancomycin/linezolid, but ciprofioxacin can also be used.
• Staph. aureus(MRSA) are not resistant to Gram-negative beta-lactamases.