ArticleFrontiers in microbiology2025
Burden and trends of antimicrobial non-susceptibility in skin and soft tissue infections: nine-year microbiological surveillance from a tertiary hospital in Riyadh, Saudi Arabia.
Article in Frontiers in microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Skin and soft tissue infections (SSTIs) impose a substantial global and regional burden, and their management is increasingly complicated by antimicrobial non-susceptibility. In Saudi Arabia, data remain fragmented, with few studies providing species-level analyses stratified by specimen type and infection depth. Methods: We retrospectively analyzed 6,760 wound and tissue specimens (2016-2024) from a tertiary hospital in Riyadh, Saudi Arabia. Organisms were identified using standard microbiological methods and VITEK 2. Antimicrobial susceptibility testing was interpreted according to CLSI M100, defining non-susceptibility as resistant or intermediate categories. Binary logistic regression was used to assess temporal trends in antimicrobial non-susceptibility, with year of isolation entered as a continuous predictor. Results: Gram-negative organisms predominated (63.2%), followed by Gram-positives (35.6%) and yeast (1.2%). Conclusion: Gram-negative organisms predominated in SSTIs, showing rising non-susceptibility to amikacin and carbapenems. Separately, among Gram-positive pathogens,
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