Sir, Lower limb infections are the largest non-traumatic cause of lower extremity amputations in diabetic patients, accounting for almost 90,000 amputations per year , . Of the total isolates, 77% were gram-positive bacteria (staphylococci 43%, streptococci 13%). Researchers found that pre-pregnancy diabetes was associated with increased risk of MRSA following delivery, but found no association between MRSA and gestational diabetes. MRSA were genotyped by SCCmec. The implementation of strict isolation precautions is highly recommended (9–12) because MRSA is mainly transmitted through the hands of transiently colonized health care personnel (9,13,14). It may be found in people with chronic sinusitis. Three further cases of MSSA were also identified.
Increasing prevalence of MRSA infection has led to an increase in the use of alternative antimicrobial agents with specific activity against this organism. MRSA was one of the first antibiotic-resistant “superbugs”