Fluoroquinolone- and Methicillin-Resistant Staphylococcus Aureus: Insights from the Antimicrobial Resistance Management Program

2005 ◽  
Vol 21 (3) ◽  
pp. 123-128 ◽  
Author(s):  
John G Gums ◽  
Benjamin J Epstein
Keyword(s):  
Staphylococcus Aureus ◽  
Antimicrobial Resistance ◽  
Methicillin Resistance ◽  
Resistance Management ◽  
Multidrug Resistant ◽  
Management Program ◽  
Methicillin Resistant ◽  
The North ◽  
The Us ◽  
Northeast Us

Background: Staphylococcus aureus is a frequent cause of infections involving the bloodstream, skin and soft tissue, and lungs in hospitalized patients. These isolates are often multidrug resistant and represent a major therapeutic challenge. Objective: To explore the susceptibilities of S. aureus to nafcillin/oxacillin, a surrogate for methicillin resistance, and the fluoroquinolones and determine whether a relationship might exist between fluoroquinolone use and the prevalence of methicillin-resistant S. aureus (MRSA). Methods: To date, 353 institutions throughout the US and Puerto Rico have enrolled in the Antimicrobial Resistance Management (ARM) Program, and data have been submitted on nearly 5 million isolates of S. aureus. Isolates submitted from 1990 through 2002 were reviewed for sensitivity to nafcillin/oxacillin, clindamycin, erythromycin, and the fluoroquinolones ciprofloxacin and levofloxacin. Results: From 1990 through 2002 inclusive, susceptibility to nafcillin/oxacillin nationally was 64.9% (n = 360,460), ranging from 62.2% in the North Central and Northeast US to 72.8% in the Southwest. Nationally, S. aureus isolates were more resistant to levofloxacin (41.4%, n = 123,868) than ciprofloxacin (38.7%, n = 256,178). The greatest change in susceptibility of S. aureus to nafcillin/oxacillin and ciprofloxacin occurred concurrently from 1998 to 2002, which may implicate fluoroquinolone use with increasing rates of MRSA infection. Conclusions: Resistance to methicillin and the fluoroquinolones has increased in concert during the past 5 years. Collectively, data from the ARM Program, along with several other investigations, support a role of fluoroquinolone use in the emergence of MRSA. These observations, along with increasing resistance among gram-positive and gram-negative pathogens, underscore the need for judicious use of fluoroquinolones.

scholarly journals Prevalence, Enterotoxigenic Potential and Antimicrobial Resistance of Staphylococcus aureus and Methicillin-Resistant Staphylococcus aureus (MRSA) Isolated from Algerian Ready to Eat Foods

Toxins ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 835
Author(s):  
Omar Amine Mekhloufi ◽  
Daniele Chieffi ◽  
Abdelhamid Hammoudi ◽  
Sid Ahmed Bensefia ◽  
Francesca Fanelli ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Antimicrobial Resistance ◽  
Methicillin Resistance ◽  
Intergenic Spacer ◽  
Multidrug Resistant ◽  
Genetic Determinants ◽  
Methicillin Resistant ◽  
Intergenic Spacer Region ◽  
Type Iv ◽  
Toxic Shock Syndrome Toxin

Staphylococcus aureus causes a foodborne intoxication due to the production of enterotoxins and shows antimicrobial resistance, as in the case of methicillin-resistant strains (MRSA). Herein, we analyzed 207 ready-to-eat foods collected in Algeria, reporting a S. aureus prevalence of 23.2% (48/207) and respective loads of coagulase positive staphylococci (CPS) ranging from 1.00 ± 0.5 to 5.11 ± 0.24 Log CFU/g. The 48 S. aureus isolates were widely characterized by staphylococcal enterotoxin gene (SEg)-typing and 16S-23S rDNA intergenic spacer region (ISR)-PCR, as well as by detecting tst and mecA genes, genetic determinants of toxic shock syndrome toxin-1 and methicillin resistance, respectively. We found that the S. aureus isolates belonged to seven different SEg-types harboring the following combinations of genes: (1) selW, selX; (2) egc (seG, seI, seM, seN, seO), selW, selX; (3) seA, seH, seK, seQ, selW, selX; (4) seB, selW, selX; (5) seD, selJ, seR, selW, selX; (6) seH, selW, selX, selY; and (7) seA, egc, selW, selX, while among these, 2.1% and 4.2% were tst- and mecA- (staphylococcal chromosomal cassette mec-type IV) positive, respectively. Selected strains belonging to the 12 detected ISR-types were resistant towards antimicrobials including benzylpenicillin, ofloxacin, erythromycin, lincomycin, tetracyclin, kanamycin, oxacillin, and cefoxitin; 8.3% (1/12) were confirmed as MRSA and 16.7% (2/12) were multidrug resistant. The present study shows the heterogeneity of the S. aureus population in Algerian ready-to-eat foods as for their toxigenic potential and antimicrobial resistance, shedding the light on the quality and safety related to the consume of ready-to-eat foods in Algeria.

Investigation of the antibiotic resistance of staphylococcus species isolated from foods

2021 ◽  
Vol 67 (2) ◽  
pp. 3372-3382
Author(s):  
Brigitta Horváth ◽  
Ferenc Peles ◽  
Judit Gasparikné Reichardt ◽  
Edit Pocklán ◽  
Rita Sipos ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Antibiotic Resistance ◽  
Methicillin Resistance ◽  
Multidrug Resistant ◽  
Farm Animals ◽  
The European Union ◽  
Methicillin Resistant ◽  
Maldi Tof Ms ◽  
Maldi Tof ◽  
Tof Ms

The presence of methicillin-resistant Staphylococcus aureus (MRSA) strains in the food chain has been confirmed by several studies in the European Union, but there are only limited data available in Hungary. The objective of the present study was to investigate the antibiotic resistance of Staphylococcus strains isolated from foods, using classical microbiological, molecular biological methods and the MALDI-TOF-MS technique, as well as the multi-locus sequence typing (MLST) of antibiotic resistant strains. During the study, 47 coagulase-positive (CPS) and 30 coagulase-negative (CNS) Staphylococcus isolates were collected. In the course of the MALDI-TOF-MS investigations, all CPS isolates (n=47) were found to be S. aureus species, while 8 different species were identified in the case of the CNS strains. Methicillin resistance was confirmed in two S. aureus strains, one of which had a sequence type not yet known, while the other MRSA strain was type ST398, which is the most common type of MRSA strain isolated from farm animals in the EU/EEA. (The abbreviation “MRSA” is often used in common parlance, but occasionally in the literature to denote “multidrug-resistant Staphylococcus aureus”. In the authors’ manuscript - the methicillin-resistant pathogen is correctly designated as such. Ed.)

scholarly journals IDENTIFICATION OF METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS USING TOUCHDOWN PCR AND PHENOTYPIC METHODS FROM PATIENTS AND HOSPITALS ENVIRONMENTS IN DIFFERENT IRAQI CITIES

2021 ◽  
Vol 52 (6) ◽  
pp. 1356-1364
Author(s):  
A. M. Abd Zaid ◽  
N. J. Kandala
Keyword(s):  
Staphylococcus Aureus ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Methicillin Resistance ◽  
Multidrug Resistant ◽  
Sensitivity Test ◽  
Methicillin Resistant ◽  
Cultural Methods ◽  
Base Medium ◽  
Touchdown Pcr ◽  
Phenotypic Methods

The study was aimed to evaluate the prevalence of MRSA in some Iraqi hospitals and determine the most powerful methods for identification of MRSA, in order to achieve the, 278 samples were collected from different hospitals in Iraq in various intervals, 204 out of 287 were identified as Staphylococcus aureus by conventional cultural methods and microscopic characteristics and 177 isolates are identified as MRSA by using HiCrome MeReSa Agar Base medium, but 154 of 177 (87%) isolates are methicillin resistance in sensitivity test. MRSA isolates were highly resistant to β-lactam antibiotics and considered multidrug resistant (MDR) in percent of (94.9%). Touchdown PCR used to identify the isolates, 97.05% were identified as Staphylococcus aureus, while 80.88%  as MRSA.                  

Molecular Characterization and Antimicrobial Resistance Profile of Methicillin-Resistant Staphylococcus aureus in Retail Chicken

2015 ◽  
Vol 78 (10) ◽  
pp. 1879-1884 ◽  
Author(s):  
KHALID IBRAHIM SALLAM ◽  
SAMIR MOHAMMED ABD-ELGHANY ◽  
MOHAMED ELHADIDY ◽  
TOMOHIRO TAMURA
Keyword(s):  
Staphylococcus Aureus ◽  
Antimicrobial Resistance ◽  
Molecular Characterization ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Meca Gene ◽  
Multidrug Resistant ◽  
Animal Origin ◽  
Contamination Rate ◽  
Methicillin Resistant ◽  
Food Of Animal Origin

The emergence of livestock-associated methicillin-resistant Staphylococcus aureus (MRSA) in food-producing animals is of increasing interest, raising questions about the presence of MRSA in food of animal origin and potential sources of transmission to humans via the food chain. In this study, the prevalence, molecular characterization, virulence factors, and antimicrobial susceptibility patterns of MRSA isolates from 200 retail raw chicken samples in Egypt were determined. MRSA was detected by positive amplification of the mecA gene in 38% (76 of 200) of chicken samples analyzed. This represents a potential public health threat in Egypt, as this contamination rate seems to be the highest among other studies reported worldwide. Furthermore, genes encoding α-hemolysin (hla) and staphylococcal enterotoxins (sea, seb, and sec) were detected in all of the 288 MRSA isolates. Nonetheless, none of the strains tested carried tst, the gene encoding toxic shock syndrome toxin 1. Antimicrobial resistance of MRSA isolates was most frequently detected against penicillin (93.4%), ampicillin (88.9%), and cloxacillin (83.3%). These results suggest that retail chicken might be a significant potential source for transmission of multidrug-resistant and toxigenic S. aureus in Egypt. This underlines the need for stricter hygienic measures in chicken production in Egypt to minimize the risk of transmission of these strains to consumers. To the best of our knowledge, this is the first study that reports the isolation and molecular characterization of MRSA in retail chicken samples in Egypt.

scholarly journals Improved methods in the identification and screening for antimicrobial resistance: chromogenic screening for Staphylococcus aureus and methicillin resistance

2008 ◽  
Vol 29 (3) ◽  
pp. 150
Author(s):  
John Merlino
Keyword(s):  
Staphylococcus Aureus ◽  
Antimicrobial Resistance ◽  
Methicillin Resistance ◽  
Chromogenic Substrates ◽  
Methicillin Resistant ◽  
Microbial Identification ◽  
Laboratory Screening ◽  
Labour Costs ◽  
Improved Methods

New enzyme specific synthetic chromogenic substrates offer an advance in the laboratory screening and detection of Staphylococcus aureus and methicillin-resistant S. aureus (MRSA), with increased efficiency, reduced labour costs and decreased turn around times, especially when incorporated into existing laboratory workflows, to support current methods of microbial identification and the detection of resistance.

scholarly journals Occurrence of Methicillin Resistant and Enterotoxigenic Staphylococcus aureus in Traditional Cheeses in the North West of Iran

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Dariush Shanehbandi ◽  
Behzad Baradaran ◽  
Saeed Sadigh-Eteghad ◽  
Habib Zarredar
Keyword(s):  
Staphylococcus Aureus ◽  
Management Practices ◽  
Methicillin Resistance ◽  
Food Poisoning ◽  
Methicillin Resistant ◽  
North West ◽  
The North ◽  
Traditional Cheeses ◽  
Food Borne ◽  
Traditional Dairy Products

Traditional dairy products are potential sources of a variety of microorganisms which participate in food poisoning. Staphylococcus aureus is a conspicuous example of toxigenic bacteria causative for food-borne diseases. Moreover, resistance to methicillin is a prominent index in food hygiene studies. In the present study, we have aimed at characterization and identification of enterotoxigenic methicillin resistant S. aureus (MRSA) isolated from traditional cheeses in Azerbaijan region in the northwest of Iran during 2012. A number of phenotypical and molecular assays were utilized for screening of S. aureus. Subsequently, the prevalence of the genes responsible for the five staphylococcal enterotoxins (SEA-SEE) and also methicillin resistance gene was assessed. The outcomes of phenotypical methods were in conformity with those of the molecular procedures. The results indicated that 16% of cheese samples were contaminated by S. aureus. 110 isolates were authenticated by both phenotypical and molecular methods. All of the mentioned isolates were positive for coa, nuc, and 16S rDNA primers. 21% of these isolates were mecA positive and 60.8% of these MRSA were positive for SEs. Regarding the frequent outbreaks of enterotoxigenic MRSA, new hygiene policies and management practices should be considered to increase food safety and avoid extra treatment costs.

scholarly journals Phenotypic Detection of Methicillin and Inducible Clindamycin Resistant Staphylococcus Aureus: An Effort to Combat Antimicrobial Resistance and Improve Patient Safety in Gombe, Nigeria

2021 ◽  
Vol 2 (1) ◽  
pp. 52-56
Author(s):  
Mohammed M Manga ◽  
Gloria O Michael ◽  
Aishatu A Julde ◽  
Gidado Muhammad ◽  
Umar M Hassan ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Patient Safety ◽  
Antimicrobial Resistance ◽  
Methicillin Resistance ◽  
Improve Patient Safety ◽  
Multidrug Resistant ◽  
Diffusion Method ◽  
Infection Prevention And Control ◽  
Erythromycin Resistance ◽  
Cross Sectional

Introduction: Antimicrobial resistance (AMR) is a major threat to patient safety. Methicillin and inducible clindamycin resistant Staphylococcus aureus are important multidrug resistant organisms (MDROs). Timely reporting of MDROs is necessary for rational antibiotic prescription and in combating AMR. We present the prevalence and distribution of Methicillin and inducible clindamycin resistant (iCR) isolates of Staphylococcus aureus from Gombe Nigeria. Materials and Methods: This descriptive cross-sectional study included 260 isolates of Staphylococcus aureus from clinical specimens in Federal Teaching Hospital Gombe (FTHG). Isolates identification was done using conventional biochemical methods. Methicillin resistance was detected by cefoxitin disc diffusion method while iCR isolates by erythromycin and clindamycin disc approximation test (D-test). Data analysis was done using SPSS version 23.0. Results: Methicillin resistant Staphylococcus aureus (MRSA) was detected in 178 (68.5%) isolates while 214 (82.3%) were iCR (D-test positive). Among the MRSA, 87.1% were also iCR while 72.4% of the iCR isolates were MRSA. There was significant association between MRSA and iCR (p = 0.03), MRSA and clindamycin resistance (p = 0.05) and MRSA and erythromycin resistance (p < 0.01). Conclusion: Prevalence of MDR Staphylococcus aureus is high in Gombe Nigeria. Antimicrobial stewardship programme (ASP) and good Infection Prevention and Control (IPC) are necessary in combating AMR and improving patient safety.

scholarly journals Prevalence of Shigella spp and Methicillin-Resistant Staphylococcus aureus in Select Commercially Processed Meat Products

2021 ◽  
pp. 50-66
Author(s):  
Iyekhoetin Matthew Omoruyi ◽  
Helen Inikpi Ajayi
Keyword(s):  
Staphylococcus Aureus ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Methicillin Resistance ◽  
Meat Products ◽  
Multidrug Resistant ◽  
Processed Meat ◽  
Mannitol Salt Agar ◽  
Methicillin Resistant ◽  
Shigella Spp ◽  
The Mean

Aim: The aim of this study was to determine the prevalence of Shigella spp and methicillin resistant Staphylococcus aureus in some selected commercially processed ready-to-eat snail (Archachatina marginata) and edible worm (Rhynchophorus phoenicis). Study Design: Cross-sectional analysis. Place and Duration of Study: Samples were obtained from vendors along the Benin-Sapele express road, South-South Nigeria, over a two months period (November to December, 2019). Methodology: The enumeration of total heterotrophic counts, total Shigella counts and total Staphylococcus aureus counts were done using nutrient agar, Salmonella Shigella agar and mannitol salt agar respectively. All isolates were further identified by their cultural, morphological and biochemical characteristics. Methicillin resistant Staphylococcus aureus were identified using methicillin-oxacillin agar, while the antibiogramic profile of selected isolates and their multidrug resistant profile were done according to the CSLI guideline. Results: The mean heterotrophic bacterial counts (THCs) obtained in Rhynchophorus phoenicis ranged from 0.00 × 10³ ± 0.00 cfu/g to 500.00 × 10³ ± 0.00 cfu/g, while the mean THCs obtained in Archachatina marginata ranged from 13.3 × 10³ ± 1.15 cfu/g to 500 × 10³ ± 0.00 cfu/g. The total Staphylococcus aureus obtained in Rhynchophorus phoenicis was between 0.00 × 10³ ± 0.00 cfu/g to 294 × 10³ ± 4.7 cfu/g and the Shigella bacteria counts from 0.00 × 10³ ± 0.00 cfu/g to 258 × 10³ ± 14.64 cfu/g. The antibiogram of Staphylococcus aureus isolated from both Rhynchophorus phoenicis and Archachatina marginata, found the majority of isolates (96.67%) to be resistant to ceftazidime and cefuroxime, while 83.33% of the isolates were sensitive to ofloxacin. All Staphylococcus isolates were resistant to ceftriaxone, cloxacillin and amoxycillin clavulanate. The multidrug resistant index recorded was between 37.5 and 100. All Staphylococcus (9) isolates tested for methicillin resistance was observed to be positive. Conclusion: This study demonstrated that RTE vended meat products sold in along Benin City By-pass, contains Shigella and methicillin resistant Staphylococcus species, which are potential foodborne pathogens and efforts should be made at eliminating them from these vended meat products.

scholarly journals Detection of Methicillin-Resistant Staphylococcus aureus in Ready-to-Eat Shellfish (Corbiculid heterodont) in Bayelsa State, Nigeria

2020 ◽  
pp. 22-35
Author(s):  
Seighazi Regina Egege ◽  
Nedie Patience Akani ◽  
Chidiebele Emmanuel Ikechukwu Nwankwo
Keyword(s):  
Staphylococcus Aureus ◽  
Multidrug Resistance ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Methicillin Resistance ◽  
Meca Gene ◽  
Resistance Index ◽  
Multidrug Resistant ◽  
Coagulase Negative Staphylococcus ◽  
Methicillin Resistant ◽  
Awareness Campaigns

Aims/Objective: Methicillin-Resistant Staphylococcus aureus (MRSA) is a dominant cause of severe healthcare-associated (HA) infections but has recently emerged as Community-Associated (CA-MRSA) and Livestock-Associated MRSA (LA-MRSA). This study was carried out to detect the presence of Methicillin-Resistant S. aureus in Ready-to-Eat (RTE) Corbiculid heterodont in Bayelsa state, Nigeria. Place of Study: This study was conducted in Yenagoa, Southern Ijaw and Sagbama Local Government Areas, Bayelsa State, Nigeria. Methodology: Fifty-three samples (dried, fried and stewed) of the RTE C. heterodont were collected and subjected to standard microbiological procedures. Results: Seventy Staphylococcus spp. were isolated, consisting of 65 (92.86%) S. aureus and 5 (7.14%) coagulase negative Staphylococcus (CONS). Out of the 65 S. aureus isolates, 53.8% were MRSA. Susceptibility pattern of MRSA showed a decreasing trend of resistance in the order: Amoxacillin, Ampicillin-Cloxacillin, Cefoxitin, and Oxacillin (100%) > Streptomycin (82.9%) >Ceftriaxone (40%) >Cefuroxime (31.4%), > Ciprofloxacin and Trimethoprim-Sulfamethoxazole (17.1%) > Gentamycin and Pefloxacin (8.6%) > Erythromycin (2.9%).Out of the 65 S. aureus isolates, 62 (95.4%) had Multidrug Resistance Index > 0.2 while 3 (4.6%) had 0.2 as their Multidrug Resistance Index. The MRSA isolates were 100% Multidrug Resistant (MDR) while the Methicillin-Sensitive S. aureus (MSSA) were 90% MDR. Molecular characterization of ten S. aureus isolates confirmed 80% S. aureus isolates and 20% CONS (S. sciuri and S. warneri).  Polymerase chain reaction (PCR) and Agarose gel-electrophoresis were used to detect the presence of mecA gene, a gene that confers methicillin resistance. The mecA gene with size 500bp was identified in 50% of MRSA. This study reported presence of MRSA and MDR S. aureus in C. heterodont sold in Bayelsa state, Nigeria. This could be the avenue for the spread of MRSA. Public health awareness campaigns should be advocated to enhance hygienic practices in the handling and distribution of food.

Nasal carriage of highly resistant methicillin resistant Staphylococcus aureus (MRSA) strains by hospital staff in Hazara region of Pakistan

2020 ◽  
pp. 1-12
Author(s):  
Maria Rukan ◽  
Humaira Jamil ◽  
Habib Ali Bokhari ◽  
Aamer Ali Khattak ◽  
Allah Nawaz Khan ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Methicillin Resistance ◽  
Hospital Staff ◽  
Multidrug Resistant ◽  
Operation Theatre ◽  
Methicillin Resistant ◽  
Theatre Staff ◽  
Resistant Strains ◽  
Polymerase Chain

Abstract Objective: To isolate and characterise multidrug resistant strains of Staphylococcus aureus from healthcare workers who are at potential risk of nosocomial infections. Methods: The observational, cross-sectional study was conducted from November 2014 to April 2015 at different hospitals of Haripur and Abbottabad, Pakistan, and comprised ward and operation theatre staff. The isolates were identified on the basis of microbiological and biochemical tests and further confirmed by polymerase chain reaction. Disc diffusion method was used for antibiotic sensitivity testing, and panton valentine leukocidin and methicillin resistance mecA genes were detected using polymerase chain reaction. Results: Of 208 isolates, 108(52%) were from the ward staff and 100(48%) were from the operation theatre staff. Overall, 167(80.3%) isolates were positive for Staphylococcus aureus, and 75(36%) were methicillin-resistant Staphylococcus aureus. The number of antibiotic-resistant isolates was 75(45%) cefoxitin, 60(36%) ofloxacin, 152(91%) erythromycin, 52(31%) doxycycline, 127(76%) lincomycin, 53(32%) amoxicillin-clavulanate, 67(40%) ciprofloxacin, and 89(53%) ceftriaxone. Conclusion: A high number of hospital staff, including those working in operation theatres, were found to be carrying methicillin-resistant Staphylococcus aureus and multidrug resistant strains in their nasal passage that may be a source of infection to patients. Key Words: Methicillin resistance, Nosocomial infections, Vancomycin, MecA gene, Pvl gene. Continuous....

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