Phenotypic and genotypic evaluation of antibiotic resistance and molecular characterization of Streptococcus species isolated from hospital cockroaches
Abstract Background The present investigation aimed to assess the antibiotic resistance properties and distribution of virulence factors in the Streptococcus spp. isolated from hospital cockroaches. Methods Six-hundred and sixty cockroach samples were collected. Cockroaches were vigorously washed with normal saline, and the achieved saline was used for bacterial culture. Isolated Streptococcus spp. were subjected to disk diffusion as well as PCR amplification of virulence factors and antibiotic resistance genes. Results Prevalence of S. pyogenes, S. agalactiae and S. pneumonia was 4.82%, 1.66% and 6.96%, respectively. The highest prevalence of S. pyogenes, S. agalactiae and S. pneumonia were found in oriental (5.71%), oriental (2.85%) and American (7.71%) cockroaches, respectively. Cfb (53.93%), cyl (52.8%), scaa (51.68%) and glna (50.56%) were the most commonly detected streptococcal virulence factors. Pbp2b (71.91%), pbp2 × (58.42%), mefA (46.06%), ermB (46.06%) and tetM (46.06%) were the most commonly detected antibiotic resistance genes. Streptococcal spp. exhibited the highest prevalence of resistance against tetracycline (80.89%), trimethoprim (65.16%), and penicillin (56.17%). Conclusion To the best of our knowledge, this is the first prevalence report of virulence factors and antibiotic resistance genes in the Streptococcal spp. isolated from American, German and oriental hospital cockroaches. Findings recommended a certain role for cockroaches in the transmission of nosocomial infections and particularly those caused by virulent and resistant Streptococcus spp. in the hospital environment.