Potential spread of multidrug-resistant coagulase-negative staphylococci through healthcare waste

Introduction: Healthcare waste (HCW) might potentially harbor infective viable microorganisms in sanitary landfills. We investigated the antimicrobial susceptibility patterns and the occurrence of the mecA gene in coagulase-negative Staphylococcus strains (CoNS) recovered from the leachate of the HCW in an untreated sanitary landfill. Methodology: Bacterial identification was performed by physiological and molecular approaches, and minimum inhibitory concentrations (MICs) of antimicrobial drugs were determined by the agar dilution method according to CLSI guidelines. All oxacillin-resistant bacteria were screened for the mecA gene. Results: Out of 73 CoNS, seven different species were identified by 16S rDNA sequencing: Staphylococcus felis (64.4%; n = 47), Staphylococcus sciuri (26.0%; n = 19), Staphylococcus epidermidis (2.7%; n = 2), Staphylococcus warneri (2.7%; n = 2), Staphylococcus lentus (1.4%; n = 1), Staphylococcus saprophyticus (1.4%; n = 1), and Staphylococcus haemolyticus (1.4%; n = 1). Penicillin was the least effective antimicrobial (60.3% of resistance; n = 44) followed by erythromycin (39.8%; n = 29), azithromycin (28.8%; n = 21), and oxacillin (16.5%; n = 12). The most effective drug was vancomycin, for which no resistance was observed, followed by gentamicin and levofloxacin, for which only intermediate resistance was observed (22%, n = 16 and 1.4%, n = 1, respectively). Among the oxacillin-resistant strains, the mecA gene was detected in two isolates. Conclusions: Considering the high antimicrobial resistance observed, our results raise concerns about the survival of putative bacterial pathogens carrying important resistance markers in HCW and their environmental spread through untreated residues discharged in sanitary landfills.

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Antimicrobial Resistance of Staphylococcus sp. Isolated from Cheeses

Animals ◽

10.3390/ani12010036 ◽

2021 ◽

Vol 12 (1) ◽

pp. 36

Author(s):

Jana Výrostková ◽

Ivana Regecová ◽

František Zigo ◽

Boris Semjon ◽

Gabriela Gregová

Keyword(s):

Polymerase Chain Reaction ◽

Antimicrobial Resistance ◽

Meca Gene ◽

Common Species ◽

Dilution Method ◽

Agar Dilution Method ◽

Chain Reaction ◽

Coagulase Negative Staphylococci ◽

Flight Mass Spectrometry ◽

Polymerase Chain

S. aureus and some species of coagulase-negative staphylococci, including S. chromogenes and S. simulans, commonly cause intramammary infections. However, little attention was paid to the antimicrobial resistance of these species with respect to their occurrence in dairy products, for example, popular sheep and goat cheeses made from unpasteurized milk. The aim of this study was to investigate such sheep and goat cheeses for the occurrence and antimicrobial resistance of the relevant staphylococci species. The staphylococcal isolates were identified by polymerase chain reaction (130 isolates) and matrix assisted laser desorption/ionization time-of-flight mass spectrometry. The most common species of S. aureus (56 isolates) were identified, as well as S. chromogenes (16 isolates) and S. simulans (10 isolates). Antimicrobial resistance to penicillin, oxacilin, ceftaroline, teicoplanin, gentamicin, erythromycin, tetracycline and ofloxacin was subsequently determined in these species using the agar dilution method. The highest resistance was confirmed in all species, especially to penicillin (91%) and erythromycin (67%). The highest sensitivity was confirmed to ofloxacin (83%). Due to the high incidence of penicillin and oxacilin-resistant staphylococci, the mecA gene was detected by polymerase chain reaction, which was confirmed only in S. aureus isolates (19%). Our study shows that the tested strains (77%) were resistant to more than one antibiotic at a time.

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Characterization of florfenicol resistance genes in the coagulase-negative Staphylococcus (CoNS) isolates and genomic features of a multidrug-resistant Staphylococcus lentus strain H29

10.21203/rs.3.rs-52544/v1 ◽

2020 ◽

Author(s):

Chongyang Wu ◽

Xueya Zhang ◽

Jialei Liang ◽

Qiaoling Li ◽

Hailong Lin ◽

...

Keyword(s):

Genome Sequence ◽

Resistance Genes ◽

Multidrug Resistant ◽

The Other ◽

Whole Genome Sequence ◽

Dilution Method ◽

Agar Dilution Method ◽

Coagulase Negative Staphylococcus ◽

Whole Genome ◽

Gene Arrays

Abstract BackgroundWith the wide use of florfenicol to prevent and treat the bacterial infection of domestic animals, the emergence of the florfenicol resistance bacteria is increasingly serious. It is very important to elucidate the molecular mechanism of the bacteria’s resistance to florfenicol. MethodsThe minimum inhibitory concentration (MIC) levels was determined by the agar dilution method, and polymerase chain reaction (PCR) was conducted to analyze the distribution of florfenicol resistance genes in 39 CoNS strains isolated from poultry and livestock animals and seafood. The whole genome sequence of one multidrug-resistant strain, Staphylococcus lentus H29, was characterized, and comparative genomics analysis of the resistance gene-related sequences was also performed. ResultsAs a result, the isolates from the animals showed a higher resistance rate (23/28, 82.1%) and much higher MIC levels of florfenicol than those from seafood. Twenty-seven animal isolates carried 37 florfenicol resistance genes (including 26 fexA , 6 cfr and 5 fexB genes), of which 1 carried a cfr gene, 16 carried a fexA gene, 5 carried both fexA and fexB genes and 5 carried both fexA and cfr genes. On the other hand, all 11 isolates from seafood were sensitive to florfenicol, and only 3 carried a fexA gene each. The whole genome sequence of S. lentus H29 was composed of a chromosome and two plasmids ( pH29-46 , pH29- 26) and harbored 11 resistance genes, including 6 genes [ cfr, fexA, ant(6)-Ia , aac A -aph D , mecA and mph(C) ] encoded on the chromosome, four genes [ cfr, fexA, aac A -aph D and tcaA ] on pH29-46 and one gene ( fosD ) on pH29-26. It was interested to find that the S. lentus H29 genome carried two identical copies of the gene arrays of radC - tnpABC - hp - fexA (5,671 bp) and IS 256 - cfr (2,690 bp), of which one copy of the two gene arrays was encoded on plasmid pH29-46, while the other was encoded on the chromosome. ConclusionsThe current study revealed the wide distribution of florfenicol resistance genes ( cfr, fexA and fexB ) in animal bacteria, and to the best of our knowledge, this is the first report of one CoNS strain carrying two identical copies of florfenicol resistance-related gene arrays.

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Antibiotic profile of Staphylococcus aureus and Coagulase negative Staphylococci species isolated from raw camel milk from Garissa County, Kenya

East African Journal of Science, Technology and Innovation ◽

10.37425/eajsti.v2i4.364 ◽

2021 ◽

Vol 2 (4) ◽

Author(s):

Elly Kirwa ◽

Abong O Gabriel ◽

Timothy E. Maitho ◽

Mbindyo CM ◽

Abuom T O ◽

...

Keyword(s):

Antimicrobial Agents ◽

Clinical Laboratory ◽

Multidrug Resistant ◽

Camel Milk ◽

Resistant Bacteria ◽

Coagulase Negative Staphylococcus ◽

Coagulase Negative Staphylococci ◽

Cross Sectional ◽

Mannitol Salt Agar ◽

Milk Samples

The emergence of multidrug resistant bacteria in clinically challenging situations is a global concern. Staphylococcus resistance poses a threat to available therapeutic agents in management of camel diseases. S. aureus is often isolated from mastitic camel milk. Coagulase negative Staphylococcus (CoNS) can be pathogenic in humans and animals. This cross-sectional study investigated the antimicrobial resistance phenotypes of Staphylococci species in raw camel milk from Garissa County, Kenya. A total of 231 raw camel milk samples from healthy camels were collected. Disk diffusion was used to determine antimicrobial susceptibility of the isolates. Bacteria were revived in Buffered Peptone Water (BPW). Staphylococcus isolates were cultured on Mannitol Salt agar (MSA) and Blood Agar (BA). Coagulase and catalase tests were used to biochemically characterize the isolates. Antibiotic disks were placed on Mueller Hinton Agar and incubated at 37°C for 24 hours and diameters of zones inhibition measured. The readings were recorded as either susceptible, intermediate, or resistant based on the interpretative breakpoints by the veterinary Clinical Laboratory Standards Institute (CLSI) guidelines. Antimicrobial agents tested included; Ampicillin, Streptomycin, Cephalexin, Erythromycin, Ciprofloxacin, Cefoxitin, Tetracycline and Chloramphenicol. Out of the 231 raw camel milk samples cultured, 52.8% (122/231) Staphylococci isolates were recovered. Among the Staphylococci isolates 83.6% (102) were S. aureus and 16.4% (20) were CoNS. Overall, 83 (68%) isolates were catalase positive and 122 (91.7%) showed β-haemolysis on BA culture. Highest resistance was observed against Cephalexin (81.9%) and Streptomycin (72.1%) while the lowest resistance was seen against Chloramphenicol (1.6%) and Tetracycline (3.3%). MRSA and MRCoNS were reported at 9.8% and 15% of the isolates respectively. MDR was recorded in 43.4% of the isolates resistant to at least 3 or more antimicrobial groups while 39.3% isolates were resistant to 1 or 2 antimicrobial tested. In conclusion, the study showed that CoNS and S

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Prevalence of Carbapenemase Genes, qacE, qacEΔ1 and cepA in Multidrug-Resistant Gram-Negative Bacteria with Different Susceptibility to Chlorhexidine

Epidemiology and Vaccinal Prevention ◽

10.31631/2073-3046-2020-19-5-49-60 ◽

2020 ◽

Vol 19 (5) ◽

pp. 49-60

Author(s):

K. G. Kosyakova ◽

N. B. Esaulenko ◽

O. A. Kameneva ◽

S. P. Kazakov ◽

A. Y. Dubinina ◽

...

Keyword(s):

Resistance Genes ◽

Multidrug Resistant ◽

World Health ◽

Dynamic Monitoring ◽

Resistant Bacteria ◽

Dilution Method ◽

Agar Dilution Method ◽

Gram Negative Bacteria ◽

Gram Negative ◽

Health Organization

Relevance The World Health Organization has provided a list of resistant bacteria that pose the greatest threat to society. Among them, the most important (critically high priority level) are Pseudomonas aeruginosa and Acinetobacter baumannii strains resistant to carbapenems, as well as enterobacteriaceae producing extended spectrum beta-lactamases and carbapenemases.Aim. To conduct a comparative analysis of the sensitivity to chlorhexidine of multiply-resistant gram-negative bacteria, the causative agents of infectious conditions in patients of various medical organizations, and to study the relationship between the presence of resistance genes and the minimum inhibitory concentration of chlorhexidine.Materials & methods. The study included 138 Gram-negative multidrug-resistant strains isolated during 2018–2019 from various clinical specimens. Susceptibility of the isolates to antibiotics were determined using Vitek-2 compact and Phoenix М50, susceptibility to chlorhexidine were determined by agar dilution method. The resistance genes were detected by the real-time PCR method.Results. The lowest level of resistance to chlorhexidine was determined in E. coli strains (MIC90 16 mg/l), other strains were highly resistant: MIC90 of P. aeruginosa and A. baumannii – 128 mg/l, K. pneumoniae, E. cloacae и P. mirabilis – 256 mg/l. The highest frequency of detection of carbapenemase genes observed in K. pneumoniae strains – 56.0% and P. aeruginosa – 48.1%. High prevalence of cepA gene was found out (the strains of enterobacteria – 47.8%, A. baumannii – 42.9%), genes qacE, qacEΔ1 were more often detected in non-fermenting Gram-negative bacteria then in enterobacteria. Conclusion. According to the results of our study, we did not reveal a significant correlation between the presence or absence of resistance genes and MIC of chlorhexidine in Gram-negative bacteria. However, taking into account complex mechanism of the adaptive response of bacteria to the effects of chlorhexidine, and to implement the concept of preventing health care-associated infections, it is proposed to continue dynamic monitoring of the resistance of microorganisms to antiseptics, disinfectants and antibiotics.

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Characterization of florfenicol resistance genes in the coagulase-negative Staphylococcus (CoNS) isolates and genomic features of a multidrug-resistant Staphylococcus lentus strain H29

10.21203/rs.3.rs-52544/v2 ◽

2020 ◽

Author(s):

Chongyang Wu ◽

Xueya Zhang ◽

Jialei Liang ◽

Qiaoling Li ◽

Hailong Lin ◽

...

Keyword(s):

Genome Sequence ◽

Resistance Genes ◽

Multidrug Resistant ◽

The Other ◽

Whole Genome Sequence ◽

Dilution Method ◽

Agar Dilution Method ◽

Coagulase Negative Staphylococcus ◽

Whole Genome ◽

Gene Arrays

Abstract Background: With the wide use of florfenicol to prevent and treat the bacterial infection of domestic animals, the emergence of the florfenicol resistance bacteria is increasingly serious. It is very important to elucidate the molecular mechanism of the bacteria’s resistance to florfenicol.Methods: The minimum inhibitory concentration (MIC) levels were determined by the agar dilution method, and polymerase chain reaction (PCR) was conducted to analyze the distribution of florfenicol resistance genes in 39 CoNS strains isolated from poultry and livestock animals and seafood. The whole genome sequence of one multidrug resistant strain, Staphylococcus lentus H29, was characterized, and comparative genomics analysis of the resistance gene-related sequences was also performed.Results: As a result, the isolates from the animals showed a higher resistance rate (23/28, 82.1%) and much higher MIC levels to florfenicol than those from seafood. Twenty-seven animal isolates carried 37 florfenicol resistance genes (including 26 fexA, 6 cfr and 5 fexB genes) with one carrying a cfr gene, 16 each harboring a fexA gene, 5 with both a fexA and a fexB genes and the other 5 with both a fexA and a cfr genes. On the other hand, all 11 isolates from seafood were sensitive to florfenicol, and only 3 carried a fexA gene each. The whole genome sequence of S. lentus H29 was composed of a chromosome and two plasmids (pH29-46, pH29-26) and harbored 11 resistance genes, including 6 genes [cfr, fexA, ant(6)-Ia, aacA-aphD, mecA and mph(C)] encoded on the chromosome, 4 genes [cfr, fexA, aacA-aphD and tcaA] on pH29-46 and 1 gene (fosD) on pH29-26. We found that the S. lentus H29 genome carried two identical copies of the gene arrays of radC-tnpABC-hp-fexA (5,671 bp) and IS256-cfr (2,690 bp), of which one copy of the two gene arrays was encoded on plasmid pH29-46, while the other was encoded on the chromosome.Conclusions: The current study revealed the wide distribution of florfenicol resistance genes (cfr, fexA and fexB) in animal bacteria, and to the best of our knowledge, this is the first report that one S. lentus strain carried two identical copies of florfenicol resistance-related gene arrays.

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Characterization of florfenicol resistance genes in the coagulase-negative Staphylococcus (CoNS) isolates and genomic features of a multidrug-resistant Staphylococcus lentus strain H29

Antimicrobial Resistance and Infection Control ◽

10.1186/s13756-020-00869-5 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Chongyang Wu ◽

Xueya Zhang ◽

Jialei Liang ◽

Qiaoling Li ◽

Hailong Lin ◽

...

Keyword(s):

Genome Sequence ◽

Resistance Genes ◽

Multidrug Resistant ◽

The Other ◽

Whole Genome Sequence ◽

Dilution Method ◽

Agar Dilution Method ◽

Coagulase Negative Staphylococcus ◽

Whole Genome ◽

Gene Arrays

Abstract Background With the wide use of florfenicol to prevent and treat the bacterial infection of domestic animals, the emergence of the florfenicol resistance bacteria is increasingly serious. It is very important to elucidate the molecular mechanism of the bacteria’s resistance to florfenicol. Methods The minimum inhibitory concentration (MIC) levels were determined by the agar dilution method, and polymerase chain reaction was conducted to analyze the distribution of florfenicol resistance genes in 39 CoNS strains isolated from poultry and livestock animals and seafood. The whole genome sequence of one multidrug resistant strain, Staphylococcus lentus H29, was characterized, and comparative genomics analysis of the resistance gene-related sequences was also performed. Results As a result, the isolates from the animals showed a higher resistance rate (23/28, 82.1%) and much higher MIC levels to florfenicol than those from seafood. Twenty-seven animal isolates carried 37 florfenicol resistance genes (including 26 fexA, 6 cfr and 5 fexB genes) with one carrying a cfr gene, 16 each harboring a fexA gene, 5 with both a fexA gene and a fexB gene and the other 5 with both a fexA gene and a cfr gene. On the other hand, all 11 isolates from seafood were sensitive to florfenicol, and only 3 carried a fexA gene each. The whole genome sequence of S. lentus H29 was composed of a chromosome and two plasmids (pH29-46, pH29-26) and harbored 11 resistance genes, including 6 genes [cfr, fexA, ant(6)-Ia, aacA-aphD, mecA and mph(C)] encoded on the chromosome, 4 genes [cfr, fexA, aacA-aphD and tcaA] on pH29-46 and 1 gene (fosD) on pH29-26. We found that the S. lentus H29 genome carried two identical copies of the gene arrays of radC-tnpABC-hp-fexA (5671 bp) and IS256-cfr (2690 bp), of which one copy of the two gene arrays was encoded on plasmid pH29-46, while the other was encoded on the chromosome. Conclusions The current study revealed the wide distribution of florfenicol resistance genes (cfr, fexA and fexB) in animal bacteria, and to the best of our knowledge, this is the first report that one S. lentus strain carried two identical copies of florfenicol resistance-related gene arrays.

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Characterization of florfenicol resistance genes in the coagulase-negative Staphylococcus (CoNS) isolates and genomic features of a multidrug-resistant Staphylococcus lentus strain H29

10.21203/rs.3.rs-52544/v3 ◽

2020 ◽

Author(s):

Chongyang Wu ◽

Xueya Zhang ◽

Jialei Liang ◽

Qiaoling Li ◽

Hailong Lin ◽

...

Keyword(s):

Genome Sequence ◽

Resistance Genes ◽

Multidrug Resistant ◽

The Other ◽

Whole Genome Sequence ◽

Dilution Method ◽

Agar Dilution Method ◽

Coagulase Negative Staphylococcus ◽

Whole Genome ◽

Gene Arrays

Abstract Background: With the wide use of florfenicol to prevent and treat the bacterial infection of domestic animals, the emergence of the florfenicol resistance bacteria is increasingly serious. It is very important to elucidate the molecular mechanism of the bacteria’s resistance to florfenicol. Methods: The minimum inhibitory concentration (MIC) levels was determined by the agar dilution method, and polymerase chain reaction (PCR) was conducted to analyze the distribution of florfenicol resistance genes in 39 CoNS strains isolated from poultry and livestock animals and seafood. The whole genome sequence of one multidrug-resistant strain, Staphylococcus lentus H29, was characterized, and comparative genomics analysis of the resistance gene-related sequences was also performed. Results: As a result, the isolates from the animals showed a higher resistance rate (23/28, 82.1%) and much higher MIC levels of florfenicol than those from seafood. Twenty-seven animal isolates carried 37 florfenicol resistance genes (including 26 fexA , 6 cfr and 5 fexB genes), of which 1 carried a cfr gene, 16 carried a fexA gene, 5 carried both fexA and fexB genes and 5 carried both fexA and cfr genes. On the other hand, all 11 isolates from seafood were sensitive to florfenicol, and only 3 carried a fexA gene each. The whole genome sequence of S. lentus H29 was composed of a chromosome and two plasmids ( pH29-46 , pH29- 26) and harbored 11 resistance genes, including 6 genes [ cfr, fexA, ant(6)-Ia , aac A -aph D , mecA and mph(C) ] encoded on the chromosome, four genes [ cfr, fexA, aac A -aph D and tcaA ] on pH29-46 and one gene ( fosD ) on pH29-26. It was interested to find that the S. lentus H29 genome carried two identical copies of the gene arrays of radC - tnpABC - hp - fexA (5,671 bp) and IS 256 - cfr (2,690 bp), of which one copy of the two gene arrays was encoded on plasmid pH29-46, while the other was encoded on the chromosome. Conclusions : The current study revealed the wide distribution of florfenicol resistance genes ( cfr, fexA and fexB ) in animal bacteria, and to the best of our knowledge, this is the first report of one CoNS strain carrying two identical copies of florfenicol resistance-related gene arrays.

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Detection of Antimicrobial Resistance of Bacteria Staphylococcus Chromogenes Isolated from Sheep’s Milk and Cheese

Antibiotics ◽

10.3390/antibiotics10050570 ◽

2021 ◽

Vol 10 (5) ◽

pp. 570

Author(s):

Ivana Regecová ◽

Jana Výrostková ◽

František Zigo ◽

Gabriela Gregová ◽

Mariana Kováčová

Keyword(s):

Antimicrobial Resistance ◽

Meca Gene ◽

Multidrug Resistant ◽

Dilution Method ◽

Agar Dilution Method ◽

Ionization Time ◽

Methicillin Resistant ◽

Intramammary Infections ◽

Flight Mass Spectrometry ◽

Agar Dilution

Antimicrobial and multidrug resistance is detected in nonaureus staphylococci, including Staphylococcus chromogenes, which commonly causes intramammary infections. Recent clinical studies point to the presence of methicillin-resistant S. chromogenes. Therefore, this study aims to determine the prevalence of this species in samples of sheep‘s milk and cheeses made from them. Isolates were identified by polymerase chain reaction and matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI–TOF). A total of 208 staphylococcal isolates were identified. Of these, 18% were identified as S. chromogenes. The antimicrobial resistance of the identified isolates was determined using the agar dilution method against penicillin, ceftaroline, teicoplanin, gentamicin, erythromycin, tetracycline, and ofloxacin. The highest resistance was found to penicillin (95%), tetracycline (86%), and oxacillin (81%). The highest sensitivity was confirmed for gentamicin (55%). The study also confirmed the presence of methicillin resistant staphylococcal isolates (30%) based on the phenotypic manifestation of antimicrobial resistance and detection of the presence of the mecA gene. The study shows that the tested isolates (62%) were multidrug resistant. Resistance to two antibiotics was most often found (39%).

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Prevalence of Mastitis and Antibiotic Resistance of Bacterial Isolates from CMT Positive Milk Samples Obtained from Dairy Cows, Camels, and Goats in Two Pastoral Districts in Southern Ethiopia

Animals ◽

10.3390/ani11061530 ◽

2021 ◽

Vol 11 (6) ◽

pp. 1530

Author(s):

Amanuel Balemi ◽

Balako Gumi ◽

Kebede Amenu ◽

Sisay Girma ◽

Muuz Gebru ◽

...

Keyword(s):

Antibiotic Resistance ◽

Dairy Cows ◽

Raw Milk ◽

Multidrug Resistant ◽

Southern Ethiopia ◽

Resistant Bacteria ◽

Coagulase Negative Staphylococcus ◽

Bacterial Isolates ◽

E Coli ◽

Milk Samples

A study was carried out from August 2017 to February 2018 on lactating dairy cows, one-humped dromedary camels, and goats to determine mastitis in the Bule Hora and Dugda Dawa districts of in Southern Ethiopia. Milk samples from 564 udder quarters and udder halves from 171 animals consisting of 60 dairy cows, 51 camels, and 60 goats were tested for mastitis. Sixty-four positive udder milk samples were cultured, and bacterial mastitis pathogens were isolated and identified. The antibiotic resistance of bacterial isolates from milk with mastitis was tested against nine antimicrobials commonly used in the study area. Cow- and quarter-level prevalence of mastitis in dairy cows, camels, and goats was 33.3%, 26.3%, and 25% and 17.6%, 14.5%, and 20%, respectively. In cattle, the prevalence was significantly higher in Dugda Dawa than in Bule Hora. Major bacterial isolates were coagulase-negative Staphylococcus species (39.1%), S. aureus (17.2%), S. hyicus (14.1%), and S. intermedius and Escherichia coli (9.4% each). In camels, udder abnormality and mastitis were significantly higher in late lactation than in early lactation. Mastitis tends to increase with parity in camels. E. coli isolates were highly resistant to spectinomycin, vancomycin, and doxycycline, whereas most S. aureus isolates were multidrug-resistant. Most of the rural and periurban communities in this area consume raw milk, which indicates a high risk of infection with multidrug-resistant bacteria. We recommend a community-focused training program to improve community awareness of the need to boil milk and the risk of raw milk consumption.

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Prevalence, Antibiogram and Molecular Characterization of Comunity-Acquired Methicillin-Resistant Staphylococcus Aureus in AWKA, Anambra Nigeria

The Open Microbiology Journal ◽

10.2174/1874285801610010211 ◽

2016 ◽

Vol 10 (1) ◽

pp. 211-221 ◽

Cited By ~ 3

Author(s):

Blessing Ike ◽

Malachy C. Ugwu ◽

Moses N. Ikegbunam ◽

David Nwobodo ◽

Chika Ejikeugwu ◽

...

Keyword(s):

Antibiotic Resistance ◽

Binding Protein ◽

Meca Gene ◽

Latex Agglutination ◽

Diffusion Method ◽

Dilution Method ◽

Agar Dilution Method ◽

Penicillin Binding Protein ◽

Carriage Rate ◽

Molecular Features

Objectives:This study evaluated the prevalence, antibiogram and molecular features of CA-MRSA in Awka, Nigeria.Methods:Confirmation of MRSA was done by testing resistance to oxacillin (1µg), cloxacillin (5µg) and cefoxitin(30µg) on sterile Mueller Hinton agar supplemented with 4% sodium chloride. The MRSA strains were subjected to antimicrobial susceptibility testing using Kirby-Bauer disc diffusion method. Minimum inhibitory concentration was determined using agar dilution method. Penicillin binding protein 2a was detected through rapid latex agglutination assay while mecA gene was detected by polymerase chain reaction. A total of 142S. aureusisolates were obtained from 261 samples sourced from Staff, students and fomites of the Faculty of Pharmaceutical SciencesResult:The overall prevalence of MRSA was 22.6%. The carriage rate was higher in females (56.5%) than male (43.5%) and was highest in individuals of 20-30 years of age (57.65%). The MIC of the oxacillin sodium salt ranged from 4-32 μg/ml. The multi-antibiotic resistance indices show that 53.4% had Multiple Antibiotic Resistance Indexing (MARI) higher than 0.2. Penicillin binding protein 2a was detected in 8.4% of MRSA isolates, all from nasal carriage while mecA gene was detected in 5 of isolates.Conclusion:This study showed a very high prevalence of MRSA carriage among studied subjects.

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