scholarly journals Antibiotic Resistance in Staphylococcus aureus in Patients Hospitalized in Imam Reza Hospital of Kermanshah, Iran (2016 - 2018)

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mohammad Hossein Zamanian ◽  
Marya Shirvani ◽  
Alireza Janbakhsh ◽  
Babak Sayad ◽  
Siavash Vaziri ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Antibiotic Resistance ◽  
Opportunistic Pathogen ◽  
Cross Sectional Study ◽  
Penicillin G ◽  
Diffusion Method ◽  
Disk Diffusion Method ◽  
Cross Sectional ◽  
Healthcare Settings ◽  
Wide Range

Background: Staphylococcus aureus is an opportunistic pathogen, which often causes asymptomatic diseases. This bacterium could cause several disorders, ranging from skin infections to life-threatening diseases. S. aureus could also develop resistance to a wide range of antibiotics. Objectives: The present study aimed to investigate the prevalence and pattern of antibiotic resistance in isolated S. aureus in Imam Reza Hospital of Kermanshah, Iran. Methods: This descriptive cross-sectional study was conducted on 2,228 patients with a positive S. aureus culture who were admitted to Imam Reza Hospital during 2016 - 2018. In accordance with the CLSI protocol, bacterial isolates were separated using laboratory tests, and antibiotic susceptibility was assessed using the standard disk-diffusion method. Data analysis was performed in SPSS version 24. Results: Most of the S. aureus-positive cases were isolated from the emergency ward (43.7%), blood samples (40.1%), and urine samples (23.9%). The highest antibiotic resistance was observed against erythromycin, penicillin G, ofloxacin, cefoxitin, clindamycin, and piperacillin. With 93.3% and 81.8% sensitivity, vancomycin and teicoplanin were respectively the most effective antibiotics against S. aureus. Conclusions: According to the results, the prevalence of resistant S. aureus strains could be due to the long-term hospitalization of patients and the overuse of antibiotics in infection treatment. Therefore, proper monitoring and development of effective infection control methods are essential in these healthcare settings.

scholarly journals Prevalence and Antimicrobial Resistance Pattern of Community Acquired Staphylococcus aureus in Patients Received at the Traumatology Unit of a Secondary Referral Health Setting in the Western Cameroon

2021 ◽  
pp. 28-36
Author(s):  
Viany Nankeng Manhafo ◽  
Thomas Djifack Tadongfack ◽  
Irina Lydia Sudeu Nitcheu ◽  
Vanessa Rosine Nkouayep ◽  
Aline Camerl Nzeffouo Selabi ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Antibiotic Resistance ◽  
Health Centre ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Disk Diffusion Method ◽  
Cross Sectional ◽  
Treatment Protocols ◽  
Antibiotic Susceptibility Test ◽  
Wide Range

Background: Staphylococcus aureus is responsible of a wide range of both community and Hospital acquired infections. Several genomic variability underlie the diversity of S. aureus strains responsible for the emergence of antibiotic resistance. Objective: To assess the prevalence and antibiotic resistance pattern of community acquired S. aureus isolated from pus samples in patients received at the traumatology unit of Our Lady of Health Centre of Batseng'la in Dschang, Western Cameroon. Study Design: This was a descriptive cross-sectional study, carried out over a period of five months (from January to May 2021) involving a total of 52 participants received at the traumatology unit of Our Lady of Health Centre of Batseng'la in Dschang, Western Cameroon. Methods: Pus samples collected from participants were seeded on Chapman Agar at 37°C for 24 hours. The colonies identification was based on catalase, coagulase and DNAse tests. The antibiotic susceptibility test was performed using the Kirby Bauer disk diffusion method on Mueller-Hinton agar. Data were analysed using SPSS version 25 Software. Results: S. aureus was isolated in 22 of the 54 pus samples analysed, giving a positivity rate of 42.3%. The majority of strains (63.6%) were isolated from subjects less than 21 years old. From the strains isolated, 40.9% were MRSA and 86.4% presented multi-resistance patterns to the antibiotics tested. All strains of MRSA were found to be cross-resistant with one or more other antibiotics. Conclusion: The multi-resistance of community acquired S. aureus to antibiotics is a reality. Adequate care should be taken while handling suppurating wounds and abscesses. Especially in younger ager individuals, as this may help in timely setting up proper care and treatment protocols necessary to overcome drug resistance of such extremely flexible pathogens.

Evaluation of antibiotic resistance pattern and mecA gene frequency in methicillin-resistant Staphylococcus aureus strains collected from clinical specimens in Marand hospital and treatment centers, Iran

2021 ◽  
Author(s):  
Abolfazl Jafari-Sales ◽  
Zahra Sadeghi Deylamdeh ◽  
Afsoon Shariat
Keyword(s):  
Staphylococcus Aureus ◽  
Antibiotic Resistance ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Meca Gene ◽  
Disk Diffusion ◽  
Diffusion Method ◽  
Disk Diffusion Method ◽  
Methicillin Resistant ◽  
Medical Centers ◽  
Wide Range

Introduction: Staphylococcus aureus causes a wide range of infections and as a multivalent pathogen is one of the causative agents of nosocomial and community infections. Therefore, the aim of this study was to identify and determine the pattern of antibiotic resistance of methicillin-resistant Staphylococcus aureus (MRSA) isolates from patients in hospitals and medical centers in Marand city and also to evaluate the presence of mecA gene. Materials and Methods: In this cross-sectional descriptive study, 385 samples of S. aureus were collected from different clinical samples of patients in hospitals and medical centers of Marand city. S. aureus was identified using standard biochemical methods.  Methicillin resistance was determined by disk diffusion method in the presence of oxacillin and cefoxitin. The pattern of antibiotic resistance of the strains was determined by disk diffusion method and according to CLSI recommendation and also PCR method was used to evaluate the frequency of MecA gene. Results: In the present study, out of 385 samples of S. aureus, 215 (55.84%) samples were methicillin resistant. PCR results for mecA gene showed that 110 samples had mecA gene.  The highest antibiotic resistance was observed against penicillin (100%) and erythromycin (83.63%). Most MRSA were isolated from urine and wound samples. Conclusion: The results of this study indicate the prevalence of methicillin-resistant species and also the increase in antibiotic resistance of MRSA to various antibiotics.  Therefore, in order to prevent increased resistance to other antibiotics, it is recommended to avoid inappropriate use of antibiotics.

scholarly journals Antibiotics Resistance, Sensitivity Pattern and Development of Antibiogram to Support Empirical Prescription in Health Facilities in South Senatorial District of Kwara State, Nigeria

2021 ◽  
Vol 9 (3) ◽  
pp. 35-45
Author(s):  
Joseph Gbenga Solomon
Keyword(s):  
Staphylococcus Aureus ◽  
Antibiotic Resistance ◽  
Health Facilities ◽  
Empirical Treatment ◽  
Diffusion Method ◽  
Antibiotics Resistance ◽  
Disk Diffusion Method ◽  
Cross Sectional ◽  
Treatment Type ◽  
Sensitivity Pattern

A major concern in public health is Antibiotic resistance among pathogenic microorganisms. There are several organisms developing resistance to commonly used antibiotics in different locations and time. This study assessed patterns of antibiotic resistance in line with the WHO classification of antibiotics. A cross-sectional study was carried out from September 2020 to January 2021 in 4 randomly selected hospitals. Of all 442 patients recruited for this study, twenty-seven percent (122) were randomly selected for Antimicrobial Susceptibility Testing using the modified Kirby-Bauer disk diffusion method, and SPSS version 23 was used for analysis. The most predominant isolate was Staphylococcus aureus. Resistance by Staphylococcus aureus was noted against Amoxicillin, Trimethoprim-Sulfamethoxazole, Amoxicillin clavulanic acid, Gentamicin, and Cefuroxime. Resistance by E. coli against Chloramphenicol 80%, cefuroxime 100%, Trimethoprim-Sulfamethoxazole 83.3%, Resistance by Klebsiella spp; against Ampicillin Second and third-generation cephalosporin and Gentamicin 100%. Resistance by Streptococcus spp; Ampicillin 100% and Ampicillin cloxacillin 100%, cefuroxime 100%, and Ciprofloxacin 100%. Ciprofloxacin and levofloxacin were active against Salmonella species, Pseudomonas species, klebsiella, and Escherichia coli. Azithromycin, imipenem, and meropenem with high susceptibility to local bacterial isolates sample tested. The access group antibiotics showed a low susceptibility rate to local bacteria isolate with increase resistance to the watch group. Antibiogram was developed to guide empirical treatment type that is predominant in the district. Most bacteria isolated from health facilities in Kwara South were resistant to the access group. The resistance to watch a group of WHO antibiotics classification is building very fast. Keywords: Antibiotic Resistance, Empirical Treatment, Susceptible.

scholarly journals Phylogenetic Groups ofEscherichia coliStrains from Patients with Urinary Tract Infection in Iran Based on the New Clermont Phylotyping Method

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Darioush Iranpour ◽  
Mojtaba Hassanpour ◽  
Hossein Ansari ◽  
Saeed Tajbakhsh ◽  
Gholamreza Khamisipour ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Cross Sectional Study ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Multiple Drug ◽  
Phylogenetic Groups ◽  
Disk Diffusion Method ◽  
Cross Sectional ◽  
E Coli ◽  
Pcr Method

Objectives.In 2013, Clermont classifiedE. colistrains into eight phylogenetic groups using a new quadruplex PCR method. The aims of this study were to identify the phylogenetic groups ofE. colibased on this method and to assess their antibiotic resistance patterns in Bushehr, Iran.Methods. In this cross-sectional study, 140E. coliisolates were subjected to phylogenetic typing by a quadruplex PCR method. Antimicrobial susceptibility testing was performed by disk diffusion method.Results. Phylogenetic group B2 was most predominant (39.3%), followed by unknown (27.1%), E (9.3%), C and clade I (each 6.4%), B1 (5%), F and D (each 2.9%), and A (0.7%). The most common antibiotic resistance was related to amoxicillin (82.1%) and the least to meropenem (0.7%). 82.14% of isolates were multiple drug resistant (MDR). Antibiotic resistance was mainly detected in group B2 (50%).Conclusions.Our findings showed the high prevalence of MDRE. coliisolates with dominance of group B2. About 25% ofE. coliisolates belong to the newly described phylogroups C, E, F, and clade I. Such studies need to be done also in other regions to provide greater understanding of the antibiotic resistance pattern and the prevalences of different phylogenetic groups.

scholarly journals Antibiotics Resistance Pattern of Staphylococcus aureus Isolated From In-patients of an Orthopaedic Hospital in North-Western Nigeria

2021 ◽  
Vol 8 (4) ◽  
pp. 160-166
Author(s):  
Dominic Agbo Oche ◽  
Paul Ifeleke Oyegoke ◽  
Maryloveth Oluchukwu Akpudo ◽  
Busayo Olalekan Olayinka
Keyword(s):  
Staphylococcus Aureus ◽  
Antibiotic Resistance ◽  
Bone Diseases ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Antibiotics Resistance ◽  
Drug Resistant ◽  
Disk Diffusion Method ◽  
Cross Sectional ◽  
Orthopaedic Hospital

Background and aims: Staphylococcus aureus, an important pathogen in bone diseases, is a highly multi-drug resistant (MDR) bacterium. This study aimed to investigate the antibiotic resistance among S. aureus isolated from patients on admission in an orthopaedic hospital. Methods: In this cross-sectional research, 140 samples comprising urine samples, wound swabs, and nasal swabs were collected from 49 patients on admission. Samples were cultured and screened for S. aureus following standard procedures. Using the agar-disk diffusion method, the isolates were subjected to antibiotics susceptibility tests. Results: S. aureus were isolated from 26 (18.6%) samples, and wound swabs were found to have the highest number of the S. aureus isolates with 12 (46.2%). Among the 26 S. aureus isolated, 25 (96.2%) isolates were resistant to at least four or more of the tested antibiotics. There were 23 (88.5%) MDR isolates, while there were only 2 (7.6%) extensively drug resistant ones. The number of methicillin-resistant S. aureus were 17 (65.4% of the isolates), while the number of methicillin-susceptible S. aureus were 9 (34.6% of the isolates). A total of 22 (84.6%) isolates had multi-antibiotic resistance (MAR) index greater than 0.2. Inducible clindamycin resistance of 2 (7.6%) was observed. Conclusion: This study showed that the S. aureus isolated from the patients were resistant to multiple antibiotics. Regular surveillance of antibiotic resistance is of utmost importance, since it facilitates the design or development of the treatment regimens that could check the spread of antimicrobial resistance.

scholarly journals Prevalence and Antibiotic Resistance Pattern of Salmonella Isolated from Caecal Contents of Exotic Chicken in Debre Zeit and Modjo, Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-6 ◽  
Author(s):  
Destaw Asfaw Ali ◽  
Belege Tadesse ◽  
Aragaw Ebabu
Keyword(s):  
Antibiotic Resistance ◽  
Cross Sectional Study ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Disk Diffusion Method ◽  
Cross Sectional ◽  
Factors Associated ◽  
Hygienic Practice ◽  
Caecal Content ◽  
Standard Techniques

A cross-sectional study was conducted between December, 2013, and May, 2014, to determine the prevalence and antibiotic resistance feature of Salmonella isolated from broilers slaughtered in Debre Zeit and Modjo towns, Ethiopia. A total of 384 caecal content samples were collected for microbiological examination following the standard techniques and procedures outlined by the International Organization for Standardization to isolate Salmonella. The sensitivity of the isolates subjected to nine antimicrobials was tested by the Kirby–Bauer disk diffusion method. The overall prevalence of Salmonella was 14.6%, and its occurrence differ significantly by farm (p<0.05). The occurrence of the bacteria was not statistically different in the midland (15.2%) and lowland (13.3%) (p>0.05) and between males (13.5%) and females (15.6) (p>0.05). Of the 50 isolates, 48 were resistant to at least one drug. Multidrug resistance was recorded in 43 (86.0%) of the isolates. The study demonstrated considerable prevalence and high antimicrobial resistant Salmonella in exotic chicken and indicates the potential importance of chickens as source of foodborne salmonellosis and multiple antimicrobial resistance of Salmonella. Improving the hygienic practice of farms could help to reduce the occurrence of Salmonella in farms. Further studies are needed to describe the risk factors associated with the emergence of drug-resistant Salmonella in chicken.

scholarly journals Antibiotic resistance of Staphylococcus aureus isolated from raw cow and goat milk produced in the Tiaret and Souk Ahras areas of Algeria

2021 ◽  
pp. 1929-1934
Author(s):  
Sofiane Tamendjari ◽  
Farida Afri Bouzebda ◽  
Lina Chaib ◽  
Hebib Aggad ◽  
Mohammed Ramdani ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Antibiotic Resistance ◽  
Health Hazard ◽  
Food Poisoning ◽  
Goat Milk ◽  
Raw Milk ◽  
Penicillin G ◽  
Diffusion Method ◽  
Disk Diffusion Method ◽  
Adequate Treatment

Background and Aim: Staphylococcus aureus is a leading cause of infection in both humans and animals. Most livestock strains have shown antibiotic resistance to the many molecules used in veterinary therapeutics. This study aimed to assess the resistance patterns of these bacteria, we carried out our study in the Tiaret and Souk Ahras areas of Algeria. Materials and Methods: We collected 116 samples of bovine and goat milk to detect S. aureus. We used a selective media to isolate the strains, followed by biochemically identifying the isolates. We determined the susceptibility of the strains to antibiotic molecules using the disk diffusion method and confirmed the methicillin-resistant S. aureus (MRSA) with oxacillin minimum inhibitory concentration (MIC). Results: Our results showed that 26.72% of the samples were contaminated with S. aureus, and we recovered 31 isolates from the positive samples. We ascribed a high resistance profile to penicillin G (96.77%), fusidic acid (67.74%), and tobramycin (45.16%) and isolated 4MRSA strains. Conclusion: The presence of S. aureus, including MRSA strains in raw milk, can present a public health hazard, because these strains can cause widespread food poisoning . This finding will be useful to the veterinarians to choose an adequate treatment and to sensitize livestock breeders and milk producers to ensure the health of consumers.

scholarly journals Integron-Mediated Antibiotic Resistance inAcinetobacter baumanniiIsolated from Intensive Care Unit Patients, Babol, North of Iran

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Mitra Deylam Salehi ◽  
Elaheh Ferdosi-Shahandashti ◽  
Yosef Yahyapour ◽  
Soraya Khafri ◽  
Abazar Pournajaf ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Antibiotic Resistance ◽  
Intensive Care ◽  
Cross Sectional Study ◽  
Control Measures ◽  
Diffusion Method ◽  
Disk Diffusion Method ◽  
Cross Sectional ◽  
Integrase Gene ◽  
North Of Iran

Background. We investigated the integron types and their relation with antibiotic resistance amongA. baumanniiisolates collected from intensive care unit patients, Babol, north of Iran.Methods. In this cross-sectional study, a total of 73 bronchoalveolar lavage samples were obtained from patients in ICU. Susceptibility testing was performed by disk diffusion method. Types of integrons were identified by an integrase gene PCR.Results. In total, 47.9%A. baumanniiisolates were recovered from the BAL samples. All isolates were resistant to ceftazidime. 91.4% and 58.3% of isolates were MDR and XDR, respectively. The rate of colistin resistance with theE-test was 5.7%. Molecular analysis of class I, II, and III integrons showed that 25.7%, 88.6%, and 28.6% of the isolates carried theintI,intII, andintIIIgenes, respectively.Discussion. Our results show that different classes of integrons are commonly spread amongA. baumanniistrains and these genomic segments can play an important role in the acquisition of MDR and XDR phenotypes. So monitoring drug resistance inA. baumanniiisolates with the use ofintgene PCR is very important to plan specific infection control measures to prevent the spread of MDR-AB and XDR-AB in Iran’s hospitals.

scholarly journals Contamination of the Surfaces of a Health Care Environment by Multidrug-Resistant (MDR) Bacteria

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Laila Chaoui ◽  
RajaaAit Mhand ◽  
Fouad Mellouki ◽  
Naima Rhallabi
Keyword(s):  
Staphylococcus Aureus ◽  
Pathogenic Bacteria ◽  
Multidrug Resistant ◽  
Cross Sectional Study ◽  
Hospital Environment ◽  
Diffusion Method ◽  
Health Care Environment ◽  
Disk Diffusion Method ◽  
Cross Sectional ◽  
Gram Negative

Nosocomial infections (NIs) are known worldwide and remain a major problem despite scientific and technical advances in the field of health. The severity of the infection depends on the characteristics of the microorganisms involved and the high frequency of resistant pathogens in the hospital environment. The aim of this study is to determine the distribution of pathogenic bacteria (and their resistance to antibiotics) that spread on hospital surfaces, more specifically, on those of various departments in the Provincial Hospital Center (PHC) of Mohammedia, Morocco. A cross-sectional study was conducted from March 2017 to April 2018. Samples were collected by swabbing the hospital surfaces, and the isolated bacteria were checked for their susceptibility to antibiotics by the Kirby–Bauer disk diffusion method following the standards of the Clinical and Laboratory Standards Institute (CLSI). Among 200 swab samples, 176 (88%) showed bacterial growth. Gram-negative isolates were predominant at 51.5% (101/196), while the Gram-positives were at 48.5% (95/196). The main isolates are Enterobacteria weighted at 31.6% (62/196), Staphylococcus aureus reaching 24% (47/196), Pseudomonas aeruginosa at 9.2% (18/196), and Acinetobacter spp. with 3.3% (6/196). Moreover, the antimicrobial susceptibility profile of the isolates showed that about 31.7% (32/101) of the Gram-negative isolates were found to be MDR. This resistance is also high among isolates of S. aureus of which 44.7% (20/47) were methicillin-resistant Staphylococcus aureus (MRSA). Contamination of hospital surfaces by MDR bacteria is a real danger to public health. The concept of environmental bacterial reservoir is a reality that requires strict compliance with current guidelines and recommendations for hand hygiene, cleaning, and disinfection of surfaces in hospitals.

The Prevalence of ACME-arcA and PVL Genes Among Staphylococcus Aureus Isolates in a Student Population from North-West of Iran

2020 ◽  
Author(s):  
Alireza Dehnad ◽  
Rana Khosravi Rad ◽  
Leila Rahbarnia ◽  
Behrooz Naghili ◽  
Aysan Golipor
Keyword(s):  
Staphylococcus Aureus ◽  
Mobile Element ◽  
Nasal Carriage ◽  
Cross Sectional Study ◽  
Student Population ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Disk Diffusion Method ◽  
Cross Sectional ◽  
North West

Abstract Objectives: Staphylococcus aureus (S. aureus) is the most prevalent cause of skin infections, especially in colonized individuals. Panton–Valentine leukocidin (PVL) and Arginine catabolic mobile element (ACME) are known as the most common virulence factors of S. aureus. This cross-sectional study was conducted to examine the prevalence of ACME-arcA and PVL genes among S.aureus isolates in the student population. Nasal swab samples were randomly collected from 400 healthy students from Tabriz, Iran. The antibiotic resistance pattern of S.aureus isolates was examined by the disk diffusion method. The presence of ACME-arcA, PVL, and mecA genes was detected by PCR reaction.Results: overall, 15% (60/400) students were nasal carriage of S. aureus and 2.75 % (11/400) were MRSA carriage. The frequency of mecA, ACME-arcA, and PVL genes was 54.54% (36/60), 46.66% (28/60), and 16.66% (10/60) respectively. The prevalence of ACME-arcA and PVL genes was independent of gender (P =0.142, P=0.337, respectively). A notable association was observed between the existence of ACME-arcA gene and the frequency of mecA gene (P <0.05), while the incidence of PVL was independent on mecA. These findings highlight the necessity of monitoring nasal carriers in a healthy community to prevent subsequent infections.

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