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Updated: Jun 17, 2026

Biosensor for Detection of Antibiotic Resistant Staphylococcus Bacteria
Published on: May 8, 2013
[A study on the active efflux system in methicillin-resistant Staphylococcus aureus]
Xiao-lan Gao1, Bao Liu, Kui Jin
1Intensive Care Unit, Anhui Province Hospital, Affiliated to Anhui Medical University, Hefei 230032, Anhui, China.
Objective:
To explore the status of methicillin-resistant Staphylococcus aureus (MRSA) infection in an intensive care unit (ICU), and investigate the active efflux mechanism of MRSA.
Methods:
Eighty isolates were identified as MRSA among 102 strains of Staphylococcus aureus collected, and then the minimal inhibitory concentration (MIC) were determined. The 4 primers of active efflux gene were designed to amplify the 80 clinical isolates respectively by polymerase chain reaction (PCR). The PCR products were analyzed by electrophoresis in order to grasp the situation of the existence of the four genes (norA, qacA, qacB and qacJ). Omeprazole inhibition test was used to observe the changes in the susceptibility of MRSA to antibiotics.
Results:
The detection rate of MRSA was 78.4%. The sensitivity rate of MRSA to both vancomycin and teicoplanin was 100.0%, while to other antibiotics (oxacillin, benzylpenicillin, cefuroxime, cefotaxime, ceftazidime, ceftiaxone, cefepime, cefoxitin, imipenem, piperacillin and tazobactam, azithromycin, erythromycin, chloramphenicol, clindamycin, amikacin, gentamicin, levofloxacin, gatifloxacin, ciprofloxacin) MRSA was multi-drug resistant. The detection rates of norA, qacA, qacB and qacJ were 67.5% (54/80), 15.0% (12/80), 21.2% (17/80) and 11.2% (9/80), respectively. Combined use of omeprazole and levofloxacin could lower MIC value.
Conclusion:
The infection of MRSA in ICU is serious. MRSA is multi-drug resistant and possesses active efflux genes norA, qacA, qacB and qacJ. Omeprazole can inhibit the activity of the active efflux genes.
Insights
Methicillin-resistant Staphylococcus aureus (MRSA) infections are a serious concern in intensive care units (ICUs). This study found that MRSA is multi-drug resistant and possesses active efflux genes, which can be inhibited by omeprazole.
Area of Science:
- Microbiology
- Infectious Diseases
- Pharmacology
Context:
- Intensive care units (ICUs) are high-risk environments for healthcare-associated infections.
- Methicillin-resistant Staphylococcus aureus (MRSA) is a significant pathogen contributing to ICU morbidity and mortality.
- Understanding the mechanisms of antibiotic resistance in MRSA is crucial for effective treatment strategies.
Purpose:
- To determine the prevalence of MRSA in an ICU setting.
- To investigate the genetic basis of active efflux mechanisms in clinical MRSA isolates.
- To evaluate the potential of omeprazole in overcoming MRSA antibiotic resistance.
Summary:
- A high detection rate of MRSA (78.4%) was observed in the ICU.
- The study identified the presence of active efflux genes (norA, qacA, qacB, and qacJ) in MRSA isolates.
- Omeprazole demonstrated the ability to inhibit these efflux genes and reduce the minimal inhibitory concentration (MIC) of certain antibiotics, like levofloxacin.
Impact:
- The findings highlight the critical issue of MRSA infections and multi-drug resistance in ICUs.
- Identifying active efflux genes provides insight into MRSA's resistance mechanisms.
- Omeprazole shows promise as an adjuvant therapy to enhance antibiotic efficacy against resistant MRSA strains.
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