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Alarming and Threatening Signals from Health Centers About Multi Drug Resistance Staphylococcus haemolyticus
Abbas Maleki1, Sobhan Ghafourian1,2, Morovat Taherikalani3
1Clinical Microbiology Research Center, Ilam University of Medical Sciences, Ilam, Iran.
Objectives:
Nowadays, due to the biofilm formation among coagulase-negative staphylococci (CoNS), acquisition of antibiotic resistance and virulence genes could be noted. These organisms resemble other staphylococcus that harbor mecA gene, which encode methicillin resistance but the diversity in CoNS is higher than other species. Based on increasing antibiotic resistance in Staphylococcus haemolyticus, analyzing of phenotypic and genotypic biofilm formation, antibiotic resistance and genes involved in this process, SCCmec and ACME typing were the aims of the current study.
Methods:
256 clinical CoNS isolates were collected that 49 isolates were identified as S. haemolyticus. For evaluation the antibiotic resistance patterns, disk agar diffusion method was applied, and also biofilm assay carried out among methicillin resistant S. haemolyticus and SCCmec and ACME typing.
Results:
The results of antibiotic susceptibility indicated that the highest resistance was found for cotrimoxazole and erythromycin (86.6%) and the frequency of blaA (96.5%) and msrA (79.3%) genes was much higher than others. Among MRSH isolates 58.6 % showed a weak biofilm phenotype and 41.4% demonstrated a moderate biofilm density. Also, among the biofilm correlated genes, IS 256 (79.31%) was the most frequent. The SCCmec typing of MRSH isolates indicated that the type V was dominant.
Conclusion:
Our findings indicated that the correlation between high rates of existence Is 256 gene and high prevalence of weak biofilm phenotype was among MRSH isolates. The current study revealed that multiple antibiotic resistance existed in S. haemolyticus isolates that is a warning for public health.
Insights
Antibiotic resistance is increasing in Staphylococcus haemolyticus, a common cause of infections. This study found a link between the IS 256 gene and weak biofilm formation in methicillin-resistant S. haemolyticus, highlighting a public health concern.
Area of Science:
- Microbiology
- Infectious Diseases
- Genetics
Background:
- Coagulase-negative staphylococci (CoNS) contribute to antibiotic resistance and virulence through biofilm formation.
- Staphylococcus haemolyticus exhibits significant diversity and increasing antibiotic resistance, necessitating detailed investigation.
Purpose of the Study:
- To analyze phenotypic and genotypic biofilm formation in Staphylococcus haemolyticus.
- To determine antibiotic resistance patterns and identify associated genes.
- To perform SCCmec and ACME typing on methicillin-resistant S. haemolyticus (MRSH) isolates.
Main Methods:
- Collected 256 CoNS isolates, with 49 identified as S. haemolyticus.
- Evaluated antibiotic resistance using disk agar diffusion.
- Performed biofilm assays and SCCmec/ACME typing on MRSH isolates.
Main Results:
- High resistance rates observed for cotrimoxazole and erythromycin (86.6%).
- Prevalence of blaA (96.5%) and msrA (79.3%) genes was high; IS 256 was the most frequent biofilm-correlated gene (79.31%).
- 58.6% of MRSH isolates showed weak biofilm formation, and SCCmec type V was dominant.
Conclusions:
- A correlation exists between the IS 256 gene and weak biofilm phenotype in MRSH isolates.
- Multiple antibiotic resistances in S. haemolyticus pose a significant public health warning.
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