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Antimicrobial resistance markers distribution in Staphylococcus aureus from Nsukka, Nigeria
Martina C Agbo1, Ifeoma M Ezeonu2, Beatrice O Onodagu3
1Department of Pharmaceutical Microbiology and Biotechnology, University of Nigeria, Nsukka, Nigeria. martina.agbo@unn.edu.ng.
Background:
Multidrug resistance in Staphylococcus aureus continues to influence treatment complications in clinical settings globally. Multidrug-resistant-S. aureus (MDR-SA) is often genetically driven by resistance markers transferable in pathogenic strains. This study aimed to determine the distribution of resistance markers in clinical isolates of S. aureus in Nsukka, Nigeria.
Methods:
A total of 154 clinical samples were cultured on mannitol salt agar. Isolates were characterized using conventional cultural techniques and confirmed by PCR detection of S. aureus-specific nuc gene. Antibiotic resistance profiles of the isolates were determined against selected antibiotics using the disk-diffusion method, while screening for antibiotic resistance genes (Mec A, Erm A, Erm B, Erm C, Van A, and Van B) was by PCR.
Results:
A total of 98 isolates were identified as S. aureus by conventional methods. Of these, 70 (71.43%) were confirmed by PCR. Phenotypically, the isolates exhibited high degrees of resistance to oxacillin (95.72%), erythromycin (81.63%), and ertapenem (78.57%) and 75.51% and 47.30% against methicillin and vancomycin, respectively. Multiple antibiotic resistance indexes of the isolates ranged from 0.3 to 1, and the most prevalent pattern of resistance was oxacillin-ertapenem-vancomycin-erythromycin-azithromycin-clarithromycin-ciprofloxacin- cefoxitin-amoxicillin-clavulanic acid. PCR screening confirmed the existence of various antibiotic resistance makers among the strains, with the most common resistance genes found in the isolates being Mec A (32.14%), Van A (21.43%), Van B (10.71%), Erm B (10.71%), and Erm C (17.86%). None possessed the Erm A gene.
Conclusion:
The study supports the need for necessary action, including rational drug use, continuous surveillance, and deployment of adequate preventive and curative policies and actions.
Insights
Multidrug-resistant Staphylococcus aureus strains in Nigeria carry significant resistance markers like Mec A and Van A. This highlights the urgent need for surveillance and policy interventions to combat antimicrobial resistance.
Area of Science:
- Microbiology
- Genetics
- Public Health
Background:
- Multidrug resistance in Staphylococcus aureus poses global treatment challenges.
- Genetic resistance markers contribute to the spread of multidrug-resistant S. aureus (MDR-SA).
- This study investigated resistance marker distribution in Nigerian clinical S. aureus isolates.
Purpose of the Study:
- To determine the prevalence and distribution of antibiotic resistance genes in clinical S. aureus isolates from Nsukka, Nigeria.
- To characterize the antibiotic resistance profiles of these isolates.
- To inform public health strategies for managing MDR-SA.
Main Methods:
- Conventional culture techniques and PCR were used for S. aureus identification.
- Disk-diffusion assays determined antibiotic resistance profiles.
- PCR screened for specific resistance genes: Mec A, Erm A, Erm B, Erm C, Van A, and Van B.
Main Results:
- 71.43% of isolates were confirmed as S. aureus by PCR.
- High resistance rates were observed for oxacillin (95.72%), erythromycin (81.63%), and ertapenem (78.57%).
- Prevalent resistance genes included Mec A (32.14%), Van A (21.43%), and Erm C (17.86%).
Conclusions:
- The study confirms the presence of key antibiotic resistance markers in Nigerian S. aureus isolates.
- Findings underscore the necessity for rational drug use and enhanced surveillance.
- Effective preventive and curative policies are crucial for combating MDR-SA.
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