Study on the Prevalence of Methicillin-Resistant Staphylococcus Aureus Infection, Antibiotic Resistance Pattern,

Z Hemmati1, A Soltani Borchaloee2, F Bazrafshan3

  • 1Department of Biology, Faculty of Basic Science, Semnan University, Semnan, Iran.

PubMed

Insights

Methicillin-Resistant Staphylococcus aureus (MRSA) strains show high resistance to common antibiotics. This study identified key genes and antibiotic resistance patterns in clinical S. aureus isolates, highlighting the need for ongoing monitoring.

Area of Science:

  • Clinical Microbiology
  • Infectious Diseases
  • Antimicrobial Resistance

Background:

  • Methicillin-Resistant Staphylococcus aureus (MRSA) poses a significant global health threat due to widespread antibiotic resistance.
  • The increasing complexity of treating MRSA infections necessitates a deeper understanding of resistance mechanisms and genetic factors.
  • Investigating specific virulence and resistance genes in S. aureus is crucial for effective infection control strategies.

Purpose of the Study:

  • To determine the prevalence of the mecA, blaZ, cna, and fnbA genes in clinical S. aureus isolates.
  • To analyze the antibiotic resistance patterns of these S. aureus isolates against a panel of conventional antibiotics.
  • To explore potential correlations between specific genes and observed antibiotic resistance profiles.

Main Methods:

  • Collection of 78 S. aureus isolates from various clinical samples.
  • Antibiotic susceptibility testing using the disk agar diffusion method.
  • Molecular detection of mecA, blaZ, cna, and fnbA genes using PCR.
  • Statistical analysis of gene prevalence and antibiotic resistance patterns using SPSS version 25.

Main Results:

  • The mecA gene was detected in 62.2% of isolates, confirming MRSA prevalence.
  • High prevalence rates were observed for blaZ (95.2%), fnbA (81%), and cna (66.7%) genes.
  • Significant correlations were found between cna/fnbA genes and resistance to gentamicin and tetracycline (P<0.05).
  • All isolates were resistant to oxacillin (100%) and penicillin (95.2%), with lower resistance to vancomycin (3.2%) and trimethoprim-sulfamethoxazole (17.5%).

Conclusions:

  • The study indicates an average prevalence of MRSA in the studied Iranian population, with considerable resistance to commonly used antibiotics.
  • The presence of specific genes like cna and fnbA is correlated with resistance to certain antibiotics, offering insights into resistance mechanisms.
  • Continuous monitoring of antibiotic resistance patterns in clinical settings is essential for guiding treatment decisions and combating the spread of resistant strains.

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