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257157

Phenotypic and genotypic detection of antimicrobial resistance and virulence factors among <i>Staphylococcus aureus</i> clinical isolates

Article

Last updated: 25 Dec 2024

Subjects

-

Tags

Clinical microbiology

Abstract

Background: Staphylococcus aureus (S. aureus) is a world-wide nosocomial and community-acquired infectious agent. This studyaimed to determine the prevalence rate of S. aureus infections with assessment of their antibiotic susceptibility patterns and virulence profiles using available phenotypic and genotypic methods. Methodology: Staphylococcus aureus isolates were collected and identified by conventional methods. Antimicrobial susceptibility testing was done and interpreted according to Clinical and Laboratory Standards Institute guidelines (2022) followed by macrolide lincosamide streptogramin B (MLSB) phenotyping by D test. Detection of staphylococcal virulence (hla and etb) and antibiotic resistance (ermB and msrA) genes were also done. Results: Out of 152 S. aureus isolates, 84 (55.3%) and 68 (44.7%) were methicillin resistant (MRSA) and methicillin susceptible S. aureus (MSSA) respectively. Almost all MRSA isolates were beta hemolytic and susceptible to linezolid, streptogramins (100% for each) vancomycin (95.2%) and ceftaroline (90.5%). About 84.5% and 45.2% of MRSA compared to 36.8% and 27.9% of MSSA were resistant to erythromycin and clindamycin respectively. Regarding MLSB phenotyping 44%, 9.5% and 31% of MRSA and 28.1%, 1.5% and 10.3% of MSSA were constitutive cMLSB, inducible iMLSB and MSB phenotypes respectively. hla, erm B and msrA genes were detected in 91.7%, 10.7% and 1.2% of MRSA isolates respectively. While etb gene was not detected at all among them. Conclusion: Methicillin and MLSB resistance among S. aureus are concerning. Therefore, great efforts should be made for their accurate detection in hospital settings. Proper antibiotic stewardship program is strongly recommended to keep the benefit of antibiotics with acceptable susceptibility pattern.

DOI

10.21608/mid.2022.155274.1366

Keywords

MRSA, MSSA, MLSB, D Test, Virulence

Authors

First Name

Asmaa

Last Name

Sleem

MiddleName

S.

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Menoufia University, Egypt.

Email

sasmaashaaban@yahoo.com

City

shebein Alkom

Orcid

-

First Name

Soma

Last Name

Ajlan

MiddleName

E.

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Menoufia University, Egypt.

Email

dr.soma2007@yahoo.com

City

-

Orcid

0000-0002-7791-2097

First Name

Eman

Last Name

Zaher

MiddleName

Mohammed

Affiliation

Clinical Pathology Department,Faculty of medicine Menoufia University,Egypt.

Email

zahereman2011@yahoo.com

City

Shebein Alkom

Orcid

0000-0001-6186-2710

First Name

Esraa

Last Name

Elmahdy

MiddleName

-

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Menoufia University, Egypt.

Email

dr_esraa_elmahdy87@yahoo.com

City

Shebein Alkom

Orcid

0009-0009-8189-7107

Volume

3

Article Issue

4

Related Issue

37291

Issue Date

2022-11-01

Receive Date

2022-08-09

Publish Date

2022-11-01

Page Start

910

Page End

919

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_257157.html

Detail API

https://mid.journals.ekb.eg/service?article_code=257157

Order

17

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

Phenotypic and genotypic detection of antimicrobial resistance and virulence factors among <i>Staphylococcus aureus</i> clinical isolates

Details

Type

Article

Created At

22 Jan 2023