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Linezolid resistance in coagulase negative <i>Staphylococci</i> isolates and the related genes in intensive care unit patients in a University Hospital in Egypt

Article

Last updated: 25 Dec 2024

Subjects

-

Tags

Antimicrobial resistance

Abstract

Background: Coagulase-negative Staphylococci (CoNS) are opportunistic pathogens causing severe hospital-acquired infections. This study aimed to determine the frequency of linezolid-resistant CoNS (LRCoNS) in intensive care unit (ICU) infected patients and the related resistance genes. Methods: Seventy CoNS were isolated from 254 different clinical samples from ICU patients. They were identified by conventional methods; species were identified by API. Antimicrobial susceptibility test (AST) by disc diffusion method was performed for CoNS isolates. Methicillin resistance was identified by resistance to cefoxitin (30 μg) disc. Linezolid resistance was confirmed by measuring the minimal inhibitory concentration (MIC) using E-test strips (0.016-256 μg/ml). Three resistance genes (cfr, optrA and poxtA) were tested for the LRCoNS by PCR. Results: Among the 70 CoNS isolates, three LRCoNS were detected by disc diffusion method and confirmed by MIC (>256 μg/ml). Approximately 71.4% of the isolated CoNS were multi-drug resistant (MDR) and 68.6% were methicillin-resistant (MR). The three LRCoNS isolates (2 Staphylococcus (S.) epidermidis and one S. haemolyticus) were positive for cfr gene and negative for optrA and poxtA genes.  Conclusion: The presence of cfr gene in the three LRCoNS isolates could explain the MDR of the three strains. This is considered an alarm for the antimicrobial resistance to the last resort antibiotics in hospital settings. So far, the situation is not threatening. Yet, continuous monitoring is essentially required.

DOI

10.21608/mid.2023.233589.1608

Keywords

CoNS, Linezolid, resistance, genes

Authors

First Name

Hanaa

Last Name

I. Abd El-Hady

MiddleName

-

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt

Email

hanaa4islam@yahoo.com

City

zagazig

Orcid

0000-0002-9934-4588

First Name

Aya

Last Name

Abbass

MiddleName

M.

Affiliation

Anesthesia, Surgical ICU and Pain Management department, Faculty of Medicine, Zagazig university

Email

aya_elnaggar86@yahoo.com

City

zagazig

Orcid

-

First Name

Mahmoud

Last Name

Amer

MiddleName

-

Affiliation

Internal Medicine Department, Faculty of Medicine, Zagazig University

Email

aliamer006@gmail.com

City

zagazig

Orcid

-

First Name

Ehab

Last Name

Abdallah

MiddleName

S

Affiliation

Surgery Department, Faculty of Medicine, Zagazig University

Email

drehabshehata2020@hotmail.com

City

zagazig

Orcid

-

First Name

Amina

Last Name

Abdelhadi

MiddleName

A.

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt

Email

amina_ahmed_gomaa@hotmail.com

City

zagazig

Orcid

0000-0002-8339-1929

Volume

4

Article Issue

4

Related Issue

43799

Issue Date

2023-11-01

Receive Date

2023-09-02

Publish Date

2023-11-01

Page Start

1,232

Page End

1,245

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_319426.html

Detail API

https://mid.journals.ekb.eg/service?article_code=319426

Order

21

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

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

MainTitle

Linezolid resistance in coagulase negative <i>Staphylococci</i> isolates and the related genes in intensive care unit patients in a University Hospital in Egypt

Details

Type

Article

Created At

25 Dec 2024