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310297

Identification of inducible clindamycin resistance gene in <i>Streptococcus agalactiae</i> isolates colonizing pregnant women in Suez Canal University Hospitals

Article

Last updated: 25 Dec 2024

Subjects

-

Tags

Medical bacteriology

Abstract

Background:  Streptococcus agalactiae is classified as group B Streptococci (GBS) according to Lancefield classification, GBS resides as one of commensals of both genitourinary and gastrointestinal tracts of humans. GBS affects mainly immunocompromised people particularly neonates. An increased rates of macrolides and lincosamides resistance have been noted, which is associated with expression of erm genes, resulting in erythromycin and inducible clindamycin resistance. Aim: To limit Group B Streptococcus transmission to neonates and reduce neonatal morbidity and mortality rates in Suez Canal University Hospitals. Methods: 204 clinical vaginal swabs were collected from pregnant women admitted to obstetrics and gynaecology department in Suez Canal University hospitals. Swabs were incubated for 24 hours in lim's selective broth and then for isolation on Colombia blood agar, then identification by colony morphology, Gram staining and biochemical reactions were done. Antimicrobial susceptibility testing of the isolates was performed to penicillin G, ampicillin, vancomycin, levofloxacin, cefotaxime, erythromycin and clindamycin by disk diffusion method and D test was then performed. conventional PCR was used to detect ermA gene. Results: Out of 204 specimens, 54 S. agalactiae isolates were isolated with prevalence of 26.47%. All S. agalactiae isolates were sensitive to penicillin G (100%). Out of the 33 erythromycin-resistant isolates, 5 isolates showed inducible phenotype, and 4 of them had ermA gene (80%). Conclusions: In this study, the prevalence of S. agalactiae was remarkable and antibiogram is mandatory to detect the inducible resistance phenotype. Further studies are needed to provide a comprehensive data about S. agalactiae sensitivity profile to antibiotics in other health care facilities to reduce neonatal morbidity and mortality.

DOI

10.21608/mid.2023.213246.1531

Keywords

Streptococcus agalactiae, Penicillin G, Clindamycin, Erythromycin, ermA

Authors

First Name

Omnia

Last Name

Abdullah

MiddleName

Mohamed

Affiliation

Microbiology and Medical Immunology Department Faculty of Medicine Suez Canal University- Ismailia, Egypt

Email

omnia_mohamed5060@yahoo.com

City

Ismailia

Orcid

-

First Name

Gehan

Last Name

Elhadidy

MiddleName

Saddik

Affiliation

Microbiology and Medical Immunology Department faculty of Medicine Suez Canal University - Ismailia

Email

gehan_sedik@med.suez.edu.eg

City

Ismailia

Orcid

0000-0003-2511-9203

First Name

Rasha

Last Name

Khamiss

MiddleName

Elsayed

Affiliation

Obstetrics and Gynaecology department faculty of Medicine Suez Canal University - Ismailia

Email

rashakhamiss@yahoo.com

City

Ismailia

Orcid

-

First Name

Omima

Last Name

Taha

MiddleName

Tharwat

Affiliation

Obstetrics and Gynaecology department faculty of Medicine Suez Canal University - Ismailia

Email

omimatharwat@yahoo.com

City

Ismailia

Orcid

-

First Name

Asmaa

Last Name

Hamady

MiddleName

Bakeir

Affiliation

Microbiology and Medical Immunology Department faculty of Medicine Suez Canal University - Ismailia

Email

asmaabakeir@yahoo.com

City

Ismailia

Orcid

0000-0001-2345-6789

Volume

4

Article Issue

4

Related Issue

43799

Issue Date

2023-11-01

Receive Date

2023-06-12

Publish Date

2023-11-01

Page Start

1,246

Page End

1,254

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_310297.html

Detail API

https://mid.journals.ekb.eg/service?article_code=310297

Order

22

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

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

MainTitle

Identification of inducible clindamycin resistance gene in <i>Streptococcus agalactiae</i> isolates colonizing pregnant women in Suez Canal University Hospitals

Details

Type

Article

Created At

25 Dec 2024