347622

Impact of sub-inhibitory antibiotic concentrations on biofilm formation among nosocomial isolates of <i>Enterococcus</i> species

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Antimicrobial resistance

Abstract

Background:  Enterococci, particularly those that produce biofilm, can cause different infections ranging from simple infections to sepsis. This study aims to understand the effect of sub-inhibitory concentrations of antibiotics (ampicillin, vancomycin, ciprofloxacin and tetracycline) on biofilm formation of Enterococcus and its association with virulence genes (asa1, esp and gel E).  Methods: This cross-sectional study included Enterococci strains isolated from different microbiological samples. Disk diffusion and microtiter plate techniques were used to examine the isolates antibiotic sensitivity and biofilm production respectively. Isolates were investigated for asa1, esp and gel E genes using multiplex PCR. Minimum inhibitory concentration (MIC) of ampicillin, vancomycin, ciprofloxacin, and tetracycline for strong biofilm forming isolates was determined by broth microdilution then the sub-MIC effect of these antibiotics on their biofilm formation was evaluated. Results: A total of 80 Enterococcus (65 Enterococcus faecalis and 15 Enterococcus faecium) strains were identified. Compared to Enterococcus faecalis, Enterococcus faecium showed higher antibiotics resistance and lower biofilm formation. asa 1, esp and gel E genes were detected in 44.6%, 60.0% and 76.9% of Enterococcus faecalis and 40.0%, 33.3% and 26.7% of Enterococcus faecium respectively with higher frequency of these genes among biofilm forming isolates. Of the four selected antibiotics, sub-inhibitory concentrations of only ampicillin and vancomycin significantly enhanced biofilm density of Enterococcus faecalis while Enterococcus faecium was not significantly affected. Conclusion: Increased biofilm formation in some isolates at different sub-MIC ensures the significance of appropriate antibiotic use to reduce the danger of resistant bacteria selection.

DOI

10.21608/mid.2024.273911.1832

Keywords

E. faecalis, Sub- MIC, Multiplex PCR

Authors

First Name

Amal

Last Name

Dawoud

MiddleName

M.

Affiliation

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

Email

amalmohamed549@yahoo.com

City

-

Orcid

-

First Name

Sara

Last Name

Saied

MiddleName

A.

Affiliation

Department of Clinical Pathology, National Liver Institute, Menoufia University, Egypt

Email

sarasaied@liver.menofia.edu.eg

City

-

Orcid

-

First Name

Mai

Last Name

Malek

MiddleName

M.

Affiliation

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

Email

mmmuhammad@medicine.zu.edu.eg

City

Zagazig

Orcid

0000-0003-0297-0601

First Name

Mona

Last Name

Sabal

MiddleName

S.

Affiliation

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

Email

monasabal10@gmail.com

City

-

Orcid

-

Volume

5

Article Issue

2

Related Issue

47401

Issue Date

2024-05-01

Receive Date

2024-03-02

Publish Date

2024-05-01

Page Start

667

Page End

679

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_347622.html

Detail API

https://mid.journals.ekb.eg/service?article_code=347622

Order

24

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

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

MainTitle

Impact of sub-inhibitory antibiotic concentrations on biofilm formation among nosocomial isolates of <i>Enterococcus</i> species

Details

Type

Article

Created At

25 Dec 2024