285547

Impact of Biofilm Production in Methicillin Resistant Staphylococcus aureus among Diabetic Foot Patient

Article

Last updated: 05 Jan 2025

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Abstract

Background: Diabetic Foot Infection poses many problems in clinical practice. It is usually polymicrobial, and Staphylococcus aureus is the most common pathogen isolated. Objective:To determine the prevalence of methicillin resistant S.aureus(MRSA) and MRSA biofilm production among diabetic patients with chronic leg ulcers. Methodology: This study included 150 patients suffering from infected diabetic footulcers. We used VITEK 2 system to identify isolated bacteria. Colonies of S.aureus were screened for resistance to methicillin on Mueller–Hinton agar supplemented with oxacillin at 4 μg/mL Antibiotic sensitivity test was investigated using Kirby Bauer Disc Diffusion method. Investigation of biofilm formation was performed by tissue culture plate method. Detection of icaA and icaD genes was investigated by PCR. Results: S.aureus was isolated from 70 (46.6%) patients. Among the 70 S. aureus, 34 (22.6%) were (MRSA), Pseudomonas aeruginosa 36(24.0%), Klebseilla pneumoniae 25(16.6%) and E.coli were 19(12.6%). Twenty eight out of 34 tested MRSA (82.35%) were able to form biofilm. Twenty five isolates (73.3%) were strong biofilm former, 3 isolates (8.8%) were moderate biofilm producer and 6 isolates (17.6%) were non biofilm producers. Twenty two were positive for both icaA and icaD genes, On the other hand eight isolates were negative for both genes. Conclusion: A high prevalence of biofilm producing MRSA was detected in S.aureus isolated from patients with Diabetic foot.

DOI

10.21608/ejmm.2018.285547

Keywords

S. aureus, MRSA, Biofilm, Diabetic foot

Authors

First Name

Zeinat

Last Name

Kamel

MiddleName

-

Affiliation

Botany and Microbiology Department – Faculty of Science – Cairo University

Email

zeinatk@yahoo.com

City

-

Orcid

0000-0002-5013-2357

First Name

Neveen

Last Name

Helmy

MiddleName

A.M.

Affiliation

Researcher at Clinical and Chemical Pathology Department, National Research Center

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Soliman

MiddleName

K.Y.

Affiliation

Botany and Microbiology Department – Faculty of Science – Cairo University

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Mashahit

MiddleName

A.

Affiliation

Internal Medicine Department, Faculty of Medicine, Fayoum University

Email

-

City

-

Orcid

-

Volume

27

Article Issue

2

Related Issue

39632

Issue Date

2018-04-01

Receive Date

2023-02-14

Publish Date

2018-04-01

Page Start

93

Page End

98

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_285547.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=285547

Order

285,547

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

Impact of Biofilm Production in Methicillin Resistant Staphylococcus aureus among Diabetic Foot Patient

Details

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Article

Created At

28 Dec 2024