Antimicrobial resistance profile and molecular detection of MecA gene in methicillin resistant Staphylococcus aureus from patients in selected general hospitals in Abuja municipal, Nigeria
DOI:
https://doi.org/10.30574/gscbps.2019.7.3.0090Keywords:
Staphylococcus aureus, Methicillin resistance, mecAAbstract
Staphylococcus aureus (S. aureus) is globally recognized as an important pathogen associated with both hospital and community acquired infections. Studies on antibiotic resistance profile of S. aureus and carriage of mecA gene in methicillin resistant isolates from patients attending selected general hospitals in Abuja Municipal, Nigeria was carried out. Three hundred and sixty (360) clinical samples (200 urine, 50 high vaginal swabs, 60 ear swab and 40 wound swabs) were collected from Asokoro General Hospital (AGH), Garki Hospital Abuja (GHA) and Wuse General Hospital (WGH); and S. aureus was isolated and identified using standard microbiological methods. Antibiotic susceptibility testing of the isolates was carried out using disc diffusion method. Molecular detection of mecA gene in methicillin resistant isolates was carried out using the polymerase chain reaction method. The total occurrence of S. aureuswas 15.3% (55/360); and the occurrence in relation to the selected hospitals was high in GHA (22.7%) and low in AGH (10.3%). The occurrence of S. aureus was highest in wound swabs in all the hospitals in the order: GHA (47.1%) > AGH (40%) > WGH (35.7%). The isolates from all the hospitals were highly (≥ 50.0%) resistant to all the antibiotics tested; but moderately (≤ 40.0%) to gentamicin and levofloxacin. The occurrence of multi-drug resistant (MDR) isolates in the selected hospitals was high in GHA (27%) but low in AGH (12%). Of the 32 oxacillin resistant isolates, mecA gene was detected in 30 (93.8%). The S. aureus isolates were less resistant to gentamicin and levofloxacin and most of the oxacillin resistant isolates harbored mecA gene.Metrics
References
Cain CL. (2013). Antimicrobial resistance in staphylococci in small animals. Veterinary Clinical North America Small Animal Practice, 43(1), 19-40.
Sathish JV and Mita DW. (2017). Prevalence of Methicillin Resistant Staphylococcus aureus in Clinical Samples and their Antibiotic Sensitivity Pattern. International Journal of Current Microbiology and Applied Sciences. 6 (7), 2338-2343
Neetu PJ and Sevenan M. (2014). Biofilm formation by methicillin resistant- Staphylococcus aureus and their susceptibility pattern: An invitro study. Current Research in Bacteriology, 7(1), 1-11.
Trivedi MB, Vegad M and Soni S. (2015). Prevalence of methicillin-resistant Staphylococcus aureus in various clinical samples in a tertiary- care hospital. International Journal of Medical Science Public Health, 4, 1735-1738.
Seyed MM, Hossein K, Mohamma A, Hamidreza H and Mehdi G. (2016). Frequency of Aminoglycoside Resistance Genes in Methicillin Resistant Staphylococcus aureus (MRSA) Isolates from Hospitalized Patients. Jundishapur Journal of Microbiology, 9(8), 35052.
Hamid S, Bhat MA, Mir IA, Taku A, Badroo GA, Nazki S and Malik A. (2017). Phenotypic and genotypic characterization of methicillin-resistant Staphylococcus aureus from bovine mastitis, Veterinary World, 10(3), 363367.
Bangerter PD, Sidler X, Perreten V andOveresch G. (2016). Longitudinal study on the colonisation and transmission of methicillin-resistant Staphylococcus aureusin pig farms. Veterinary Microbiology, 183, 125-134.
Pai VI and Eao SP. (2010). Prevalence and antimicrobial susceptibility patterns of methicillin resistant Staphylocococcus aureus isolates at a tertiary hospital in Margalore, South India. Journal of laboratory and physician, 2, 82-84.
Adeleke OE and Olarinde JD. (2013). Antibiotic susceptibility profile of Urinary Tract infection in Staphylococcus aureus. New York Science Journal, 6(12).
Salem-Bekhit MM. (2014). Phenotypic and genotypic characterization of nocosomial isolates of S.aureus with reference to Methicillin Resistance. Tropical Journal of Pharmaceutical Research, 13(8), 1239-1246.
Vasudevan R. (2015). Emergence of UTI causing Staphylococcus aureus as a superbug: has the pathogen reduced the options of antimicrobial agents for treatment? Experimental Clinical Microbiology, 1, 88-112.
Owolabi, J.O. and Olorioke, R. (2015). Prevalence and antimicrobial susceptibility of MRSA and coagulase- negative Staphylococcus aureus isolated from apparently healthy university students in Ota, Nigeria. Journal of National Science Research, 5(24), 40-48.
Cheesbrough M. (2006). District Laboratory practice in Tropical Countries. Cambridge University, United Kingdom. 63–70.
CLSI (2014). Performance Standards for Antimicrobial Susceptibility Testing: 24th Informational Supplement M100-S24. Wagne, PA:Clinical and Laboratory Standards Institute
Ngwai YB, Gyar SD, Pennap GRI, Makut MD, Ishaleku D, Corosi SM, Nkene IH and Uzoamaka N. (2014). Antibiogram of non-sorbitol fermenting Escherichia coli isolated from environmental sources in Keffi, Nigeria. NSUK Journal of Science and Technology, 4 (1&2), 152-163.
Magiorakos AP, Srinivasan A, Carey RB, Carmeli Y, Falagas ME, Giske CG, Harbarth S, Hindler JF, Kahlmeter G, Olsson-Liljequist B, Paterson DL, Rice LB, Stelling J, Struelens MJ, Vatopoulos A, Weber JT and Monnet DL. (2012). Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance. Clinical Microbiology and Infection, 18, 268–281.
Porteous LA, Armstrong JL, Seidler RJ and Watrud LS. (1994). An effective method to extract DNA from environmental samples for polymerase chain reaction amplification and DNA fingerprint analysis, Current Microbiology, 29,301.
Abazar P, Abdullahi A, Leyla G, Mahmoud K, Tahmineh N and Hassan A. (2014). Polymerase chain reaction-based identification of methicillin resistant Staphylococcus aureus and their antibiotic resistance profiles. Asian Pacific Journal of Tropical Biomedicine, 4(1), 5293-5297.
Ojokoh AO and Oluwatosin M. (2018). Occurrence of MDR Staphylococcus aureus and Klebsiella pneumonia isolated from clinical and environmental samples in Ondo State, Nigeria.Journal of Advances in Microbiology, 10(2), 1-10.
Onanuga A and Awhowo GO. (2012). Antimicrobial resistance of Staphylococcus aureus strains from patients with urinary tract infections in Yenagoa, Nigeria. Journal of Pharmaceutical Bioallied Science, 226-230.
Yassin NA, Mohammed HH and Ahmad AM. (2013). Antibiogramming profiles of Staphylococcus aureus isolated from various clinical specimens in Duhok city Iraq. Advance Tropical Medicine and Public Health International, 3(1), 25-31.
Nsofor CA, Nwokenkwo VN and Ohale CU. (2016). Prevalence and Antibiotic Susceptibility Pattern of Staphylococcus aureus Isolated from Various Clinical Specimens in South East Nigeria. MOJ Cell Science Report, 3(2), 00054.
Salau OA, Yakubu SE and Ado SA. (2015). Prevalence and antibiotic susceptibility Pattern of Staphylococcus aureus from patients attending some selected Hospitals in Samaru, Zaria, Nigeria. International Journal of Health Sciences and Research, 5(4), 79-84.
Ibadin EE, Enabulele IO and Muinah F. (2017). Prevalence of mecA gene among staphylococci from clinical samples of a tertiary hospital in Benin City, Nigeria. African Health Sciences, 4, 1002-1003.
Obiazi HA, Nmorsi OP, Ekundayo AO and Ukwandu NC. (2007). Prevalence and antibiotic susceptibility pattern of Staphylococcus aureus from clinical isolates grown at 37 and 44 ºC from Irrua, Nigeria. African Journal of Microbiology Research, 14, 57-60.
Garba S, Onaolapo JA and Olayinka BO. (2017). Antimicrobial susceptibility pattern of Staphylococcus aureus from clinical isolates in Zaria Metropolis, Kaduna. Nigerian Journal of Pharmaceutical and Biomedical Research, 2(116-120).
Orji I, Ukpai AE, Nworie AA,Okereke EC and Azi SO. (2012).The prevalence and antimicrobial susceptibility profile of methicillin resistant Staphylococcus aureus from clinical specimens in a tertiary hospital, Southeast, Nigeria. Continental Journal of Pharmaceutical Sciences, 6(1), 23-29.
Daniyan SY, Galadima M, Ijah UJJ andOda M. (2011). In vitro susceptibility profile of Methicillin-resistant Staphylococcus aureus isolates from clinical specimens to commonly used Antibiotics in Minna, Nigeria. Asian Journal of Pharmaceutical Health Sciences, 1(3), 128-129.
Olusoga D, Ogbolu OA, Terry A, Bello LA and Ibrahim AO. (2015). Emergence of vancomycin intermediate Staphylococcus aureus (VISA) in clinical isolates of Methicillin Resistant S.aureus from South Western region of Nigeria. International Journal of Tropical Diseases and Health, 10(4), 1-5.
Nwankwo BO, Abdukhadi S, Magagi A and Ihesiulor G. (2010). Methicillin resistant Staphylococcus aureus and their antibiotic susceptibility pattern in Kano, Nigeria. African Journal of Clinical and Experimental Microbiology, 1, 1595-1689.
Terry OA, Ogbolu DO, Akorede E, Onemu OM and Okanlawon BM. (2011). Distribution of mecA gene amongst Staphylococcus aureus isolates from south western Nigeria. African Journal of Biomedical Research, 14, 916.
Motayo BO, Akinduti PA, Okerentugba PO, Innocent‑Adiele HC, Onoh CC, and Nwanze JC. (2012). Methicillin resistance and beta‑lactamase production in Staphylococcus aureus isolated from different clinical samples in Abeokuta, Nigeria. Academic Arena, 4, 259.
Peng Q, Hou B, Zhou S, Huang Y, Hua D, Yao F and Shu QY. (2010). Staphylococcal cassette chromosome mec (SCCmec) analysis and antimicrobial susceptibility profiles of methicillin-resistant Staphylococcus aureus (MRSA) isolates in a teaching hospital Shantou, China. African Journal of Microbiology Research, 4, 844-848.
Shittu A, Oyedara O and Abegunrinetal F. (2012). Characterization of methicillin susceptible and resistant staphylococci in the clinical setting in a multicentre study in Nigeria. BMC Infectious Diseases, 2, 12-286.
Cennet R, Mehmet P, Yasemin B, Huseyin G and Nesrin C. (2016). Evaluation of Antimicrobial Resistance in Staphylococcus aureus Isolates by Years. Interdisciplinary Perspectives on Infectious Diseases, 27, 20-24.
Yousefi M, Pourmand MR,Fallah F, Hashemi A, Mashhadi R, and Nazari-Alam A. (2016). Characterization of Staphylococcus aureus biofilm formation in urinary tract infection. Iran Journal of Public Health, 45(4), 485-493.
Wang WY, Chiueh TS, Sun JR, Tsao SM and Lu JJ. (2012). Molecular typing and phenotype characterization of methicillin-resistant Staphylococcus aureus isolates from blood in Taiwan. PLoS One, 7, e30394.
Kapatamoyo B, Andrews B and Bowa K. (2010). Association of HIV with breast abscess and altered microbial susceptibility patterns. Medical Journal of Zambia, 37, 58-63.
Gade NE, Pratheesh MD, Nath A, Dubey PK, Amarpal, Sharma B, Saikumar G and Taru Sharma G. (2013). Molecular and cellular characterization of buffalo bone marrow-derived mesenchymalstem cells. ReprodDomestAnim; 48(3), 358-67.
Okon KO, Shittu AO, Usman H, Adamu N, Balogun ST and Adesina OO. (2013). Epidemiology and Antibiotic Susceptibility Pattern of Methicillin-Resistant Staphylococcus aureus Recovered from Tertiary Hospitals in Northeastern. Nigeria Journal of Medical Science, 4, 214-220.
Adetayo TO, Deji-Agboola AM, Popoola MY, Atoyebi TJ and Egberongbe KJ. (2014). Prevalence of Methicillin Resistant Staphylococcus aureus from Clinical Specimens in Ibadan, Nigeria. The International Journal of Engineering Science, 3, 1-11.
Scott KH, Sheela VS, Kathryn C, Tania AT and Gerald F. (2011). Prevalence of Methicillin-resistant Staphylococcus aureus nasal carriage among hospitalized patients with tuberculosis in rural Kwazulu-Natal. South African Medical Journal, 101 (5), 1-5.
Jarvis WR, Jarvis AA and Chinn RY. (2012). National prevalence of methicillin-resistant Staphylococcus aureus in inpatients at United States health care facilities. The American Journal of Infection Control, 3, 194–200.
Shahraz F, Dadkhah H and Haksar RK. (2012). Analysis of antibiotic resistance patterns and detection of mecA gene in Staphylococcus aureus isolated from packaged hamburger. Meat Science, 3, 759–763.
Marais E, Aithma N, Perovic O, Oosthuysen WF, Musenge E and Dusé AG. (2009). Antimicrobial susceptibility of methicillin-resistant Staphylococcus aureus isolates from South Africa. South African Medical Journal, 99, 170-173.
Seni J, Bwanga F, Najjuka CF, Makobore P, Okee M, Mshana SE, Kidenya BR, Joloba ML and Kateete DP. (2013). Molecular characterization of Staphylococcus aureus from patients with surgical site infections at Mulago Hospital in Kampala, Uganda. PLoS One, 8: e66153. Current Microbiology and Applied Sciences, 6(7), 2338-2343.
Onemu OS and Ophori EA. (2013). Prevalence of multi‑drug resistant Staphylococcus aureus in clinical specimens obtained from patients attending the university of Benin teaching Hospital, Benin City, Nigeria. Journal of Natural Science Research, 3, 15-49.
Al-haddad OH, Zorgani A and Ghenghesh KS. (2014). Nasal carriage of multidrug resistant panton-valentine leucocidin-positive methicillin-resistant Staphylococcus aureus in children in Tripoli-Libya. American Journal of Tropical Medicine and Hygiene, 90, 724-727.
Christopher AJ, Hora S and Ali Z. (2013). Investigation of plasmid profile antibiotic susceptibility pattern multiple antibiotic resistance index calculation of Escherichia coli isolates obtained from different human clinical specimens at tertiary care hospital in Barcilla-India. Annals of Tropical Medicine and Public Health, 6, 285-289.
Hawraa WA, Al-Dulaimi T and Al-Marzoqi AH. (2014). “Phenotypic detection of resistance in Staphylococcus aureus isolates: detection of (mecA and fem A) gene in methicillin resistant Staphylococcus aureus (MRSA) by polymerase chain reaction,” Journal of Natural Sciences Research, 4(1), 112–118.
Moghahid ME, Ozbak HA, Hemeg AH, Miskelyemen AE and Ahmed LM. (2015). Absence of the mecA Gene in Methicillin Resistant Staphylococcus aureus Isolated from Different Clinical Specimens in Shendi City, Sudan. Biomedical Research International, 895860.
Mojtaba M and Najmeh P. (2015). Molecular Identification of mecA gene in Methicillin-Resistant Staphylococcus aureus isolated from the hospitalized patients in Teaching hospitals 0f Ahvaz, Iran. British Microbiology Research Journal, 7(4), 202-209.
Schmidt VM, Williams NJ, Pinchbeck G, Corless CE, Shaw S, McEwan N, Dawson S and Nuttall T. (2014). Antimicrobial resistance and characterization of staphylococci isolated from healthy Labrador retrievers in the United Kingdom. BMC Veterinary Research, 10- 17
Elhassan MM, Hani AO, Hassan AH, Miskelyemen AE and Leila MA. (2015). Absence of the mec A Gene in Methicillin Resistant Staphylococcus aureus Isolated from Different Clinical Specimens in Shendi City, Sudan. BioMed Research International, 10-89.
Ba X, Harrison EM, Edwards GF, Holden MTG, Larsen AR, Petersen A, Skov RL, Peacock SJ, Parkhill J, PatersonGK and Holmes MA. (2014). Novel mutations in penicillin-binding protein genes in clinical Staphylococcus aureus isolates that are methicillin resistant on susceptibility testing, but lack the mec gene. Journal ofAntimicrobial Chemotherapy, 69, 594-597.
AlliOA, Ogbolu DO, Shittu AO, Okorie AN, Akinola JO and Daniel JB. (2015). Association of virulence genes with mec A gene in Staphylococcus isolates from Tertiary Hospitals in Nigeria. Indian Journal of Pathology Microbiology, 58, 464-471.
Ezeamagu C, Imanatue I, Dosunmu M, Odeseye A, Baysah G, Aina D, Odutayo F and Mensah-Agyei G. (2018). Detection of methicillin resistant and toxin-associated genes in Staphylococcus aureus. Beni-Suef University Journal of Basic and Applied Sciences, 7, 92-97.
Nworie A Madubuko EF,Eze UA, Oti-Wilberforce ROand Azi SO. (2013). Incidence of Staphylococcus aureus in clinical specimens in Federal Teaching Hospital, Abakiliki, Ebonyi State. Merit Research Journal of Medicine and Medical Sciences, 1(3), 043-046.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.