Molecular Detection of mecA Gene in Methicillin Resistant Staphylococcus aureus Isolated from Surfaces of some Public Hospitals in Katsina State, Nigeria

Authors

DOI:

https://doi.org/10.47430/ujmr.2382.013

Keywords:

Methicillin resistant S. aureus, mecA gene, Hospital Environment

Abstract

The increasing rate of antibiotic resistance demonstrated by bacterial pathogens is an emerging problem that is considered a major health concern globally, especially in low-and middle-income countries. The aim of this study is to determine the prevalence of Methicillin Resistant Staphylococcus aureus from hospital environment and to detect the presence of resistance genes in the MRSA isolates. One hundred and ninety-two (192) swab samples of doorknob, bedrail, table tops and drip stand were collected from 4 hospitals within Dutsin-Ma and Kurfi local government. Antibiotic Susceptibility testing and phenotypic detection of MRSA were conducted using disc diffusion method.  MecA gene was detected using Polymerase Chain Reaction. One hundred and eleven 111(57.8%) out of 192 samples were positive for S. aureus. The result showed that cefoxitin was the most effective antibiotic (66.6%) against the isolates from all the four hospitals while erythromycin was the less effective against the isolates (35.1%).  A total of six (5.40%) Methicillin Resistant S. aureus and MDR (12.61%) were detected from the four hospitals. In conclusion, all the four hospitals were found to be contaminated with Methicillin resistant S. aureus, with Kurfi General Hospital having the highest number of MRSA (3). Out of the 6 phenotypically detected isolates of MRSA screened, mecA gene was detected in five (5) isolates. It is recommended that, proper hygiene practice should be improved in the healthcare settings, and proper use of antibiotics should be highly encouraged among individuals in both community and hospital.

Downloads

Download data is not yet available.

References

Adam, A. S., Lisa, M., Sarah, K. O., Ibrahim, N., Adamu, A. A., & Alice, N. (2020). Antibiotic Susceptibility Pattern and Detection of mecA Gene in Methicillin resistant Staphylococcus epidermidis Isolated from Wards Surfaces of Kampala International University Teaching Hospital, Uganda. Romanian Archives of Microbiology and Immunology, 79(1), 24-36

Aliyu, Y., Reuben, R.C., Abdullahi, I.O., Olayinka, B.O., & Abdullahi, M.S. (2022). A systematic review on the prevalence of multidrug-resistant Staphylococcus aureus from milk and milk products in Nigeria. PAMJ -One Health.,7(15), 212-216. https://doi.org/10.11604/pamj-oh.2022.7.15.29118

Aliyu, A., Junaidu, K., Bello, M., and Busayo, O. (2022). Correlation between Genetic resistance factors and the antibiotics resistance phenotypes in MRSA isolates of Animals and Humans. Journal of Applied Microbiology, 2(3), 231- 245

Allegranzi, B. J., Pittet, D. (2019). Role of hand hygiene in healthcare-associated infection prevention. J Hosp Infection, 7(3), 305-315. https://doi.org/10.1016/j.jhin.2009.04.019

Amita, J. A., Agarwal, K. V. (2018). Cefoxitin disc dif- fusion test for detection of meticillin-resistant staphylococci. Journal of Medical Microbiology, 57, 957–961. https://doi.org/10.1099/jmm.0.47152-0

Andrea, T. F., Carmen, B., Kristina, K., & Stefan, S. (2010). Identification and characterization of methicillin-resistant coagulase-negative Staphylococci from bovine mastitis. J Antimicrob Chemother. 65, 1576–1582. https://doi.org/10.1093/jac/dkq172

Anyadoh, N. O., Eri, J.C., Nwaokoro, P.O. & Nwadike. (2011). Prevalence of Staphylococcus aureus within the Hospital Environment. Asian J. Med. Pharm. Res, 1(1), 17-21

Atsedewoyn, F., Abiye, T., Birhanemeskel, T., & Baye, G. (2021). Bacterial profile of high-touch surfaces, leftover drugs and antiseptics together with their antimicrobial susceptibility patterns at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. BMC Microbiol, 21, 309. https://doi.org/10.1186/s12866-021-02378-w

Baguma, A. N., Benon, A., & Bazira, J. (2017). Efficacy of Cefoxitin disc diffusion test as surrogate marker for Methicillin resistance in comparison to mecA gene PCR to detect MRSA”. 2nd AMR Conference 2017 Abstract book, 26, 30.

Boyce, K., Bartels, M.D., Andersen, I.S., Moller, J.A. & Westh, H. (2007). A new multiplex PCR for easy screening of methicillin-resistant Staphylococcus aureus SCCmectypes I–V. Clin. Microbiol. Infec., 13(4), 725–727. https://doi.org/10.1111/j.1469-0691.2007.01720.x

Carvalho, K. S., Melo, M. C., Melo. G. B., & Gontijo, P. (2017). Hospital surface contamination in wards occupied by patients infected with MRSA or MSSA in a Brazilian university hospital. J of Basic and Appl Pharm Sci., 2(8), 159-163.

Fey, P., Olson, M. (2010). Current concepts in biofilm formation of Staphylococcus epidermidis. Future Microbiol., 5(2), 917–933. https://doi.org/10.2217/fmb.10.56

Fitzpatrick, F., Humphreys, H., O’gara, J. P. (2015). The genetics of staphylococcal biofilm formation–will a greater understanding of pathogenesis lead to better management of device-related infection. Clin. Microbiol Infec., 11(5), 967-973. https://doi.org/10.1111/j.1469-0691.2005.01274.x

Garoy, E.Y., Gebreab, Y.B., Achila, O.O., Tekeste, D.G., Kesete, R., Ghirmay, R., Kiflay, R., & Tesfu, T. (2019). Methicillin-Resistant Staphylococcus aureus (MRSA): Prevalence and Antimicrobial Sensitivity Pattern among Patients—A Multicenter Study in Asmara, Eritrea. Hindawi Canadian Journal of Infectious Diseases and Medical Microbiology, 2(3), 16-25 https://doi.org/10.1155/2019/8321834

Hidron, A. I., Edwards, J. R., & Patel, J. (2018). NHSN annual update: antimicrobial-resistant pathogens associated with health care associated infections: annual summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention. Infect Control Hosp. Epidemiol, 29(3), 996–1011. https://doi.org/10.1086/591861

Jans, B., Schoevaerdts, D., Huang, T.,Berhin, C., Latour, K., Bogaerts, P., Nonhoff, C., Denis, O., Catry, B., & Glupczynski, Y. (2013). Epidemiology of Multidrug-Resistant Microorganisms among Nursing Home Residents in Belgium. PLoS ONE, 8(5), 110-213 https://doi.org/10.1371/journal.pone.0064908

Kramer, A., Schwebke, I., &Kampf, G. (2016). How long do nosocomial pathogens persist on inanimate surfaces? A systematic review. BMC Infec., 6(6), 130-141. https://doi.org/10.1186/1471-2334-6-130

Landers, T.F., Hoet, A., & Wittum, T. E. (2014). Swab Type, Moistening, and Pre-enrichment for Staphylococcus aureus on Environmental Surfaces. J. Clin. Microbiol, 48(4), 2235–2236. https://doi.org/10.1128/JCM.01958-09

Li, L., Yeaman, M.R., Bayer, A.S., & Xiong, Y.Q., (2019). Phenotypic and Genotypic Characteristics of Methicillin-Resistant Staphylococcus aureus (MRSA) Related to Persistent Endovascular Infection. Antibiotics, 8, 71-79. https://doi.org/10.3390/antibiotics8020071

Lim, C., Takahashi, E., Hongsuwan, M., Wuthiekanun, V., Thamlikitkul, V., Hinjoy, S., Nicholas, P.J.D., Peacock, S.J., & Limmathurotsakul, D. (2016). Epidemiology and burden of multidrug-resistant bacterial infection in a developing country. https://doi.org/10.7554/eLife.18082.022

Mbim, E. N., Mboto, C. I., Agbo, B. E. (2016). A Review of Nosocomial Infections in Sub-Saharan Africa. Brit Microbiol Res J., 15(1), 1-11. https://doi.org/10.9734/BMRJ/2016/25895

Muge, O., Zeynep, B., Cem, A., Levent A. (2015). Prevalence and risk factors for methicillin resistant Staphylococcus aureus carriage among emergency department workers and bacterial contamination on touch surfaces in Erciyes University Hospital, Kayseri, Turkey, Afri Health Sci., 15(4), 1289-94. https://doi.org/10.4314/ahs.v15i4.31

Natalia, L. P., Iorio, M. B., Azevedo, V. H., Frazão, A. G., Barcellos, E. M., & Barros, E. M., (2011). Methicillin-resistant Staphylococcus epidermidis carrying biofilm formation genes: detection of clinical isolates by multiplex PCR. International Microbiology, 14, 13-17.

Ochie, C. C., Ohagwu, K. (2009). Contamination of X-Ray equipment and accessories with noso- comial bacteria and the effectiveness of common disinfecting agents. Afr J Basic Appl Sci., 1(3), 31-35. 33.

Odonkor, S.T., and Addo, K.K. (2018). Prevalence of Multidrug-Resistant Escherichia coli Isolated from Drinking Water Sources. Hindawi International Journal of Microbiology. 5(2), 45-89. https://doi.org/10.1155/2018/7204013

Peacock, S. J., & Paterson, G. K. (2015). Mechanisms of Methicillin Resistance in Staphylococcus aureus. Ann Rev Biochem, 84(4), 574-577. https://doi.org/10.1146/annurev-biochem-060614-034516

Reena, K., Mukhiya, A. S., Shiba, K., Rai, K., Panta, R.N., Singh, G., & Rai, A. P. (2012). Prevalence of Methicillin-Resistant Staphylococcus aureus in Hospitals of Kathmandu Valley, Nepal Journal of Science and Technology, 13(2), 185-190. https://doi.org/10.3126/njst.v13i2.7734

Rodríguez, C. H., Juárez, J., de-Mier, C., Pugliese, L., & Blanco, G. (2013). Bacterial resistance to antibiotics in gram-negative rods isolated from intensive care units. Comparative analysis. Medicina (B Aires), 63(2), 21-27.

Rushdey, A., Abdulamir, A.S., Jahanshiri, F., Shan, L.C., Hematian, A., Amini, Y., Sekawi, Z., & Jalilian, F.A., (2012). Isolation and identification of methicillin-resistant Staphylococcus aureus from students’ coins. African Journal of Biotechnology, 11(50), 11143-11149. https://doi.org/10.5897/AJB11.2435

Valentine, U., Nduisi, N., Obum-Nnadi, C. N., Ngozika, O. N. (2021). Prevalence and antibiotic susceptibility profile of MRSA isolates in diabetes patients with foot ulcers. Journal of Medical Microbiology and Infectious Diseases, 9(2), 71-75. https://doi.org/10.52547/JoMMID.9.2.71

Wojtyczka, R. D., Krakowian, D., Marek, L., Ski-ba, D., Kudelski, A., Jasik, K., & Pacha, J. (2011). Analysis of the polymorphism of Staphylococcus strains isolated from a hospital environment. Afr J Microbiol Res., 5(4), 4997–5003.

Downloads

Published

30-12-2023

How to Cite

Sunusi, A. A., Dangari, M. A., Salihu, M. K., & Ado, A. (2023). Molecular Detection of mecA Gene in Methicillin Resistant Staphylococcus aureus Isolated from Surfaces of some Public Hospitals in Katsina State, Nigeria. UMYU Journal of Microbiology Research (UJMR), 8(2), 110–117. https://doi.org/10.47430/ujmr.2382.013