Biofilm formation by Methicillin resistant Staphylococcus aureus and its relation to antibiotic resistance in Thi-qar province/Iraq

Saad A Atiyah
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Abstract

Methicillin resistant Staphylococcus aureus is one of the most dangerous pathogens in the community and the hospital environment for its high resistance to antibiotics and the production of a number of virulence agents such as toxins and biofilm. The study aims to determine the ability of local isolates to produce the biological membrane and its relationship to resistance to antibiotics. A cross sectional study include (37) isolates of methicillin-resistant S. aureus from the burn department at Al-Hussein Teaching Hospital in Thi Qar province/Iraq for the period April-October 2015, The capacity of bacteria to produced biofilm was done by micro plate technique and the antibiotic susceptibility test for vancomycin, amikacin, ciprofloxacin, norfloxacin, cefotaxime and amoxicillin-Claviolinate using the diffusion technique of antibiotic disks. The study showed that 64.9% of the MRSA isolates were able to form biofilm, while the isolates were fully resistant to the used beta-lactam antibiotics. But, the 94.6% of the isolates were sensitive to the vancomycin. There was no significant statistical relationship between the antibiotic resistance and the ability of bacteria to produce the biofilm except for the ciprofloxacin. The study showed that the local MRSA isolates have a high ability to produce the biological membrane and antibiotic resistance with the exception of the vancomycin with a relationship between the resistance to ciprofloxacin and the production of the biological membrane by bacteria. Therefore, the study recommends the use of vancomycin in medical sites to treat the infections caused by MRSA to prevent the spread and development of these resistant strains.
伊拉克Thi-qar省耐甲氧西林金黄色葡萄球菌生物膜形成及其与抗生素耐药性的关系
耐甲氧西林金黄色葡萄球菌是社区和医院环境中最危险的病原体之一,因为它对抗生素具有高耐药性,并产生许多毒力剂,如毒素和生物膜。该研究旨在确定当地分离株生产生物膜的能力及其与抗生素耐药性的关系。对2015年4 - 10月在伊拉克Thi Qar省Al-Hussein教学医院烧伤科分离的37株耐甲氧西林金黄色葡萄球菌进行横断面研究,采用微平板技术测定细菌产生生物膜的能力,采用抗生素片扩散技术测定万古霉素、阿米卡星、环丙沙星、诺氟沙星、头孢噻肟和阿莫西林-克拉维林的药敏试验。研究表明,64.9%的MRSA分离株能够形成生物膜,而分离株对使用的β -内酰胺类抗生素完全耐药。94.6%的菌株对万古霉素敏感。除环丙沙星外,抗生素耐药性与细菌产生生物膜的能力之间无显著的统计学关系。研究表明,当地MRSA分离株除万古霉素外,均具有较高的生物膜生成能力和耐药性,对环丙沙星的耐药性与细菌生成生物膜之间存在一定的关系。因此,该研究建议在医疗场所使用万古霉素来治疗MRSA引起的感染,以防止这些耐药菌株的传播和发展。
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