Prevalence of livestock associated methicillin resistant Staphylococcus aureus (La-mrsa) in domestic livestock of Dharan, Nepal

Ayastha Chaudary, H. Khanal, Shiv Nandan Sah, Bijay Kumar Shrestha, S. Chauhan, Santoshi Ghimire
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Abstract

Introduction: Methicillin Resistant Staphylococcus aureus (MRSA) infection has drawn a lot of attention since studies suggested that animals may act as reservoirs for human infection. Over the past 20 years, MRSA infections have become more prevalent worldwide. MRSA was initially only discovered in humans, but later it was discovered in animals as well. Objectives: The study aimed to determine the prevalence of LA-MRSA in domestic livestock of Dharan, Nepal. Methods: Overall, 320 skin swab samples of cattle (cows) were collected by swabbing the skin of cattle aseptically with a sterile cotton swab and the samples were transported to the laboratory in a cold chain. The samples were streaked in Mannitol salt agar(MSA) containing oxacillin concentration of 6mg/L and incubated at 37°C for 24 hours. Staphylococcus aureus colonies were identified based on cultural characteristics on MSA plates (golden yellow colonies), Gram’s reaction, and positive results for coagulase and catalase test. The purified isolates of MRSA were subjected to antibiotic susceptibility tests and Biofilm formation. Results: MRSA was found to be prevalent in 10% of cattle. Antibiotic-resistant tests reported that MRSA was found to be sensitive to chloramphenicol 12(37.5%) followed by ceftriaxone 12 (37.25%), gentamycin 9(28.12%), cefotaxime 4(12.5%), while 100% of MRSA were resistant to penicillin and vancomycin. The moderate biofilm-forming MRSA was 5(15.625%), followed by 3(9.375%) weak biofilm producers and 24(75%) were negative towards biofilm formation. Conclusion: The prevalence of MRSA (10%) and Vancomycin-Resistant Staphylococcus aureus (100% VRSA) in cattle shows the need for regular surveillance. Chloramphenicol can be a treatment of choice for MRSA infections. However, emerging VRSA is a serious epidemiological issue that needs to be addressed properly. Therefore, Healthcare organizations must adopt precise criteria to control and prevent MRSA infection..
尼泊尔达兰家畜中与家畜相关的耐甲氧西林金黄色葡萄球菌(La-mrsa)的流行情况
导言:耐甲氧西林金黄色葡萄球菌(MRSA)感染引起了人们的广泛关注,因为有研究表明动物可能成为人类感染的病原。在过去 20 年中,MRSA 感染在全球范围内变得越来越普遍。MRSA 最初只在人类身上发现,但后来也在动物身上发现。研究目的本研究旨在确定 LA-MRSA 在尼泊尔达兰(Dharan)家畜中的流行情况。研究方法用无菌棉签无菌擦拭牛(奶牛)的皮肤,共采集了 320 份皮肤拭子样本,并用冷链将样本运送到实验室。将样本在含有 6 毫克/升浓度的氧西林的甘露醇盐琼脂(MSA)中培养 24 小时。根据 MSA 平板上的培养特征(金黄色菌落)、革兰氏反应以及凝固酶和过氧化氢酶检测的阳性结果,对金黄色葡萄球菌菌落进行鉴定。对纯化的 MRSA 分离物进行抗生素药敏试验和生物膜形成试验。结果:发现 10%的牛体内普遍存在 MRSA。抗生素耐药性测试报告显示,MRSA 对氯霉素 12 (37.5%) 敏感,其次是头孢曲松 12 (37.25%)、庆大霉素 9 (28.12%)、头孢噻肟 4 (12.5%),而 100%的 MRSA 对青霉素和万古霉素耐药。中度生物膜形成的 MRSA 有 5 个(15.625%),其次是弱生物膜产生者 3 个(9.375%),24 个(75%)对生物膜形成呈阴性。结论牛群中 MRSA(10%)和耐万古霉素金黄色葡萄球菌(100% VRSA)的流行表明,有必要进行定期监测。氯霉素是治疗 MRSA 感染的首选药物。然而,新出现的 VRSA 是一个严重的流行病学问题,需要妥善处理。因此,医疗机构必须采用精确的标准来控制和预防 MRSA 感染。
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