Molecular characterization of Staphylococcus aureus strains isolated among hospital staff nasal carriers of Babol, Iran

Background: Staphylococcus aureus (s. aureus) nasal carriers, particularly the healthcare staff can be considered as a potential source for the spread of resistant strains. The aim of this study was to determine the molecular characterization of S. aureus strains isolated among the staff nasal carri...

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Main Authors: Parisa Sabbagh, Amirmorteza Ebrahimzadeh-Namvar, Elaheh Ferdosi-Shahandashti, Mostafa Javanian, Soraya Khafri, Mehdi Rajabnia
Format: Article
Language:English
Published: Babol University of Medical Sciences 2017-07-01
Series:Caspian Journal of Internal Medicine
Subjects:
Online Access:http://caspjim.com/browse.php?a_code=A-10-740-1&slc_lang=en&sid=1
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author Parisa Sabbagh
Amirmorteza Ebrahimzadeh-Namvar
Elaheh Ferdosi-Shahandashti
Mostafa Javanian
Soraya Khafri
Mehdi Rajabnia
author_facet Parisa Sabbagh
Amirmorteza Ebrahimzadeh-Namvar
Elaheh Ferdosi-Shahandashti
Mostafa Javanian
Soraya Khafri
Mehdi Rajabnia
author_sort Parisa Sabbagh
collection DOAJ
description Background: Staphylococcus aureus (s. aureus) nasal carriers, particularly the healthcare staff can be considered as a potential source for the spread of resistant strains. The aim of this study was to determine the molecular characterization of S. aureus strains isolated among the staff nasal carriers in one of the teaching hospitals in Babol. Methods: A total of 120 nasal swabs were taken from the staff of Ayatollah Rouhani Hospital Babol during 2016.  The antibiotic resistance pattern was performed by disc diffusion method for 13 antibiotics, including cefoxitin, cephalothin, teicoplanin, vancomycin, daptomycin, oxacillin, amoxicillin, amikacin, linezolid, ciprofloxacin, levofloxacin, erythromycin, rifampin, according to the CLSI 2015. Polymerase chain reaction (PCR) was used to detect mecA and pvl genes. Finally, the different SCCmec types were determined by multiplex- PCR method. Results: Among the 120 collected specimens, 40(33.3%) S. aureus isolates were approved. 28(70%) of strains were identified as methicillin-resistant Staphylococcus aureus (MRSA) and the frequency of pvl gene was confirmed 2(5%). Based on the multiplex PCR assay, four different SCCmec types were detected as 35.7% type I, 14.2% type III, 7.1% type II and 3.5% type IV. By a disc diffusion method, no resistance pattern was observed to vancomycin, while 100% of strains were resistant to amoxicillin. Conclusion: Consequently our results illustrated that isolated S. aureus strains among the staff nasal carriers via mentioned molecular characterization may lead to increase the nosocomial persistent infections in hospitalized patients and also health care workers.
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spelling doaj.art-1d821f1df1ee4e98a34992c62939b89a2022-12-22T01:35:19ZengBabol University of Medical SciencesCaspian Journal of Internal Medicine2008-61642008-61722017-07-0184311316Molecular characterization of Staphylococcus aureus strains isolated among hospital staff nasal carriers of Babol, IranParisa Sabbagh0Amirmorteza Ebrahimzadeh-Namvar1Elaheh Ferdosi-Shahandashti2Mostafa Javanian3Soraya Khafri4Mehdi Rajabnia5 Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. Department of Microbiology, School of Medicine, Babol University of Medical Sciences, Babol, Iran Department of Biotechnology, School of Medicine, Babol University of Medical Sciences, Babol, Iran Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. Department of Statistics and Epidemiology, School of Medicine, Babol University of Medical Sciences, Babol, Iran Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. Background: Staphylococcus aureus (s. aureus) nasal carriers, particularly the healthcare staff can be considered as a potential source for the spread of resistant strains. The aim of this study was to determine the molecular characterization of S. aureus strains isolated among the staff nasal carriers in one of the teaching hospitals in Babol. Methods: A total of 120 nasal swabs were taken from the staff of Ayatollah Rouhani Hospital Babol during 2016.  The antibiotic resistance pattern was performed by disc diffusion method for 13 antibiotics, including cefoxitin, cephalothin, teicoplanin, vancomycin, daptomycin, oxacillin, amoxicillin, amikacin, linezolid, ciprofloxacin, levofloxacin, erythromycin, rifampin, according to the CLSI 2015. Polymerase chain reaction (PCR) was used to detect mecA and pvl genes. Finally, the different SCCmec types were determined by multiplex- PCR method. Results: Among the 120 collected specimens, 40(33.3%) S. aureus isolates were approved. 28(70%) of strains were identified as methicillin-resistant Staphylococcus aureus (MRSA) and the frequency of pvl gene was confirmed 2(5%). Based on the multiplex PCR assay, four different SCCmec types were detected as 35.7% type I, 14.2% type III, 7.1% type II and 3.5% type IV. By a disc diffusion method, no resistance pattern was observed to vancomycin, while 100% of strains were resistant to amoxicillin. Conclusion: Consequently our results illustrated that isolated S. aureus strains among the staff nasal carriers via mentioned molecular characterization may lead to increase the nosocomial persistent infections in hospitalized patients and also health care workers.http://caspjim.com/browse.php?a_code=A-10-740-1&slc_lang=en&sid=1Staphylococcus aureus nasal carriers antibiotic resistance SCCmec MRSA
spellingShingle Parisa Sabbagh
Amirmorteza Ebrahimzadeh-Namvar
Elaheh Ferdosi-Shahandashti
Mostafa Javanian
Soraya Khafri
Mehdi Rajabnia
Molecular characterization of Staphylococcus aureus strains isolated among hospital staff nasal carriers of Babol, Iran
Caspian Journal of Internal Medicine
Staphylococcus aureus
nasal carriers
antibiotic resistance
SCCmec
MRSA
title Molecular characterization of Staphylococcus aureus strains isolated among hospital staff nasal carriers of Babol, Iran
title_full Molecular characterization of Staphylococcus aureus strains isolated among hospital staff nasal carriers of Babol, Iran
title_fullStr Molecular characterization of Staphylococcus aureus strains isolated among hospital staff nasal carriers of Babol, Iran
title_full_unstemmed Molecular characterization of Staphylococcus aureus strains isolated among hospital staff nasal carriers of Babol, Iran
title_short Molecular characterization of Staphylococcus aureus strains isolated among hospital staff nasal carriers of Babol, Iran
title_sort molecular characterization of staphylococcus aureus strains isolated among hospital staff nasal carriers of babol iran
topic Staphylococcus aureus
nasal carriers
antibiotic resistance
SCCmec
MRSA
url http://caspjim.com/browse.php?a_code=A-10-740-1&slc_lang=en&sid=1
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