ABSTRACT
INTRODUCTION: Device associated infections caused by Staphylococcus aureus in hospitalised patients is a serious healthcare problem. The present study was designed to determine the prevalence of biofilm-producing MRSA in device-associated infections. METHODS: Device-associated S. aureus strains (n=200) obtained from two tertiary care hospitals in Mysuru city, India were screened for biofilm production, antibiotic resistance, Panton-Valentine Leucocidin genes, SCCmec-types, spa-types, and intercellular adhesion (icaAD) dependent and independent genes. The efficacy of antibiotics (linezolid, vancomycin and rifampicin) on biofilms was studied using MTT assay, and the results were correlated with the occurrence of ica-dependent and independent factors. RESULTS: Multidrug resistance was observed in 155 strains (77.5%), and 124 strains (62%) were identified as biofilm producers. Methicillin resistance was identified in 145 strains (72.5%), and SCCmec typing of these isolates revealed high prevalence of type IV and type V. They also showed increased prevalence of pvl gene. icaAD was identified in 65 isolates, with 37 isolates showing both icaAD and ica-independent genes. spa types t852 and t657 were predominantly observed in MRSA isolates. Those isolates that had both ica-dependent and ica-independent genes showed more resistance to the screened antibiotics than the ica-dependent alone. CONCLUSION: This study reports a high prevalence of SCCmec type IV and V in biofilm producing S. aureus strains isolated from device-associated infections. Increased prevalence of pvl in SCCmec types IV and V strains suggests the role of community associated S. aureus in device-associated infections. The simultaneous presence of ica-dependent and independent genes increased the antibiotic resistance in established biofilms. Thus, S. aureus on medical devices is a potential risk for patients.
Subject(s)
Biofilms , Methicillin-Resistant Staphylococcus aureus/physiology , Bacterial Typing Techniques , Cross-Sectional Studies , Equipment Contamination , India , Methicillin-Resistant Staphylococcus aureus/classification , Methicillin-Resistant Staphylococcus aureus/isolation & purification , Tertiary Care CentersABSTRACT
Meat foods are the main vehicle of foodborne diseases as a result of poor handling during processing. The objective of this study was to determine the frequency and antibiotic resistance factors of Escherichia coli in TIF plants of the Estado de Mexico. For this, 3 Federal Inspection Type (TIF) plants in Mexico were analyzed, with n = 90 samples, 10 raw meat product (beef, pork and turkey meat), 10 finished meat product and 70 work tools. Eighteen (20%) E. coli strains were isolated (3 raw meat product, 2 finished meat products and 13 work tools (P > 0.05). The E. coli isolates showed high levels of resistance to ampicillin (88.8%), cephalothin (88.8%), carbenicillin (83.3%) and chloramphenicol (61.1%). There was a relationship between E. coli strains resistant to ampicillin and chloramphenicol and presence of resistance genes Pse-1 4/18 (22%) and floR 4/18 (22%). Five (55.5%) positive isolates to Pse-1 and floR, also exhibit the Cs3 Cs5 genes for the class I integrons. The results indicate that antimicrobial resistance and genetic resistance factors are present in Escherichia coli isolated from food processing plants, suggesting that they can be transmitted to the intestine microbiota of human population by contamination and consumption of improperly processed products and become a risk factor for public health.
Los alimentos cárnicos constituyen uno de los principales vehículos de enfermedades transmitidas por alimentos, como consecuencia de un manejo deficiente durante su procesamiento. El objetivo del presente trabajo fue determinar la frecuencia de algunos factores de resistencia antibiótica de Escherichia coli en plantas Tipo Inspección Federal (TIF) del Estado de México. Para este fin se analizaron muestras de tres plantas TIF en el Estado de México (n = 90), 10 de materia prima (carne de bovino, cerdo y pavo), 10 de producto terminado y 70 de utensilios de trabajo. Se aislaron 18 (20%) cepas de E. coli, 3 de materia prima, 2 de producto terminado y 13 de utensilios de trabajo (P > 0.05). Las E. coli aisladas presentaron una frecuencia alta de resistencia a ampicilina (88.8%), cefalotina (88.8%), carbencilina (83.3%) y cloranfenicol (61.1%). Se encontró una relación entre las cepas de E. coli resistentes a ampicilina y cloranfenicol y la presencia de genes de resistencia Pse-1 4/18 (22%) y floR 4/18 (22%). Cinco (55.5%) aislamientos positivos a Pse-1 y floR también presentaron el gen Cs3 Cs5 del integrón clase I. Los resultados indican que la resistencia antimicrobiana y los factores de resistencia genéticos están presentes en Escherichia coli aislada de plantas procesadoras de alimentos, lo que sugiere que estos elementos pueden transmitirse a la microbiota intestinal de la población humana a través de la contaminación y consumo de productos mal procesados, y ser un factor de riesgo para la salud pública.
