Issue
Molecular and phenotypic characterization of the vancomycin-resistant gene in bacterial isolates acquired from catheter tips
Corresponding Author(s) : Irfan Ahmad
Cellular and Molecular Biology,
Vol. 63 No. 12: Issue 12
Abstract
Gram-positive bacteria, particularly Staphylococcus aureus is a significant pathogen, not only in the hospital setting but the community also. S. aureus is a major cause of serious hospital and community-acquired infections, particularly in the colonized individuals. The emergence of vancomycin-resistant S. aureus (VRSA) strains has led to global concerns about treatments for staphylococcal infections. Until now, few strains of VRSA have been reported worldwide. The conventional disk diffusion method for determination of vancomycin sensitivity often misclassifies intermediately susceptible isolates to fully sensitive. However, non-automated minimum inhibitory concentration (MIC) detection methods are the gold standards. Hence there is a dire need of some advanced methods for rapid detection of VRSA strains. In the present study, Gram-positive clinical isolates were collected from different wards of K.G.M.U. Hospital, among them, 12 bacterial isolates were identified as Staphylococcus aureus and 18 isolates as Klebsiella spp. Genomic DNA of S. aureus was isolated and used as template in PCR for detection of the presence of van A and van X gene based on a given protocol. Nosocomial infections have an impact on morbidity and probably on mortality as well, and pose a significant economic burden. Rapid molecular identification of antibiotic-resistant strains undoubtedly helps to prevent the hospital-induced infections.
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- References:
- • Bereket, W., K. Hemalatha, B. Getenet, T. Wondwossen, A. Solomon, A. Zeynudin, and S. Kannan. "Update on bacterial nosocomial infections." Eur Rev Med Pharmacol Sci 16, no. 8 (2012): 1039-44.
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- • David, Michael Z., and Robert S. Daum. "Community-associated methicillin-resistant Staphylococcus aureus: epidemiology and clinical consequences of an emerging epidemic." Clinical microbiology reviews 23, no. 3 (2010): 616-687.
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- • Donabedian, Susan, Ellie Hershberger, Lee Ann Thal, J. W. Chow, Don B. Clewell, Barbara Robinson-Dunn, and Marcus J. Zervos. "PCR fragment length polymorphism analysis of vancomycin-resistant Enterococcus faecium." Journal of clinical microbiology 38, no. 8 (2000): 2885-2888.
- • Dutka-Malen, Sylvie, Catherine Molinas, Michel Arthur, and Patrice Courvalin. "Sequence of the vanC gene of Enterococcus gallinarum BM4174 encoding a D-alanine: D-alanine ligase-related protein necessary for vancomycin resistance." Gene 112, no. 1 (1992): 53-58.
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- • Jarvis WR . Selected aspects : morbidity mortality , cost , and prevention. Infect Control Hosp Epidemiol 1996; 17 : 552 – 557.
- • Matuschek, Erika, Derek FJ Brown, and Gunnar Kahlmeter. "Development of the EUCAST disk diffusion antimicrobial susceptibility testing method and its implementation in routine microbiology laboratories." Clinical Microbiology and Infection 20, no. 4 (2014): O255-O266.
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- • McGowan JE. Cost and benefit: a critical issue for hospital infection control. Am J Infect Control 1982;10:100-8.
- • McGuinness WA, Malachowa N, DeLeo FR. Vancomycin Resistance in Staphylococcus aureus . Yale J Biol Med. 2017 Jun 23;90(2):269-281. eCollection 2017 Jun.Review. PubMed PMID: 28656013; PubMed Central PMCID: PMC5482303.
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- • Niederman, Michael S. "Impact of antibiotic resistance on clinical outcomes and the cost of care." Critical care medicine 29.4 (2001): N114-N120.
- • Noble, W. C., Zarina Virani, and Rosemary GA Cree. "Co-transfer of vancomycin and other resistance genes from Enterococcus faecalis NCTC 12201 to Staphylococcus aureus." FEMS microbiology letters 93, no. 2 (1992): 195-198.
- • Pawa AK , Ramji S , Prakash K , Thirupuram S,Neonatal nosocomial infection . Profile and risk factor .Indian paediatrics 1997;34 :297-302.
- • Restuccia PA, Cunha BA. Klebsiella. Infect Control. Jul 1984;5(7):343-7..
- • Saeed, Mohd, S. Siddiqui, Preeti Bajpai, A. K. Srivastava, and Huma Mustafa. "Amplification of Brugia malayi DNA using Hha1 Primer as a Tool." In The Open Conference Proceedings Journal, vol. 5, pp. 38-40. 2014.
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- • Vachhani, Nishith Ashvinbhai. "Isolation, chaeacterization & Study of Microorganism from post operatively infected Patients in Hospitals." (2013).
- • Weigel, Linda M., et al. "High-level vancomycin-resistant Staphylococcus aureus isolates associated with a polymicrobial biofilm." Antimicrobial agents and chemotherapy 51.1 (2007): 231-238.
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References
References:
• Bereket, W., K. Hemalatha, B. Getenet, T. Wondwossen, A. Solomon, A. Zeynudin, and S. Kannan. "Update on bacterial nosocomial infections." Eur Rev Med Pharmacol Sci 16, no. 8 (2012): 1039-44.
• Brakstad, O. G., Aasbakk, K., & Maeland, J. A. (1992). Detection of Staphylococcus aureus by polymerase chain reaction amplification of the nuc gene. Journal of clinical microbiology, 30(7), 1654-1660.
• David, Michael Z., and Robert S. Daum. "Community-associated methicillin-resistant Staphylococcus aureus: epidemiology and clinical consequences of an emerging epidemic." Clinical microbiology reviews 23, no. 3 (2010): 616-687.
• Donabedian, Susan, Ellie Hershberger, Lee Ann Thal, J. W. Chow, Don B. Clewell, Barbara Robinson-Dunn, and Marcus J. Zervos. "PCR fragment length polymorphism analysis of vancomycin-resistant Enterococcus faecium." Journal of clinical microbiology 38, no. 8 (2000): 2885-2888.
• Donabedian, Susan, Ellie Hershberger, Lee Ann Thal, J. W. Chow, Don B. Clewell, Barbara Robinson-Dunn, and Marcus J. Zervos. "PCR fragment length polymorphism analysis of vancomycin-resistant Enterococcus faecium." Journal of clinical microbiology 38, no. 8 (2000): 2885-2888.
• Dutka-Malen, Sylvie, Catherine Molinas, Michel Arthur, and Patrice Courvalin. "Sequence of the vanC gene of Enterococcus gallinarum BM4174 encoding a D-alanine: D-alanine ligase-related protein necessary for vancomycin resistance." Gene 112, no. 1 (1992): 53-58.
• Haley RW, Schaberg DR, Crossley KB, Von Allmen SD, McGowan JE Jr. Extra charges and prolongation of stay attributable to nosocomial infections: a prospective interhospital comparison. Am J Med 1981;70:51-8.
• Hughes JM, Jarvis WR. Epidemiology of nosocomial infections. In: Lennette EH, Balows A, Hausler WJ Jr, Shadomy HJ, eds. Manual of clinical microbiology. Washington, D.C.: American Society for Microbiology 1985:99-104.
• Jarvis WR . Selected aspects : morbidity mortality , cost , and prevention. Infect Control Hosp Epidemiol 1996; 17 : 552 – 557.
• Matuschek, Erika, Derek FJ Brown, and Gunnar Kahlmeter. "Development of the EUCAST disk diffusion antimicrobial susceptibility testing method and its implementation in routine microbiology laboratories." Clinical Microbiology and Infection 20, no. 4 (2014): O255-O266.
• McGowan JE. Cost and benefit: a critical issue for hospital infection control. Am J Infect Control 1982;10:100-8.
• McGowan JE. Cost and benefit: a critical issue for hospital infection control. Am J Infect Control 1982;10:100-8.
• McGuinness WA, Malachowa N, DeLeo FR. Vancomycin Resistance in Staphylococcus aureus . Yale J Biol Med. 2017 Jun 23;90(2):269-281. eCollection 2017 Jun.Review. PubMed PMID: 28656013; PubMed Central PMCID: PMC5482303.
• MÅ‚ynarczyk, A., G. MÅ‚ynarczyk, and M. Åuczak. "Conjugative transfer of glycopeptide and macrolide resistant genes among enterococci and from Enterococcus faecalis to Staphylococcus aureus." Medycyna doswiadczalna i mikrobiologia 54, no. 1 (2002): 21-28.
• Niederman, Michael S. "Impact of antibiotic resistance on clinical outcomes and the cost of care." Critical care medicine 29.4 (2001): N114-N120.
• Noble, W. C., Zarina Virani, and Rosemary GA Cree. "Co-transfer of vancomycin and other resistance genes from Enterococcus faecalis NCTC 12201 to Staphylococcus aureus." FEMS microbiology letters 93, no. 2 (1992): 195-198.
• Pawa AK , Ramji S , Prakash K , Thirupuram S,Neonatal nosocomial infection . Profile and risk factor .Indian paediatrics 1997;34 :297-302.
• Restuccia PA, Cunha BA. Klebsiella. Infect Control. Jul 1984;5(7):343-7..
• Saeed, Mohd, S. Siddiqui, Preeti Bajpai, A. K. Srivastava, and Huma Mustafa. "Amplification of Brugia malayi DNA using Hha1 Primer as a Tool." In The Open Conference Proceedings Journal, vol. 5, pp. 38-40. 2014.
• Sedor J, Mulholland SG. Hospital-acquired urinary tract infections associated with the indwelling catheter. Urol Clin North Am. Nov 1999;26(4):821-8.
• Vachhani, Nishith Ashvinbhai. "Isolation, chaeacterization & Study of Microorganism from post operatively infected Patients in Hospitals." (2013).
• Weigel, Linda M., et al. "High-level vancomycin-resistant Staphylococcus aureus isolates associated with a polymicrobial biofilm." Antimicrobial agents and chemotherapy 51.1 (2007): 231-238.
• World Health Organization. Antimicrobial resistance: global report on surveillance. World Health Organization, 2014.