Molecular Typing of Hospital-Acquired Staphylococcus aureus Isolated from Isfahan, Iran

Author:

Havaei Seyed Asghar1,Ghanbari Fahimeh2,Rastegari Ali Asghar3,Azimian Amir4ORCID,Khademi Farzad5,Hosseini Nafiseh1,Ebrahimzadeh Namvar Amirmorteza1,Vaez Hamid1,Havaei Seyed Mehdi6,Shahin Mojtaba7

Affiliation:

1. Department of Microbiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2. Department of Microbiology, Faculty of Bioscience, Islamic Azad University, Falavarjan Branch, Isfahan, Iran

3. Department of Molecular and Cell Biochemistry, Faculty of Bioscience, Falavarjan Branch, Islamic Azad University, Isfahan, Iran

4. Department of Pathobiology and Anatomy, School of Medicine, North Khorasan University of Medical Science, Bojnord, Iran

5. Department of Medical Bacteriology and Virology, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

6. Department of Biology, Faculty of Sciences, Shiraz University, Shiraz, Iran

7. Department of Microbiology, School of Medicine, Ahvaz University of Medical Sciences, Ahvaz, Iran

Abstract

Background. Staphylococcus aureus (S. aureus) is one of the most common pathogens that cause hospital- and community-acquired infections in the world. The use of molecular typing methods is essential for determining the origin of the strains, their clonal relations, and also in epidemiological investigations. The purpose of this study was to determine the prevalence of antibiotic resistant S. aureus isolates and using spa, agr, and SCCmec typing to determine the dominant types in Iran. Material and Method. Fifty isolates of S. aureus were collected from January to May 2010. S. aureus identification was performed by biochemical tests. Disk diffusion method was employed to assess the sensitivity of S. aureus strains to antibiotics and then genetic analysis of bacteria was performed using SCCmec, agr, and spa typing. Results. S. aureus resistance to tetracycline, cefoxitin, clindamycin, ciprofloxacin, gentamicin, Cot: cotrimoxazole, levofloxacin, rifampin, and vancomycin were found to be 36%, 18%, 12%, 12%, 22%, 6%, 6%, and 0%, respectively. The results of this study showed that 16% of the isolates were resistant to methicillin (MRSA) and the majority of isolates were SSC mec type IV. In addition spa and agr typing revealed agr typeI and spa type t7688 to be the most predominant. Conclusion. In this study, spa typing showed 100% reliability and the t7688 spa type had a frequency of 26% compared to the frequency of 0.0% in the Ridom SpaServer. The frequency of t304 spa type was higher than the global average.

Publisher

Hindawi Limited

Subject

General Medicine

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