Antibotics Resistance Genes And Susceptibility of Clinical Isolates of Staphylococcus saprophytlcus Strains

Date

2020-12-10

Supervisor(s)

Prof .O. O. Kuforiji

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Publisher

Bells University of Technology

Type

Dissertation

Abstract

Staphylococcus saprophyticus is a coagulase-negative ( CoNS) coccus associated primarily with community-acquired lower Urinary Tract Infection (UTI). This study investigated presence of Antibiotic resistant Genes (AGS) and susceptibility pattern of S. saprophyticus from women with UTI . Fifty (50) S.saprophyticus strains obtained from four hospitals were identified morphologically and biochemically. Antibiotics resistance pattern was determined via Kirby-Bauer disc diffusion method against 14 antibiotics : Ceftazidime (CAZ) , Cefuroxime (CRX) , Gentamicin (GEN), Cefriazone( CTR) , Erythromycin ( ERY) , Cloxacillin ( CXC) , Ofloxacin (OFL),Augmentin (AUG),Cefdinir (RNF), Ciprofloxacin (CPT), Oxacillin (OX), Mipenem (MIP), Levofloxacin (LVS) and pefloxacin (PEF).Presence of ARGs ermA,aac(6')-aph(2''), meca, blaZ and femB was confirmed on gel electrophoresis by standard methods. Multiple Antibiotic Resistance index (MAR) was also determined, while plasmid- mediated antibiotic resistance was investigated. S. saprophyticus strains were resistant to ERY,OX and CXC, while MIP,PEF and LVS susceptibility was observed. No isolate had 100% sensitivity to the antibiotics, 1. 3(26) were sensitive to 50% antibiotics , five ( G95, G98, G112, S09, S26) were resistant to>90% of antibiotics, while one strain (S09) exhibited total resistance . all strains had > 20% MARI while two-thirds had 0.5 MARI . Seventy percent of S .saprophyticus expressed both mecA and femB , three (3) strains expressed all at least AGRs (S04, S26, L90) , or did not express any ( M60, M123, M48) , while 64% expressed at least two AGRs. Resistance genes meeA and femB were the most expressed genes ( Hospital G, S and L ) , while <50% of strains expressed Blaz. Fourteen (14) strains had plasmid -mediated resistance , while 50% plasmid resistance was observed in hospital L . This study , therefore, showed that increased antibiotics - resistance and presence of ARGs in S. saprophyticus means the pathogen should be given better attention by clinic in cases of bacteremia, bacteriuria, septicemia and UTI cases.

Description

xii,65 pages, illustration; hardback

Keywords

Staphylococcus saprophyticus, Ciprofloxacin

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