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Incidence of Methicillin-Resistant Staphylococcus aureus (MRSA) in Microbial Community of Cancer Patients and Evaluation of Their Resistant Pattern

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Abstract

Cancer patients are prone to MRSA infection due to a number of factors including prolonged hospitalization, intravascular catheterization, compromised host immunity, malignancy, chemotherapy, radiotherapy surgery, prior antibiotic therapy and prolonged operative time. Among 468 Staphylococcus isolates, 283 were methicillin-resistant Staphylococcus aureus isolates (MRSA), which indicated the occurrence and prevalence of MRSA isolates among cancer patients. The highest number of MRSA strains was isolated from male (124 isolates), female (90 isolates) followed by children (69 isolates), which represent 43.82, 31.80 and 24.38%, respectively, of all MRSA isolates. All S. aureus exhibited resistance to a higher number of antibiotics in common use. All isolates were oxacillin, cefoxitin (with MIC 256 to \({>}1024\,\upmu \,\hbox {g/mL}\)), clindamycin, penicillin, ceftriaxone, cephalothin and cefazolin (with MIC ranging between 128 and \({>}1024\,\upmu \,\hbox {g/mL}\)) resistant. 87.63% of MRSA isolates showed various multidrug-resistant profiles (MDRPs) toward more than one drug, and according to their MDRPs toward a panel of 17 antibiotics, MRSA strains were divided into seven patterns of resistance profiles. The existence of mecA gene corresponds to 100% with the methicillin phenotypic resistance in all MRSA isolates. The plasmid DNA profile of 85 multidrug-resistant S. aureus (MRSA) isolates showed that 42 isolates (49.41%) had plasmid bands.

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References

  1. Zorgani, A.A.; Belgasim, Z.; Ziglam, H.; Ghenghesh, K.S.: Antimicrobial susceptibility profiles of Gram-negative bacilli and Gram-positive cocci isolated from cancer patients in Libya. Arch. Clin. Microbiol. 3(3), 3 (2012). doi:10.3823/253

    Google Scholar 

  2. Ashour, H.M.; El-Sharif, A.: Microbial spectrum and antibiotic susceptibility profile of Gram-positive aerobic bacteria isolated from cancer patients. J. Clin. Oncol. 25(36), 5763–5769 (2007)

    Article  Google Scholar 

  3. Khamees, A.A.; Abdelbary, N.M.; Elmasry, E.A.; Gohar, S.F.: Incidence of MRSA infection in pneumonia in cancer patients with phenotyping and genotyping study. Egypt. J. Chest Dis. Tubercul. 64, 689–691 (2015)

    Article  Google Scholar 

  4. Maina, D.; Omuse, G.; Revathi, G.; Adam, R.D.: Spectrum of microbial diseases and resistance patterns at a private teaching hospital in Kenya: implications for clinical practice. PLoS ONE 11(1), e0147659 (2016). doi:10.1371/journal.pone.014765925

    Article  Google Scholar 

  5. Sergelidis, D.; Angelidis, A.S.: Methicillin-resistant Staphylococcus aureus (MRSA): a controversial food-borne pathogen. Lett. Appl. Microbiol. (2017). doi:10.1111/lam.12735

  6. Bitrus, A.A.; Zunita, Z.; Bejo, S.K.; Othman, S.; Nadzir, N.A.A.: In vitro transfer of methicillin resistance determinants mecA from methicillin resistant Staphylococcus aureus (MRSA) to methicillin susceptible Staphylococcus aureus (MSSA). BMC Microbiol. 17, 83 (2017). doi:10.1186/s12866-017-0994-6

  7. Hasan, R.; Acharjee, M.; Noor, R.: Prevalence of vancomycin resistant Staphylococcus aureus (VRSA) in methicillin resistant S. aureus (MRSA) strains isolated from burn wound infections. Tzu Chi Med. J. 28, 49–53 (2016)

  8. Miranda, S.; David, M.G.; Peter, J.C.: Evolution of multi-resistance plasmids in Australia clinical isolates of E. coli. Microbiology 150, 1539–1549 (2004)

  9. Mehrotra, M.; Gehua, W.; Wendy, M.J.: Multiplex PCR for detection of genes for Staphylococcus aureus enterotoxins, exfoliative toxins, toxic shock syndrome toxin 1, and methicillin resistance. J. Clin. Microbiol. 38(3), 1032–1035 (2000)

  10. Adeleke, O.E.; Odelola, H.A.: Plasmid profiles of multiple drug resistant local strains of Staphylococcus aureus. Afr. J. Med. Pharm. Sci. 26, 119–121 (1997)

  11. Adeleke, O.E.; Odelola, H.A.; Oluwole, F.A.: Curing of antibiotic resistance in clinical strains of Staphylococcus aureus. Afr. J. Med. Pharm. Sci. 6, 19–25 (2002)

  12. Yadegarynia, D.; Tarrand, J.; Raad, I.: Current spectrum of bacterial infections in cancer patients. Clin. Infect. Dis. 37, 1144–1145 (2003)

    Article  Google Scholar 

  13. Falagas, M.E.; Karageorgopoulos, D.E.; Leptidis, J.; Korbila, I.P.: MRSA in Africa: filling the global map of antimicrobial resistance. PLoS ONE 8(7), e68024 (2013). doi:10.1371/journal.pone.0068024

    Article  Google Scholar 

  14. Mahmud, S.; Ghafoor, T.; Badsha, S.; Gul, M.S.: Bacterial infections in paediatric patients with chemotherapy induced neutropenia. J. Pak. Med. Assoc. 54(5), 237–243 (2004)

    Google Scholar 

  15. Lupetti, A.; Barnini, S.; Morici, P.; Ghelardi, E.; Nibbering, P.H.; Campa, M.: Saponin promotes rapid identification and antimicrobial susceptibility profiling of Gram-positive and Gram-negative bacteria in blood cultures with the Vitek 2 system. Eur. J. Clin. Microbiol. Infect. Dis. 32, 493–502 (2013). doi:10.1007/s10096-012-1762-z

    Article  Google Scholar 

  16. Bergey’s Manual of Systematic Bacteriology. Vols. 1–4. Williams & Wilkins, Baltimore (1984–1989)

  17. Manafi, M.; Kneifel, W.; Bascomb, S.: Fluorogenic and chromogenic substrates used in bacterial diagnostics. Microbiol. Rev. 55, 335–348 (1991)

    Google Scholar 

  18. Thornsberry, C.; McDougal, L.K.: Successful use of broth microdilution in susceptibility tests for methicillin-resistant (heteroresistant) Staphylococci. J. Clin. Microbiol. 18(5), 1084–1091 (1983)

  19. McDougal, L.K.; Thornsberry, C.: The role of beta-lactamase in Staphylococcal resistance to penicillinase-resistant penicillins and cephalosporins. J. Clin. Microbiol. 23(5), 832–839 (1986)

  20. Kado, C.I.; Liu, S.T.: Rapid procedure for detection and isolation of large and small plasmids. J. Bacteriol. 145(3), 1365–1373 (1981)

    Google Scholar 

  21. Lamido, T.Z.; Ibrahim, A.R.; Linda, C.O.; Fatima, L.A.: Coagulase positive Staphylococcal-induced Otitis media in the General Hospital Maiduguri, Nigeria and antibiotic susceptibility patterns. J. Aetiol. Agent 3(4), 65–69 (2011)

  22. Merlino, J.; Watson, J.; Rose, B.; Beard-Pegler, M.; Gottlieb, T.; Bradbury, R.; Harbour, C.: Detection and expression of methicillin/oxacillin resistance in multidrug-resistant and non-multidrug-resistant Staphylococcus aureus in Central Sydney, Australia. J. Antimicrob. Chemother. 49(5), 793–801 (2002)

  23. Murakami, K.; Minamido, W.: Identification of methicillin-resistant strains of Staphylococci by polymerase chain reaction. J. Clin. Microbiol. 29(10), 2240–2244 (1991)

  24. Ribeiro, J.; Boyce, J.; Zancanaro, Q.: Prevalence of methicillin resistant Staphylococcus aureus (MRSA) among patients visiting the emergency room at a tertiary hospital in Brazil. Braz. J. Infect. Dis. 9(1), 52–55 (2005)

  25. Borg, M.A.; de Kraker, M.; Scicluna, E.: Prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in invasive isolates from southern and eastern Mediterranean countries. J. Antimicrobial Chemother. 60, 1310–1315 (2007)

  26. Lanoix, P.; Pluquet, E.; Lescure, X.: Bacterial infection profiles in lung cancer patients with febrile neutropenia. BMC Infect. Dis. 27(11), 183 (2011). http://www.biomedcentral.com/1471-2334/11/183

  27. Akinosoglou, K.; Karkoulias, K.; Marangos, M.: Infectious complications in patients with lung cancer. Eur. Rev. Med. Pharmacol. Sci. 17, 8–18 (2013)

    Google Scholar 

  28. El Kholy, A.; Baseem, H.; Hall, G.S.; Procop, G.W.; Longworth, D.L.: Antimicrobial resistance in Cairo, Egypt 1999–2000: a survey of five hospitals. J. Antimicrob. Chemother. 51, 625–630 (2003)

    Article  Google Scholar 

  29. Ashour, H.M.; El-Sharif, A.: Species distribution and antimicrobial susceptibility of gram-negative aerobic bacteria in hospitalized cancer patients. J. Transl. Med. 7(14), 1–13 (2009)

    Google Scholar 

  30. Islam, S.; Ahmed, M.F.; Rahman, S.R.: Incidence of methicillin resistant Staphylococcus aureus in burn patients admitted to burn unit, Dhaka Medical College Hospital, Bangladesh. Adv. Microbiol. 3, 498–503 (2013)

  31. Olowe, O.A.; Okanlawon, B.M.; Olowe, R.A.; Adedosu, O.T.; Olayemi, A.B.: Multiple drug resistant patterns of Salmonella typhimurium infections in Oshogbo, South Western Nigeria. J. Am. Sci. 3(4), 40–44 (2007)

    Google Scholar 

  32. Pasisi, J.T.; Hecty, D.W.: Plasmid profiles in epidemiologic studies of infection by Staphylococcus epidermidis. J. Infect. Dis. 141, 637–643 (1980)

  33. Mayer, L.W.: Use of plasmid profiles in epidemiologic surveillance of disease outbreaks and in tracing the transmission of antibiotic resistance. Clin. Microb. Rev. 1, 228–243 (1988)

    Article  Google Scholar 

  34. Nezhad, R.R.; Meybodi, S.M.; Rezaee, R.; Goudarzi, M.; Fazeli, M.: Molecular characterization and resistance profile of methicillin resistant Staphylococcus aureus strains isolated from hospitalized patients in intensive care unit, Tehran–Iran. Jundishapur J. Microbiol. 10(3), e41666 (2017). doi:10.5812/jjm.41666

  35. Shittu, A.O.; Kenneth, O.; Solayide, A.; Omotayo, O.; Wolfgang, W.; Birgit, S.; Franziska, L.; Ulrich, N.: Antibiotic resistance and molecular epidemiology of Staphylococcus aureus in Nigeria. BMC Microbiol. 11, 92 (2011)

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Acknowledgements

Authors would like to thank the authorities of National Research Centre, Giza, Egypt, for providing the facilities and supporting by the fund (Project Code: 9100302) to carry out this work.

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Correspondence to Ahmed Mohamed Ahmed El-Bondkly.

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El-Gendy MMAA, El-Bondkly AM, Keera AA and Ali AM designed the study, preformed the experiments, managed literature searches and data analysis and wrote the manuscript. All the authors read and approved the final manuscript.

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El-Gendy, M.M.A.A., El-Bondkly, A.M.A., Keera, A.A. et al. Incidence of Methicillin-Resistant Staphylococcus aureus (MRSA) in Microbial Community of Cancer Patients and Evaluation of Their Resistant Pattern. Arab J Sci Eng 43, 83–92 (2018). https://doi.org/10.1007/s13369-017-2670-4

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