Abstrak
Objectives: Staphylococcus species are notorious
pathogens associated with significant morbidity and
mortality in healthcare institutions. Studies have
shown that biofilm-producing Staphylococci are more
difficult to control with higher resistance to
antibacterial agents than those not embedded in
biofilm. The study was aimed to evaluate the
prevalence of biofilm genes in multidrug resistance
Staphylococcus species and its effect on drug
resistance.
Methods: A total of 53 Staphylococcal isolates were
obtained from two teaching hospitals (include name
of the hospitals), with the sources comprising of urine
[6] and feaces [1]; hospital door handles [31], hospital
walls [5], and hospital bed [10]. Identity of
Staphylococcus species were confirmed by
sequencing its tuf gene. Antibiotic susceptibility was
performed using the diffusion method. Biofilm genes
(fnbA, cna, icaA, icaD and fnbB) were assayed by
multiplex polymerase chain reaction. The data were
analyzed by descriptive statistics and effect on
resistance by Chi square at pd”0.05.
Results: Staphylococcus species identified were
Staphylococcus epidermidis [38], Staphylococcus
scuiri [7], Staphylococcus xylosus [5],
Staphylococcus saprophyticus
[2] and
Staphylococcus arlettae [1]. The isolates were
highly resistant to all the antibiotics tested except
ofloxacin, ciprofloxacin and levofloxacin. The biofilm
genes (fnbA, icaD and icaA) were found in 35%,
17% and 1% isolates respectively and had no effect
on antibiotic resistance (p>0.05).
Conclusion: This study revealed that some
Staphylococcus species irrespective of the sources
produced biofilms and were highly resistant to
different antibiotic classes regardless of the biofilm
status. Therefore, regular surveillance system is
important to monitor and mitigate the spread of
antimicrobial resistance in our community.
Referensi
Chambers H F, Deleo FR. Waves of resistance:
Staphylococcus aureus in the antibiotic era.
Nat Rev Microbiol. 2009;7: 629-641.
Waters EM, Rowe SE, O’Gara JP, Conlon BP.
Convergence of Staphylococcus
aureus Persister and Biofilm Research: Can
Biofilms Be Defined as Communities of
Adherent Persister Cells? PLoS Pathog.
;12(12): e1006012.
Galié S, García-Gutiérrez C, Miguélez EM,
Villar CJ, Lombó F. Biofilms in the Food
Industry: Health Aspects and Control Methods.
Front. Microbiol. 2018; 9:898.
Ghasemian A, NajarPeerayeh S, Bakhshi B,
Mirzaee M. Biofilm formation between
Methicillin-resistant and methicillinsusceptible isolates of Staphylococcus aureus.
Iran Biomed. 2016; 20: 175-181.
Sharma D, Misba L, Khan AU. (2019).
Antibiotics versus biofilm: an emerging
battleground in microbial communities.
Antimicrob Resist Infect Control. 2019;
:76.
Andersson DI, Hughes D. Peristence of
antibiotic resistance in bacterial populations.
FEMS Microbiol Rev. 2011 35:901–911.
Tacconelli E, Pezzani MD. Public health
burden of antimicrobial resistance in Europe.
The Lancet Infect Dis. 2019; 19(1): 4-6.
Antimicrobial Resistance Collaborators. Global
burden of bacterial antimicrobial resistance in
: a systematic analysis. Lancet. 2022;
: 629-55.
Bharadwaj A, Rastogi A, Pandey S, Gupta S,
Sohal JS. Multidrug-Resistant Bacteria: Their
mechanism of action and
prophylaxis. BioMed res int. 2022; 2022:
Silva V, Capelo JL, Igrejas G, Poeta P.
Molecular mechanisms of antimicrobial
resistance in Staphylococcus aureus
biofilms. In: Emerging Modalities in Mitigation
of Antimicrobial Resistance. Springer; 2022.
pp. 291-314.
Thöming JG, Häussler S. Pseudomonas
aeruginosa is more tolerant under biofilm than
under planktonic growth conditions: a multiisolate survey. Front cell infect microbiol.
; 12:851784.
Denissen J, Reyneke B, Waso-Reyneke M,
Havenga B, Barnard T, Khan S, Khan W.
Prevalence of ESKAPE pathogens in the
environment: Antibiotic resistance status,
community-acquired infection and risk to
human health. Int. J of hyg Environ Health.
; 244:114006.
Sasirekha B, Usha MS, Amruta JA, Ankit S,
Brinda N, Divya R. Incidence of constitutive
and inducible clindamycin resistance among
hospital associated Staphylococcus. FEMS
Microbiol. Lett. 2014; 2: 85-89.
CO. Ezeamagu, OM. Adeogun and TF Osisami
Clinical Laboratory Standards Institute.
Performance Standards for Antimicrobial
Susceptibility Testing. CLSI 2020; Seventeenth
Informational Supplement. Document M100-
S17. Wayne, PA.
Ezeamagu C, Imanatue I, Dosunmu M,
Odeseye A, Baysah G, Aina D, Odutayo F,
Mensah-Agyei G. Detection of Methicillin
Resistant and Toxin-associated Genes in
Staphylococcus aureus. Beni-Suef Univ J
Basic Appl Sci. 2018; 7(1): 92-97.
Shahmoradi M, Faridifar P, Shapouri R,
Mousavi, SF, Ezzedin M, Mirzaei B.
Determining the biofilm forming gene profile
of Staphylococcus aureus clinical isolates via
multiplex colony PCR method. Rep Biochem
Mol Biol. 2019; 7(2): 181-188.
Demira C, Demirci M, Yigin A, Tokman HB,
Yildiz SC. Presence of biofilm and adhesin
genes in Staphylococcus aureus strains taken
from chronic wound infections and their
genotypic and phenotypic antimicrobial
sensitivity patterns. Photodiagnosis
Photodyn Ther. 2020; 29: 101584.
Martineau F, Picard FJ, Ke D, Paradis S, Roy
PH, Ouellette M, Bergeron MG. Development
of a PCR Assay for Identification of
Staphylococci at Genus and Species Levels.
J Clin Microbiol. 2001; 39(7):2541-2547.
Ogbodogbo FO, Ezeamagu CO, Barns JN.
Diversity and susceptibility pattern of medically
important bacteria isolated from intestinal tract
of Hemidactylus frenatus in Ilishan Remo,
Ogun State. J Appl Biol Biotech. 2021; 9(2):
-141.
Socohou A, Sina H, Degbey C, Nanoukon C,
Chabi-Sika K, Ahouandjinou H, Lehmane H,
Baba-Moussa F, Baba-Moussa L. Antibiotics
Resistance and Biofilm Formation Capacity of
Staphylococcus spp. Strains Isolated from
Surfaces and Medicotechnical Materials. Int
J Microbiol. 2020; 10(6): 1-6.
Otter JA, Yezli S, French GL. The role played
by contaminated surfaces in the transmission
of nosocomial pathogens. Infect Control
Hosp Epidemiol. 2013; 34(5): 508-515.
Mokracka J, Koczura R, Kaznowski A. High
prevalence of Staphylococcus aureus (MRSAMSSA) in environmental samples from
hospital wards. Polish J Microbiol. 2017;
(3): 363-370.
Bhargava HN, Leonard PA. Challenges in
Hospital Environmental Hygiene and the Need
for Preemptive Measures. J Healthc Eng.
; 5(2):185-195.
Rebiahi SA. Caract´erisation de souches de
Staphylococcus aureus et ´etude de leur
antibioresistance au niveau du centre
hospitalo-universitaire de Tlemcen, 2012;
Ph.D. thesis, Universit´e Tlemcen, Tlemcen,
Algeria.
Shrestha LB, Bhattarai NR, Rai K, Khanal B.
Antibiotic resistance and mecA gene
characterization of coagulase-negative
staphylococci isolated from clinical samples
in Nepal. Infect Drug Resist. 2020;13:3163–
Manandhar S, Singh A, Varma A, Pandey S
and Shrivastava N. Phenotypic and genotypic
characterization of bioflm producing clinical
coagulase negative staphylococci from Nepal
and their antibiotic susceptibility pattern. Ann
Clin Microbiol Antimicrob (2021) 20:41.
Arciola CR, Campoccia D, Gamberini S,
Baldassarri L, Montanaro L. Prevalence of
cna, fnbA and fnbB adhesin genes among
Staphylococcus aureus isolates from
orthopedic infections associated to different
types of implant. FEMS Microbiol Lett. 2015;
(1): 87-93.
Carcione D, Leccese G, Conte G, Rossi E,
Intra J, Bonomi A, Sabella S, Moreo M, Landini
P, Brilli M, Paroni M. (2022). Lack of Direct
Correlation between Biofilm Formation and
Antimicrobial Resistance in Clinical
Staphylococcus epidermidis Isolates from an
Italian Hospital. Microorganisms. 2022 10:
Mah TF. Biofilm-specific antibiotic
resistance. Future Microbiol. 2012; 7:1061-
Subbiahdoss G, Kuijer R, Grijpma DW, van
der Mei HC, Busscher H J. Microbial biofilm
growth vs. tissue integration: “The race for
the surface” experimentally studied. Acta
Biomaterialia. 2012; 8(2): 397-403.
Otto, M. (2008). Staphylococcal Biofilms.
Infect Immun, 76(5): 2048-2057.