Frequency of MecA gene and Susceptibility Pattern in Airborne Methicillin Resistant Staphylococcus aureus Isolated from Different Hospitals in North of Jordan

Authors

  • Ismail Saadoun Department of Applied Biology, Jordan University of Science and Technology, Irbid, Jordan
  • Ibrahim Ali Al Tayyar Department of Medical Laboratory Science, Faculty of Engineering Technology, Sebha University, Sebha, Libya
  • Ziad Elnasser Department of Pathology and Microbiology, Jordan University of Science and Technology, Irbid, Jordan
  • Qotaiba Ababneh Department of Applied Biology, Jordan University of Science and Technology, Irbid, Jordan

Keywords:

Airborne, Antibiotic, MRSA, mecA gene

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) is seen with increasing frequency in hospitals and considered as a major cause of hospital acquired infection. Our objective is to evaluate the presence of airborne MRSA in the operating theatres (OT), intensive care units (ICU) and nursery intensive care units (NICU) of six Hospitals, North of Jordan, their susceptibility to different antibiotics and their analysis for the presence of methicillin resistant gene (mecA) by PCR. Thirty four air samples of 100 liters volume/min were collected by a microbiological air sampler from the above units during the period June-December/2005. Air samples were impacted on trypticase soy agar (TSA) then incubated at 37 °C for 48 h. Each bacterial colony appeared on agar plates were sub-cultured on TSA or blood agar with incubation at 37 °C for 24-48 h, and then identified by standard methods. From all S. aureus, 17.2 % were identified as MRSA which comprised 5.8%, 3.9% and 7.5 % in the ICU, NICU and OT, respectively. MRSA isolates were remarkably susceptible (>80%) to each of amikacin, chloramphenicol, imipenem and rifampin. MRSA isolates were shown in all units with MIC value between 4 to >256μg/l in hospitals units. PCR analysis of 96.8 % MRSA isolates indicated the amplification of the mecA gene with size band of 220 bp.

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References

Jaffal, A.A., Nsanze, H., Banat, I.M., Mogheth, A.A., Bener, A. & Ameen, A.S. (1997). Hospital airborne microbial pollution in a desert country. Environ Int 23, 167-172

Saad, S.G. (2003). Integrated Environmental Management for Hospitals. Indoor Built Environment 12, 93-98.

Javed I, Hafeez R, Zubair M, Anwar MS, Tayyib M, Husnain S. (2008). Microbiological Surveillance of Operation Theatres and ICUs of a Tertiary Care Hospital, Lahore. African Journal of Biotechnology, 7(20): 3535-3539.

Newman, M.J. (2002). Neonatal intensive care unit: reservoirs of nosocomial pathogens. West Afr J Med 21(4), 310-312.

Karabay O, Kocoglu E, Tahtaci M. (2007). The role of mobile phones in the spread of bacteria associated with nosocomial infections. J Infect Developing Countries, 1:72–73.

Hoet AE, Johnson A, Nava-Hoet RC, Bateman S, Hillier A, Dyce J, Gebreyes WA, Wittum TE. (2011). Environmental methicillin-resistant Staphylococcus aureus in a veterinary teaching hospital during a nonoutbreak period. Vect Zoonot Dis, 11:609–615.

Buemi, M., Floccari, F. & Netto, M. (2000). Environmental air pollution in an intensive care unit for nephrology and dialysis. J Nephrol 13(6), 433-6.

Nzeako BC, Alrashiedi S, Neilson F, Albalkhair A. (2010). Type of Bacteria on Some Medical Devices Used in Sultan Qaboos University Hospital Wards. Middle-East J. of Scientific Resarch. 5(6): 449-453.

Ekhaise FO, Ighosewe OU, Ajakpovi OD. (2008). Hospital Indoor airborne Microflora in Private and Government Owned Hospitals in Benin City. Nigeria. World J. of Medical Science, 3 (1): 19-23.

Andersen, B.M., Lindemann, R., Bergh, K., Nesheim, B.I., Syyversen, G., Solheim, N. & Laugeurd, F. (2002). Spread of methicillin-resistant Staphylococcus aureus in a neonatal intensive unit associated with understaffing, overcrowding and mixing of patients. J Hosp Infect 50, 18-24.

Beggs, C.B. (2003). The airborne transmission of infection in hospital buildings: fact or fiction? Indo Built Environ 12, 9-18.

Meyer E, Schwab F, Gastmeier P, Rueden H, Daschner FD. (2006). Surveillance of antimicrobial use and antimicrobial resistance in German intensive care units (SARI): a summary of the data from 2001 through 2004. Infection, 34:303-309.

Cavalcanti, S.M., Franca, E.R., Cabral, C., Vilela, M.A., Montenegro, F., Menezes, D. & Medeiros, A.C. (2005). Prevalence of Staphylococcus aureus introduced into intensive care units of a University Hospital. Braz J Infect Dis 9(1), 56-63.

Hiramatsu K. (1995). Molecular evolution of MRSA. Microbiol Immunol. 39:531.

Niemeyer DM, Pucci MJ, Thanassi JA, et al. (1996). Role of mecA transcriptional regulation in the phenotypic expression of methicillin resistance in Staphylococcus aureus. J Bacteriol. 178:5464–71.

Archer GL, Niemeyer DM, Thanassi JA. (1997). Dissemination among staphylococci of DNA sequences associated with methicillin resistance. Antimicrob Agents Chenother. 38:447–54.

Ahmed S, Edet E. Tulsi DC. (2000). Molecular diagnosis of antimicrobial resistance. Lebanese Medical Journal. 48 (4): 203-7.

Araj GF, Talhouk RS, Simaan CJ, Maasad MJ. (1999;). Discrepancies between mecA PCR and conventional tests used for detection of MRSA. Inter J Antimicrobial Agents. 11: 47-52.

Betty AF, Danial FS, Alice SW. Diagnostic Microbiology 10th ed. Mospy: Don Ladig; 1998:608.

Koneman, E.W., Allin, S.D., Janad, W.M., Schreckenberger, P.C. & Winn, W.C. (1997). Color Atlas and Textbook of Diagnostic Microbiology, 5 th ed. USA: J. B. Lippincott Company.

National Committee for Clinical Laboratory Standards. (2005). Methods for dilution antimicrobial susceptibility test for bacteria that grow aerobically: Approved standards M7-A6 and N2-A8, NCCLS.

Smyth, R.W., Kahlmeter, G., Olsson, B.L. and Hoffman, B. (2001). Methods for identifying methicillin resistance in Staphylococcus aureus. J. Hos. Infect. 48: 103-07.

Carolyn, N.B., Ming, B.H. & Fred, CT. (1994). Optimizing testing of MRSA species. Diagn Microbiol Infect Dis 19, 167-70.

Promega cooperation. Technical manual genomic DNA purification part TM0580. USA: Madison; 2004: 12.

Araj GF, Talhouk RS, Simaan CJ, Maasad MJ. (1999). Discrepancies between mecA PCR and conventional tests used for detection of MRSA. Inter J Antimicrobial Agents. 11: 47-52.

Sessa, R., Di, P.M., Schiavoni, G., Santino, I., Altieri, A., Pinelli, S. & Del, P.M. (2002). Microbiological indoor air quality in healthy buildings. New Microbiol 25(1), 51-56.

Kalliokoski, P. (2003). Risks caused by airborne microbes in hospitals-source control is important. Indoor Built Environment 12, 41-46.

Ross, C., Menezes, J.R. (2004). Studies on fungal and bacterial population of air-conditioned environments. Braz arch Biol Technol 47, no.5.

Obbard, J.P. & Fang, L.S. (2003). Airborne concentrations of bacteria in a hospital environment in Singapore. Water Air and Soil Pollution 144, 333-341.

Shehabi, A.A. & Baadran, I. (1996). Microbial infection and antibiotic resistance patterns among Jordanian intensive care patients. Eastern Mediterranean Health Journal 2, 515-520.

Chandrashekar MR, Rathish KC, Nagesha CN. (1997). Reservoirs of nosocomial pathogens in neonatal intensive care unit. J Indian Med Assoc. 95(3):72-4, 77.

Szczepanik, A., M. Koziol-Montewka, Z. Al-Doori, D. Morrison and D. Kaczor. (2007). Spread of a single multiresistant methicillin-resistant S. aureus clone carring a variant of staphylococcal cassette chromosome mec type III isolated in a university hospital. European J. Clin. Microbiol. Infect. Dis., 26: 29–35.

Fridkin SK, Steward CD, Edwards JR. (1999;). Surveillance of antimicrobial use and antimicrobial resistance in United States hospitals. Project ICARE phase 2. Clin Infect Dis. 29:245-52.

Khorvash F, Mostafavizadeh K and Mobasherizadeh. (2008). Frequency of mecA Gene and Borderline Oxacillin Resistant Staphylococcus aureus in Nosocomial Acquired Methicillin Resistance Staphylococcus aureus Infection. Pakistan Journal of Biological Sciences. 11(9): 1282-1285.

Merlino J, Watson J, Rose B, Pegler MB, Gottlieb T, Bradbury B, Harbour C. (2002). Detection and expression of methicillin/oxacillin resistance in multidrug-resistant and non-multidrug-resistant Staphylococcus aureus in Central Sydney, Australia. Journal of Antimicrobial Chemotherapy. 49, 793-801.

Frebourg NB, Nouet D, Lemée L, Martin E, Lemeland JF. (1998). Comparison of ATB Staph, Rapid ATB Staph, Vitek, and E-Test Methods for Detection of Oxacillin Heteroresistance in Staphylococci Possessing mecA. J Clin Microbiol. 36: 52– 57.

Khan AU, Sultan A, Tyagi A, Zahoor S, Akram M, Kaur S,Shahid M, Vaishnavi CV. (2007). Amplification of mecA gene in multi-drug resistant Staphylococcus aureus strains from hospital personnel. Infect Developing Countries. 1(3):289-295.

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Published

2013-06-01

How to Cite

1.
Frequency of MecA gene and Susceptibility Pattern in Airborne Methicillin Resistant Staphylococcus aureus Isolated from Different Hospitals in North of Jordan. J Med Sci (Sebha) [Internet]. 2013 Jun. 1 [cited 2026 Oct. 15];12(2):65-72. Available from: https://sebhau.edu.ly/journal/joms/article/view/5033

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