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جستجوی مقالات مرتبط با کلیدواژه « coagulase » در نشریات گروه « پزشکی »

  • Leila Ghasem Azizi, Arash Ghasem Azizi*, Behzad Hemati, Monir Ebadi
    Background & Objective

    Staphylococcus aureus causes problems in hospitals and it has emerged as a serious agent acquired from the environment in recent years. One of the capabilities of S. aureus is the formation of biofilms, in which bacteria can exchange antibiotic-resistance genes among themselves and increase the virulence of other strains of this species (S. aureus). A surface protein attached to the cell wall in S. aureus clumping factor A is a virulence factor in various staphylococcal infections.

    Materials & Methods

    In this study, after the Urea Analysis (UA) test, the urea culture test was applied to the blood agar and Baird-Parker Agar culture media from the infectious urine samples in Imam Hospital, Tehran, to identify S. aureus isolates. Finally, a molecular method was used for the confirmation of identified isolates. The microliter plate method was performed to determine the biofilm formation ability. The disk diffusion method was also used for profiling the antibiotic resistance of the isolates.

    Results

    In the results of this study, 45 out of 160 urinary clinical samples were positive for S. aureus, among which 42 isolates expressed the clfA gene. Moreover, 39 isolates had the ability to form biofilms in vitro. Among these 42 isolates, the highest (88%) and the lowest (16%) rates of antibiotic resistance were observed against penicillin and cefoxitin, respectively. Data analysis with SPSS software and chi-square indicated a significant relationship between gene expression and biofilm production with antibiotic resistance (P < 0.05).

    Conclusion

    The resistance of S. aureus bacteria is increasing strongly due to the repeated use of antibiotics such as beta-lactams, especially in respiratory infections and pharyngitis. Moreover, biofilm formation and virulence factors, such as clfA and clfB, cause concerns to the World Health Organization for treatment, especially for people with sepsis or toxemia.

    Keywords: Staphylococcus aureus, clumping factors, coagulase, biofilm, microtitre plate, disk diffusion, virulence factors}
  • Roya Sadidi, Amir Azimian *
    Background

    Coagulase-negative staphylococci (CoNS) are rolled in severe infections in animals and nosocomial infections in humans. Given that staphylococci other than Staphylococcus aureus are often reported only as CoNS in medical diagnosis laboratories, this study aimed to determine the exact species of this type of staphylococci in clinical samples.

    Objectives

    This study also aimed to evaluate antibiotic resistance, the ability to carry cfr, qacA/B, mecA, and vanA genes, and the diversity of staphylococcal cassette chromosome mec (SCCmec) elements in mecA-carrying isolates.

    Methods

    Staphylococcus spp. strains were isolated from the blood samples of children admitted to Imam Reza Hospital in Bojnurd, Northeastern Iran, between 2013 - 2019. All CoNS isolates were evaluated for resistance to vancomycin and oxacillin using agar screening and other routine anti-CoNS antibiotics using the Kirby-Bauer disk diffusion method, based on the latest Clinical and Laboratory Standards Institute guidelines. The CoNS strains were isolated based on conventional methods and polymerase chain reaction (PCR)-restriction fragment length polymorphism. The PCR was applied to determine the diversity of SCCmec elements in the CoNS isolates.

    Results

    In this study, 203 isolates were confirmed as CoNS belonging to nine staphylococci spp. S. capitis and S. epidermidis were the top two common CoNS. Type III was the dominant SCCmec type in mecA+ isolates.

    Conclusions

    The findings of this study showed that CoNS isolated from blood cultures have a relatively high diversity and antibiotic resistance. Therefore, further attention should be paid to the isolation of these strains in laboratories, and they should not be easily considered as contamination.

    Keywords: Staphylococcus, Coagulase, Drug Resistance, Polymerase Chain Reaction}
  • *Mohammad Pourbabaee, Mohammad Reza Hadadi, Hossein Hooshyar, Pegah Pourbabaee, Ali Nazari Alam
    Aims

    Staphylococcus aureus is considered a major cause of food poisoning in the world. We aimed to investigate the prevalence of S. aureus isolated from hamburgers in Kashan city.

    Materials and Methods

    In this study, 71 hamburger samples were collected from supermarkets in Kashan from March to July 2017. The samples were examined after dilution in the Baird–Parker Agar Base medium of inoculation for the bacterial growth of S. aureus. Gram staining, catalase tests, mannitol fermentation, coagulase, DNase, and sensitivity to novobiocin were used to detect the bacteria.

    Results

    The collected hamburgers were about eight types of products. Of the total samples, 15 (21.13%) were Gram‑positive bacteria contaminated, including seven cocci and eight bacilli. Seven samples (9.86%) of hamburgers were contaminated with S. aureus. The average counts of S. aureus in positive samples were 1.94 × 103 colony‑forming unit (CFU)/g.

    Conclusion

    The outbreak of S. aureus isolates in meat products, particularly hamburger, is of serious threat to public health. To prevent the outbreak of this pathogen in hamburgers, permanent control and monitoring should be performed in food industries.

    Keywords: Coagulase, foodborne diseases, public health, Staphylococcus aureus}
  • مهرداد محمدی*، جمشید فقری
    زمینه و هدف
    استافیلوکوکوس اورئوس از عوامل بیماری زای متداول در انسان است که طیف گسترده ای از بیماری ها را ایجاد می کند. آنزیم کوآگولاز از عوامل مهم بیماری زای این باکتری می باشد. همچنین بررسی تنوع ژنتیکی ژن کدکننده این آنزیم (Coa) یکی از روش های مولکولی تعیین تیپ ایزوله های استافیلوکوکوس اورئوس می باشد.
    روش بررسی
    در این مطالعه مقطعی، از اسفند 1396 تا مهر 1397، 150 نمونه استافیلوکوس اورئوس جدا شده از نمونه های ادرار و خون از بیمارستان های آموزشی الزهرا و امام حسین (ع) دانشگاه علوم پزشکی اصفهان مورد مطالعه قرار گرفتند. پس از تایید نوع باکتری نمونه با قطعه ژنومی Coa، برای تعیین تیپ کوآگولاز منطقه بسیار متغیر ژن این آنزیم در واکنش Polymerase chain reaction (PCR) تکثیر و سپس مورد هضم آنزیمی با استفاده از آنزیم اندونوکلئاز محدودگر AluI قرار گرفت و تنوع طول قطعات هضم آنزیمی مورد بررسی قرار گرفت.
    یافته ها
    از 150 نمونه 45 نمونه استافیلوکوکوس اورئوس با تست های بیوشیمیایی تایید و از این تعداد 36 (80%) نمونه ها حامل ژن کوآگولاز بودند. در بین الگوهای PCR، الگوی bp680 در 20 نمونه و الگوی bp750 در 16 نمونه به دست آمدند. پس از هضم آنزیمی برای آزمون Restriction fragment length polymorphism (RFLP)، چهار الگو به دست آمدند که الگوی 280+400 در 16 نمونه (44/4%)، الگوی 280+470 در 7 نمونه (19/4%)، الگوی 340+340 در 6 نمونه (16/6%)، الگوی بدون هضم 750 در 7 نمونه (19/6%) می باشند.
    نتیجه گیری
      با استفاده از آزمایشات صورت گرفته مشخص گردید که الگوی PCR-RFLP، 280+400 جفت بازی الگوی غالب در نمونه های استافیلوکوکوس اورئوس جدا شده در اصفهان می باشد.
    کلید واژگان: کواگولاز, پژوهش های مقطعی, ژنوتیپ, واکنش زنجیره ای پلیمراز, استافیلوکوکوس اورئوس}
    Mehrdad Mohammadi*, Jamshid Faghri
    Background
    Staphylococcus aureus is a common pathogen in human that can be the cause of a wide range of infectious diseases including bacteremia, pneumonia, cellulitis, and osteomyelitis and skin and soft tissue infections. The coagulase enzyme is one of the most important virulence factors of this bacterium. The polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) Coa pattern is one of the molecular base typing methods. Molecular typing plays an important role in epidemiological studies of nosocomial infection, such as methicillin-resistant Staphylococcus aureus (MRSA) infection. The PCR-RFLP Coa gene technique provides a useful preliminary method to monitor variations in MRSA populations. We were done Coa-RFLP typing according to the method of Hookey et al., with some modifications.
    Methods
    In this cross-sectional study, one-hundred fifty isolates of S. aureus from urine and blood samples of patients that collected from educational hospitals of Imam Hossein and Al Zahra Isfahan University of Medical Sciences, Iran, from February 2018 to October 2018 were analyzed. After bacterial confirmation of isolates by Coa gene in polymerase chain reaction (PCR) technique, to perform coagulase gene typing, the repeated units encoding hypervariable regions of the coagulase gene of S. aureus were amplified by PCR. This was followed by AluI restriction enzyme digestion and analysis of restriction fragment length polymorphism (RFLP) patterns.
    Results
    Of 150 samples, 45 isolated of S. aureus were confirmed by biochemical methods. Of previous positive samples, 36 (80%) isolates carried Coa gene. Two different genotypes of Coa gene were obtained that include bp680 fragment in 20 specimens and bp750 fragment in 16 specimens. After enzymatic digestion by AluI restriction enzyme for RFLP, four different restriction patterns were obtained that including, the 280+400 pattern in 16 specimens (44.4%), 280+470 pattern in 7 specimens (19.4%), 340+340 pattern in 6 specimens (16.6%) and 750 patterns without digestion were in 7 specimens (19.6%).
    Conclusion
    Using the present experiments, it was determined that the PCR-RFLP pattern, 280+400, was the dominant pattern in the Staphylococcus aureus samples isolated in Isfahan.
    Keywords: coagulase, cross-sectional studies, genotype, polymerase chain reaction, staphylococcus aureus}
  • Amir Emami *, Neda Pirbonyeh, Abdollah Bazargani, Abdolkhalegh Keshavarzi, Bahram Derakhshan, Mitra Zardosht, Seyed Mohsen Hoseini
    Introduction
    Although Coagulase Negative Staphylococci (CoNS) were previously considered to be harmless bacteria, some species have recently been shown to be potential pathogens in humans. One of these species, which has emerged in nosocomial infections, is Staphylococcus lugdunensis. Given the importance of recognizing new infections in hospital settings and their prevention, the present study aimed to investigate the presence of S. lugdunensis in patients with burn injuries.
    Materials And Methods
    In this study, 124 CoNS isolates were evaluated in the patients admitted in a burn injury center in the southwest of Iran during January 2016-May 2017. The detected S. lugdunensis isolates were assessed in terms of drug susceptibility pattern, β-lactamase production, mecA-mediated oxacillin resistance, and inducible clindamycin resistance. The applied methods included disk diffusion, penicillin minimal inhibitory concentration, cefoxitin broth microdilution, and erythromycin/clindamycin disk diffusion, respectively.
    Results
    Among the CoNS samples, 25 cases (20.2%) were S. lugdunensis. In the confirmed isolates, mecA-mediated oxacillin resistance was detected in 21 cases (84%), and 18 isolates (72.0%) produced β-lactamase. In addition, 23 isolates (88.5%) showed inducible clindamycin resistance. In the antibiogram pattern, more than 70% of the methicillin-resistant isolates were also resistant to chloramphenicol, trimethoprim/sulfamethoxazole, gentamicin, azithromycin, and ceftazidime.
    Conclusion
    According to the results, S. lugdunensis was the cause of a new infection emerging in the studied burn injury center. Considering the resistance of the isolates against the most routine antibiotics, vancomycin is suggested as an alternative. Due to the prevalence of S. lugdunensis in different hospital wards, it is strongly recommended that CoNS isolates be evaluated for the detection of this bacterium.
    Keywords: Burn, Coagulase, Negative Staphylococci, Methicillin, resistant, S. lugdunensis}
  • Reza Hakimi Alni, Abdolmajid Mohammadzadeh *, Pezhman Mahmoodi, Mohammad Yousef Alikhani
    Background And Objectives
    Determining the genetic relationship between S. aureus isolates is important for epidemiological surveillance and control of infections caused by this bacterium. The present study was conducted to determine polymorphisms of coagulase gene (coa) among S. aureus isolates from pastry and cheese samples using restriction fragment length polymorphism (RFLP) analysis.

    Methods
    Overall, 65 S. aureus isolated from pastry (n=45) and cheese (n=20) samples were examined for the coa gene by polymerase chain reaction (PCR). PCR products were digested with AluI enzyme and the products were assessed using gel electrophoresis.

    Results
    Except for two isolates, all isolates were positive in coa-PCR and produced four different PCR products, with molecular sizes ranging from 570 to 970 bp. Overall; five distinct RFLP patterns were detected (I-V). Although pattern types I and III were present in isolates from both samples, types I and IV were mainly present in isolates from cheese and pastry samples, respectively.

    Conclusion
    PCR-RFLP analysis of the coa gene indicates that S. aureus isolates from pastry and cheese samples may be originated from different sources. However, as one pattern type was predominant in each group, it can be concluded that majority of the isolates may have the same origin.
    Keywords: Staphylococcus aureus, PCR, RFLP, Coagulase, Pastry, Cheese}
  • Seyedeh Nahid Sajadi, Hami Kaboosi *, Fatemeh Peyravii Ghadikolii
    Background
    Staphylococcus aureus is one of the main agents of nosocomial infections. Identifying coagulase enzyme in staphylococcal infections is of great importance as it is one of the main virulence agents. The present study aims to accurately detect the presence of coagulase gene and its relationship with antibiotic resistance patterns in clinical isolates.
    Methods
    In this experimental study, a total of 20 clinical samples of S. aureus and 10 clinical samples of coagulase-negative staphylococci were collected and identified from hospitals and laboratories in Nowshahr and Chalous. Antibiotic resistance patterns of isolates were examined based on CLSI and finally polymerase chain reaction was used in order to detect the presence of coagulase gene with specific primers. Treatments were examined in three intervals and the results were analyzed using one-way analysis of variance (ANOVA), univariate ANOVA, and t-test at the probability level of P
    Results
    Suggested that isolates showed phenotypic presence of coagulase enzyme and had this gene genotypically as well. Coagulase-positive samples demonstrated higher resistance to tetracycline 20%, oxacillin 55%, gentamicin 20%, and kanamycin 25%. Statistically, there was no significant difference among inhibition zone diameters of oxacillin, nalidixic acid, gentamicin, kanamycin, and penicillin.
    Conclusions
    Coagulase gene causes antibiotic resistance and coagulase-negative staphylococci are spreading rapidly and their resistance is increasing.
    Keywords: Coagulase, Drug Resistance Microbial, PCR, Staphylococcus aureus}
  • Hamideh Mehri, Roghaye Jahanbakhsh, Fatemeh Shakeri, Abdollah Ardebili, Naser Behnampour, Behnaz Khodabakhshi, Ezzat Allah Ghaemi*
    Background
    Coagulase-negative staphylococci (CoNS) are clinically important, especially in nosocomial and neonatal infections. The increasing emergence of glycopeptide-resistant CoNS has made these agents therapeutically challenging.
    Objectives
    We aimed to investigate the susceptibility patterns of CoNS to teicoplanin and vancomycin in Gorgan, northern Iran.
    Materials And Methods
    A total of 100 clinical samples were obtained from different wards of a hospital and screened for CoNS with standard microbiological and biochemical tests. Antibiogram testing was carried out for the detection of vancomycin-, teicoplanin-, and multidrug-resistant (MDR) species. The minimum inhibitory concentration (MIC) of vancomycin was determined using E-test strips. The presence of the vanA gene was investigated with PCR.
    Results
    Only 1% of CoNS (Staphylococcus haominis) showed resistance to vancomycin and 15% of these were intermediate-resistant to teicoplanin on the disc diffusion agar test. In addition, all isolates (100%) were negative for vanA on PCR and sensitive with E-test methods. The mean MIC value of vancomycin was 1.35 ± 0.29 µg/mL. S. haemolyticus and S. epidermidis showed the highest rates of MDR (50% and 24%, respectively). Additionally, CoNS isolated from blood (42%) and urine samples (30%) had the highest rates of MDR.
    Conclusions
    Vancomycin, but not teicoplanin, can be considered an effective antibiotic of choice for controlling infections caused by MDR CoNS in Gorgan, depending on the bacterial species.
    Keywords: Coagulase, Negative Staphylococcus, Drug Resistance, Teicoplanin, Vancomycin}
  • Ali Salehzadeh, Hojjatolah Zamani, Maedeh Keshtkar Langeroudi, Amir Mirzaie
    Objective(s)
    Staphylococcus aureus is an important bacterial pathogen responsible for a variety numbers of nosocomial and community acquired infections. Biofilm formation is regarded as an important factor in the establishment of S. aureus infection. The contribution of the genetic background of S. aureus to biofilm formation is poorly understood. The aim of the present work was to genotype S. aureus strains associated to biofilm based on the coagulase and protein A genes and to evaluate the association between the genetic background and the biofilm forming ability of clinical S. aureus isolates.
    Materials And Methods
    A total number of 100 S. aureus were isolated from nosocomial infections and biofilm formation capability was investigated using phenotypic assay and molecular detection of biofilm associated genes. The strains were genotyped based on coagulase (coa) and protein A (spa) gene polymorphisms using restriction fragments length polymorphism-polymerase chain reaction (RFLP-PCR).
    Results
    RFLP-PCR of coa gene generated two types and three subtypes. Amplification of spa gene resulted in two banding patterns and their restriction digestion generated three subtypes. The combined coa and spa RFLP patterns generated nine genotypes (G1-G9). The genotypes G4 and G1 were the most prevalent (32.1% and 24.3%, respectively).
    Conclusion
    High clonal diversity of S. aureus strains able to produce biofilm was observed. Biofilm formation correlates with the spa and coa clonal lineage in our population and testing for multiple gene polymorphisms could be employed for local epidemiologic purposes.
    Keywords: Adhesion molecules, Biofilm, Coagulase, RFLP, S. aureus, Spa typing}
  • Niloofar Shadalooei, Mehdi Goudarzi *
    Given the inappropriate use of antibiotics and prevalence of resistant bacteria, there is urgent need for antibacterial drugs that have fewer side effects than antibiotics. Satureja bachtiarica is a medicinal plant which had many uses in traditional medicine. In this research, the ethanol extract of leave of Satureja bachtiarica is tested on coagulase-negative staphylococcus strains. Materials and Methods In this experimental study, after collecting and drying the plant extract, the ethanolic extract of the plant was extracted by soxhelet method. Then, the antibiotic resistance pattern of coagulasenegative staphylococcus strains to Cefoxitin, Tobramycin, Kanamycin, Amikacin, Gentamicin, was assessed. To evaluate the antibacterial activity, the minimum inhibitory concentration was assessed by using micro dilution broth method. The results of this study showed that the antimicrobial effect of Satureja extract is concentration dependent. The results of the antimicrobial activity of extracts, indicate that alcoholic extract in all dilutions have an antimicrobial effect on the coagulase-negative staphylococcus strains. The results show that coagulase-negative staphylococcus strains have highest resistance against Cefoxitin (0.39 mg/ml) and highest sensitivity to Amikacin (0.035 μl/ml). However, in 200 and 100 mg/ml concentrations the extract has higher antibacterial effect. According to the results of this study, ethanol extracts of leave of Satureja bachtiarica had growth inhibitory effect on coagulase-negative staphylococcus strains. Therefore this plant has the potential to be evaluated as an alternative or adjunct to antibiotics to treat coagulase-negative staphylococcus infections.
    Keywords: Satureja Bachtiarica, Coagulase, negative Staphylococci, Antimicrobial resistance}
  • فریبا راستی، ال ناز اصغری، کاووس شهسواری نیا، زهرا معتضدی*، لیلا دهقانی
    زمینه و هدف
    در سال های اخیر به گوشی های تلفن همراه کارکنان مراکز بهداشتی درمانی به عنوان منبع عفونت اهمیت زیادی داده شده است؛ چرا که می توانند در عفونت های بیمارستانی نقش به سزایی داشته باشند. هدف از مطالعه حاضر تعیین آلودگی میکروبی گوشی های تلفن همراه کارکنان مرکز آموزشی درمانی سینای تبریز است.
    روش بررسی
    در این مطالعه توصیفی- تحلیلی از 140 گوشی تلفن همراه کارکنان مرکز آموزشی درمانی سینای شهر تبریز در سال 1394 به روش در دسترس نمونه گیری شد. نمونه ها با استفاده از سوآپ پنبه استریل تهیه و بلافاصله به آزمایشگاه مرکز انتقال یافت و پس از 48 ساعت انکوباسیون در دو محیط، در دمای 37 درجه سانتی گراد کشت داده شد. در نهایت میکروارگانیسم های رشد کرده توسط تست های بیوشیمیایی شناسایی شدند. داده ها با استفاده از آمار توصیفی و آزمون کای دو در نرم افزار SPSS v.13 تجزیه و تحلیل شد. 05/0p< سطح معناداری درنظر گرفته شد.
    یافته ها
    در 28/84% گوشی ها آلودگی باکتریال گزارش شد. استافیلوکوک کواگولاز منفی (45%) بیش ترین فراوانی و گونه های باسیلوس (28/19%) رتبه دوم نوع آلودگی را داشت. آسینتوباکتر با 1 مورد (71/0%) کم ترین فراوانی را داشت. در 5 گوشی آلوده (57/3%) بیش تر از یک میکروارگانیسم رشد یافته بود. آلودگی در بخش های ویژه بیش از بخش های عمومی بود (001/0p<).
    نتیجه گیری
    براساس یافته ها گوشی های تلفن همراه کارکنان آلودگی قابل توجهی دارند، بنابراین ضروری است که به کارکنان در زمینه نقش گوشی های تلفن همراه در عفونت های بیمارستانی، همچون سایر تجهیزات بیمارستانی، اطلاع رسانی شود. همچنین لازم است در زمینه تمیز نمودن گوشی های همراه به طور دوره ای با مواد مناسب مانند الکل 70% و شستشوی مکرر دست ها پس از هر تماس با گوشی آموزش داده شود.
    کلید واژگان: آلودگی میکروبی, استافیلوکوک کواگولاز منفی, گوشی های تلفن همراه, کارکنان مرکز آموزشی درمانی}
    Fariba Rasti, Elnaz Asghari, Kavous Shahsavarinia, Zahra Motazedi *, Leila Dehgani
    Background and Aim
    In recent years, health care worker's mobile phones have been considered important as a source of infection because they could have a significant role in nosocomial infections. The aim of this study is to determine the type of microbial contamination of health care worker's mobile phones in Sina hospital in Tabriz.
    Methods & Materials: In this descriptive-analytical study, 140 samples were taken from health care worker's mobile phones by convenience sampling, in 2015. The samples were taken by a sterile swab and immediately transferred to the hospital laboratory. They were cultured after incubation for 48 hrs in two plates at 37° C. Finally, the grown microorganisms were identified by biochemical tests. The data were analyzed using descriptive statistics and Chi-square test on SPSS software version 13. A level of P
    Results
    84.28% of phones were positive for bacterial contamination. Coagulase-negative staphylococci (45%) had the most frequency and Bacillus species (19.28%) were in second rank. Acinetobacter found in only 1 case (0.71%) had the least frequency. More than one microorganism had grown on 5 contaminated phones (3.57%). The contamination rate was significantly higher in the intensive care units than in general wards (P
    Conclusion
    According to the findings, health care worker's mobile phones is significantly contaminated. Therefore, it is necessary that the staff to be informed of the role of cell phone in the nosocomial infection, as the role of other hospital equipment. It is also important to be trained about periodic cleaning of mobile phones with suitable material such as 70% alcohol and frequent washing of hands after using the phone.
    Keywords: microbial contamination, coagulase, negative staphylococci, mobile Phones, health care workers}
  • حامد طهماسبی، محمد بکاییان، جواد ادبی
    زمینه و هدف
    بروز مقاومت نسبت به آنتی بیوتیک های گروه بتالاکتام به یکی از شایع ترین موارد تبدیل شده است. این امر در پاتوژن های بیمارستانی، از جمله استافیلوکوک های کوگولاز منفی به فراوانی دیده می شود. از این رو شناسایی عوامل مقاوم می تواند در امر درمان کمک کننده باشد. هدف از این مطالعه بررسی مقاومت در استافیلوکوک های کوگولاز منفی با روش های فنوتیپی و ژنوتیپی می باشد.
    مواد و
    روش
    در مجموع 710 جدایه از نمونه های بالینی مراکز درمانی شهر زاهدان جمع آوری شدند. بعد از تعیین جنس و گونه کردن نمونه های بدست آمده حساسیت آنها نسبت به 10 آنتی بیوتیک بتالاکتام با روش Disc diffusion تعیین شد. برای ردیابی ژنهای blaZ و mecA از پرایمرهای اختصاصی و روش PCR استفاده شد.
    یافته ها
    از جدایه های بدست آمده، 79جدایه استافیلوکوک ساپروفیتیکوس و 198جدایه استافیلوکوک اپیدرمیدیس بوند.از این میان 74 ایزوله (%98.1) به پنی سیلین، 69 ایزوله ( 34/87 %) اوگزاسیلین، 31 ایزوله ( 24/39 %) به سفتریاکسون، 71 ایزوله ( 87/89 %) به سفوکسیتین، 43 ایزوله ( 43/54 %) به سفوتاکسیم،19 ایزوله ( 05/24) به سفازولین و 27 ایزوله ( 17/34 %) به سفالکسین در استافیلوکوک ساپروفیتیکوس مقاوم بودند. نتایج حاصل از PCR نیز حضور ژن های mecA و blaZ را در بیشتر ایزوله ها تایید کرد.
    نتیجه گیری
    در غربالگری اولیه به روش فنوتیپی دیسک دیفیوژن شیوع بسیار بالای مقاومت را در شهر زاهدان نشان داد و مشخص شدکه 20تا95درصد از ایزوله ها به انواع بتالاکتام های نسل های متفاوت مقاوم هستند. روش PCR حضور ژنهای blaZ و mecA را در بیشتر ایزوله ها نشان می دهد. اما میزان بیان آن متفاوت است. این نتیجه حاصل می شود که روش فنوتیپی دیسک دیفیوژن به تنهایی برای تعیین رویکرد درمانی عفونت های ناشی از این ارگانیسم مناسب نیست.
    کلید واژگان: کواگولاز منفی, بتالاکتام, مقاومت آنتی بیوتیکی, مقاومت به متی سیلین}
    Hamed Tahmasebi, Mohammad Bokaeian, Javad Adabi
    Background
    The incidence of resistance to groups of beta-lactam antibiotics has become one of the most common cases. This problem too many seen in hospital pathogens, that including coagulase-negative Staphylococcus. Therefore, distinguish of resistance factors can be helpful in treatment process. The aim of this study was to determine resistance in coagulase-negative Staphylococcus by phenotypic and genotypic ways.
    Materials And Methods
    Totally, 710 isolates from clinical samples reaped of health centers of Zahedan. After the determination genus and species of isolates obtained, their sensitivity specify to 10 beta-lactam antibiotics by disc diffusion method. For detection of blaZ and mecA gens used of specific primers and PCR method.
    Results
    Of obtained isolates, 79 isolate was Staphylococcus saprophyticus and 198 isolate was Staphylococcus epidermidis. Of these, 74 isolates (98.1%) to penicillin, 69 isolates (34/87%) Oxacillin, 31 isolates (24/39%) to ceftriaxone, 71 isolates (87/89%) to Cefoxitin, 43 isolates (43/54%) to cefotaxime, 19 isolates (24.50%) to cefazolin and 27 isolates (17/34%) were resistant to cephalexin in Staphylococcus saprophyticus. PCR results in more isolates confirmed the presence of mecA and blaZ.
    Conclusion
    The Primary screening by phenotypic disk diffusion method showed high prevalence of resistance in the city of Zahedan and was determined that 20 to 95 percent of the isolates were resistant to all beta-lactam of different generations. PCR method approved presence of the mecA and blaZ genes. But those expression is different. This payoff achieving that singly disk diffusion phenotypic method lack of for determining strategy is not appropriate to treatment of infections caused by this organisms.
    Keywords: coagulase, negative, Beta, lactam, antibiotic resistance, methicillin resistance}
  • Morad Mohammad, Luca Deabate, Wilson Belaieff, Cindy Bouvet, Mathieu Zingg, Paulina Kuczma, Domizio Suva, Ilker Uckay
    Context: Staphylococcus aureus and coagulase-negative staphylococci (CoNS) are the most frequently isolated pathogens and are responsible for approximately two-thirds of joint replacement infections..
    Evidence Acquisition: Although both belong to the staphylococci genus, there are several epidemiological and therapeutic differences between S. aureus and the heterogenous group of CoNS. In general, however, preventive and therapeutic recommendations for Prosthetic Joint Infection PJI due to CoNS do not differ from PJI caused by other pathogens..
    Results
    The main differences between the pathogens lie in the clinical presentation of PJI, the presumed origin of infection, and the presence of a higher proportion of methicillin-resistant strains leading to a limited choice of antibiotic agents..
    Conclusions
    Fortunately, due to its lower virulence as compared to its cousin S. aureus, PJI due to CoNS may display higher remission rates than S. aureus-caused PJI after combined surgical and medical management.
    Keywords: Orthopedic Infections, Epidemiology, Coagulase, Negative Staphylococci, Treatment, Perioperative Antibiotic Prophylaxis, Prosthetic Joint}
  • Auttawit Sirichoat, Sujintana Wongthong, Ratdawan Kanyota, Ratree Tavichakorntrakool, Aroonwadee Chanawong, Jariya Umka Welbat, Aroonlug Lulitanond*
    Background
    Staphylococcus aureus, with reduced vancomycin susceptibility, is probably under the regulation of several genes and various express phenotypes..
    Objectives
    This study aimed to investigate the phenotypic differences between vancomycin-susceptible S. aureus (VSSA), vancomycin-intermediate S. aureus (VISA), and heterogeneous VISA (hVISA) isolates..
    Materials And Methods
    A total of 130 methicillin-resistant S. aureus (MRSA) isolates were studied, including 49 VSSA, 28 hVISA, and 5 VISA isolates from blood cultures and 48 isolates (two VSSA, six hVISA, and 40 VISA) derived in vitro (laboratory-induced/sub-passaged). Their phenotypes were examined using a coagulase tube test, colony spreading on soft agar, and urease activity. The SCCmec and agr typing were performed using multiplex PCR..
    Results
    Most of the MRSA isolates were SCCmec III-agr I (84.5%), followed by SCCmec II-agr II (11.8%). The average plasma coagulation time of vancomycin-non-susceptible isolates was longer than that of the susceptible isolates (12 vs. 2.6 hours). Four hVISA (P = 0.023) and nine VISA (P < 0.001) isolates yielded a negative coagulase test after 24-hour incubation. The percentage of VSSA isolates showing non-spreading colonies (accessory gene regulator (agr) dysfunction) was significantly lower than in the VISA group (P = 0.013), but no significant difference was found between VSSA and hVISA. The VISA group showed higher urease activity than that of the VSSA and hVISA groups (P = 0.002)..
    Conclusions
    There were diverse phenotypic changes among vancomycin-non-susceptible S. aureus isolates. This may be due to the variety of related regulatory systems. The diversity of phenotypic expression may result in its misidentification in routine laboratory checks..
    Keywords: Coagulase, Urease, Vancomycin, Methicillin, Resistant Staphylococcus aureus}
  • محمدرضا ایزدپناه، لیلا اسدپور
    زمینه و هدف
    استافیلوکوکوس اورئوس یک پاتوژن فرصت طلب و عامل طیف وسیعی از عفونت ها در انسان است. بسیاری از جدایه های این باکتری نسبت به آنتی بیوتیک ها مقاوم هستند. جهت دستیابی به درمان ضد میکروبی مناسب مطالعه حاضر به بررسی الگوی مقاومت دارویی در استافیلوکوکوس اورئوس های جدا شده از نمونه های بالینی در رشت می پردازد.
    روش بررسی
    جدایه های بالینی استافیلوکوکوس اورئوس از آزمایشگاه های تشخیص طبی شهر رشت جمع آوری گردید. با تست های بیوشیمیایی و انجام واکنش زنجیره ای پلی مراز با استفاده از پرایمر های اختصاصی ژن های 23srRNA و coa، 30 سویه استافیلوکوکوس اورئوس کوآگولاز مثبت شناسایی و الگوی مقاومت این جدایه ها نسبت به 16 آنتی بیوتیک به روش انتشار از دیسک بررسی گردید.
    یافته ها
    75 درصد جدایه های استافیلوکوکوس اورئوس مقاوم به متی سیلین بوده اند و تمامی سویه های مقاوم به متی سیلین الگوی مقاومت چندگانه داشته اند. جدایه ها سطح بالایی از مقاومت را نسبت به آنتی بیوتیک های آمپی سیلین (73%)، آموکسی سیلین (60%) و کلوکساسیلین (53%) نشان داده اند و کمترین میزان مقاومت نسبت به ونکومایسین (7%) و جنتامایسین (10%) بوده است.
    نتیجه گیری
    این مطالعه بیانگر شیوع بالای سویه های استافیلوکوکوس اورئوس مقاوم به متی سیلین، سویه های با مقاومت چندگانه و حضور سویه های مقاوم به ونکومایسین در منطقه می باشد. جهت انتخاب درمان ضد میکروبی مناسب، پایش مداوم الگوی مقاومت دارویی در جدایه های بالینی استافیلوکوکوس اورئوس توصیه می گردد.
    کلید واژگان: استافیلوکوکوس اورئوس, کوآگولاز, مقاومت دارویی, واکنش زنجیره ای پلی مراز}
    Izadpanah, Mr, Asadpour, L
    Background And Objective
    Staphylococcus aureus is an important opportunistic pathogen causing a wide range of infections in human. Most clinical isolates of S.aureus are resistant to a number of antibiotics. For appropriate antimicrobial therapy, this study was conducted to determine antibacterial drug resistance patterns of S.aureus isolates obtained from different clinical samples in Rasht.
    Material And Methods
    the clinical isolates of S.aureus were collected from different clinical laboratories in Rasht. Thirty coagulase positive S.aureus strains were identified using biochemical tests and amplification of 23SrRNA and coa genes by polymerase chain reaction. Finally, the resistance pattern of the isolates to 16 selected antimicrobial agents was evaluated by disk diffusion method.
    Results
    the S.aureus isolates (75%) were resistant to methicillin and all of them were multidrug resistance. The isolates were high resistance to ampicillin (73%), amoxicillin (60%), cloxacillin (53%) and low resistance to vancomycin (7%) and gentamicin (10%).
    Conclusion
    given the high prevalence of methicillin resistant, multi drug resistant and presence of vancomycin resistant S.aureus isolates in Rasht, continuously monitoring of drug resistance pattern of S.aureus isolates is recommended for having appropriate therapeutic regime.
    Keywords: Staphylococcus Aureus, Coagulase, Drug Resistance, PCR}
  • Mehdi Rashki Ghalehnoo
    Background
    During the last decade, the prevalence of insect borne diseases due to contaminated food as well as the outbreaks of diseases due to enterotoxin-producing Staphylococcus aureus (ETSA) strains has increased.
    Objectives
    This study was conducted to determine the prevalence rate, enterotoxigenecity, and antimicrobial resistance of S. aureus isolated from M. domestica collected from the residential areas of nine districts broiler farms in Zabol, Iran.
    Materials And Methods
    The flies were captured with a sterile nylon net and washed twice with distilled water. The contents were streaked onto selective media and S. aureus was identified using the conventional biochemical tests. Antimicrobial susceptibility testing was performed using CLSI guideline. Staphylococcal enterotoxins (SEs), SEA, SEB, SEC and SED, was detected by the reverse passive latex agglutination (PRLA) method. Coagulase typing was performed with coagulase typing kit.
    Results
    A total of 87 (17%) S. aureus was isolated from 450 samples. The ability to synthesize staphylococcal enterotoxins (SEs) was determined in 62 of 87 (71%) isolates. SE type B was the most common enterotoxin found in the isolated S. aureus (45%), followed by SE type A (26%), SE type C (5%), SE type D (8%), SEA + SEC (7%) and SEA + SEB (7%). Among the antibiotic tested, Penicillin was the most resistant antibiotic tested. Sixty seven percent of isolates belonged to coagulase type III, VI, VII, VIII, IV, and V.
    Conclusions
    Our results suggest that S. aureus, including ETSA, is being carried by house flies such as M. domestica and may contribute to the spread of pathogenic isolates, with an impact on public health.
    Keywords: Houseflies, Staphylococcus aureus, coagulase, Drug Resistance, Microbial}
  • Mohammad Reza Nahaei, Mohammad Reza Shahmohammadi, Shiva Ebrahimi, Morteza Milani
    Background
    Coagulase-negative staphylococci (CNS) are a common cause of nosocomial infections. In recent years, an increase in the incidence of methicillin-resistant coagulase-negative staphylococci (MRCNS) has led to the severity of the disease.
    Objectives
    The aim of this study was to isolate and identify MRCNS strains by oxacillin disk agar diffusion, oxacillin agar screening, and polymerase chain reaction (PCR) and to evaluate their antibacterial resistance patterns.Patients and
    Methods
    Totally, 122 CNS isolates were collected from the clinical specimens of four hospitals in Iran. Susceptibility testing was performed by disk agar diffusion against 15 antimicrobial agents. Then, disk agar diffusion, agar screening, and PCR were applied to determine susceptibility to oxacillin.
    Results
    Out of the 122 isolates, 92 isolates were found to be MRCNS by PCR. The sensitivities and specificities of disk agar diffusion and agar screening were 89.2% and 69% and 93.8% and 96.3%, respectively. Also, 93 CNS isolates were resistant to Methicillin according to disk agar diffusion.
    Discussion
    Our results indicated that agar screening was superior to oxacillin disk agar diffusion. A comparison between the antibiotic sensitivity patterns of the MRCNS and the Methicillin-Susceptible Coagulase-Negative Staphylococci (MSCNS) showed that the MRCNS were predominantly multiple-drug resistant isolates as the simultaneous resistance rate to 4 or more antibiotics in the MRCNS and MSCNS was 93% and 56%, respectively.
    Keywords: Coagulase, Staphyloccus, Methicillin Resistance, Methicillin Resistance}
  • Mohammad Iravani Mohammad Abadi, Rezvan Moniri*, Ahmad Khorshidi, Ahmad Piroozmand, Seyed Gholam Abbas Mousavi, Kamran Dastehgoli, Hamed Mirzaei Ghazikalayeh
    Background
    Coagulase-negative staphylococci (CoNS) are opportunistic pathogens. Methicillin resistance is common in CoNS and may play an important role as reservoir of staphylococcal cassette chromosome mec (SCCmec) for Staphylococcus aureus.
    Objectives
    The aim of this study was to determine molecular characteristics of nasal carriage of methicillin-resistant coagulase negative staphylococci among students.
    Materials And Methods
    MR-CoNS from both nares of students were collected. Resistance to methicillin was determined by cefoxitin (30μg) disk diffusion test. SCCmec typing was performed using multiplex PCR by mec complex classes and ccr genes. Antimicrobial susceptibility profiles were determined on Mueller-Hinton agar according to CLSI.
    Results
    A total of 600 consecutive students were enrolled in this study; 430 of whom (71.7%) had CoNS. Seventy-two MR-CoNS strains, 21 (29.2%) S. lugdunensis, 17 (23.6%) S. haemolyticus, 17 (23.6%) S. saprophyticus, 9 (12.5%) S. epidermidis and 8 (11.1%) S. schleiferi were isolated. MR-CoNS rate in nasal carriage was 16.7%. All strains were susceptible to vancomycin. Forty-eight (66.7%) had a single SCCmec type including types I (n = 5), II (n = 4), III (n = 7), IV (n = 19) and V (n = 13), whereas 5 (6.9%) had two types including III + IV (n = 2), III + V (n = 1) and IV + V (n = 2). Nineteen strains (26.4%) were non-typeable for their SCCmec and ccr. Types IV and V SCCmec were associated with S. lugdunensis and S. haemolyticus, respectively.
    Conclusions
    SCCmec types IV and V were prevalent in MR-CoNS and few isolates could harbor more than one type.
    Keywords: Coagulase, Negative Staphylococci, Staphylococcus spp., Methicillin, Resistant Staphylococcus aureus}
  • Zahra Seifi, Ali Zarei Mahmoudabadi *, Majid Zarrin
    Background
    Extracellular phospholipase, proteinase, and coagulase are accounted as the major virulence factors in Candida albicans. Several reports showed that the incidence of resistance to fluconazole has risen during last two decades.
    Objectives
    The present study has investigated the extracellular enzymes of C. albicans and non-albicans species isolated from both patients with vaginitis and healthy women. In addition, susceptibility of the isolates was evaluated against fluconazole.Patients and
    Methods
    Vaginal samples were collected using sterile cotton swabs and inoculated on CHROMagar Candida. Routine morphological tests and ID 32C and API 20C AUX Kits were used to identify species. Phospholipase, proteinase, and coagulase activity were determined by standard methods. Susceptibility to fluconazole was also evaluated using ATB Fungus 3 Kits.
    Results
    The phospholipase activity was detected in 66.7% of the tested isolates recovered from patients with vaginitis. In the present study, phospholipase activity with higher Pz values (< 0.70) was more common in patients with vaginitis (28 of 66 isolates) whereas this rate in the normal individual was 13 of 42. Proteinase activity was detected in 74.2% and 61.9% of tested isolates recovered from patients and normal individuals, respectively. All tested isolates were negative for coagulase activity. In the present study, resistance to fluconazole was found in 34.8% of isolates. C. dubliniensis was the most common isolate (6 out of 11 isolates) that showed resistance to fluconazole.
    Conclusions
    Our results showed that C. albicans was the most frequently isolated from both patients with vaginitis and normal individual. In the present study, we could not find any correlation between extracellular activities and sources of isolates (patients and normal flora) and sensitivity or resistance to fluconazole.
    Keywords: Vulvovaginal Candidiasis, Candida albicans, Phospholipase, Coagulase, Fluconazole}
  • نوشین ابدال، احسان الله غزنوی راد، عادل حمیدی، داود حسینی*
    سابقه و هدف
    استافیلوکوکوس ها یکی از رایج ترین عوامل عفونت های بیمارستانی به شمار می روند. آمینوگلیکوزیدها اغلب به صورت ترکیب با بتالاکتام ها یا گلیکوپپتیدها در درمان اندوکاردیت و باکتریمی ناشی از استافیلوکوکوس ها استفاده می شوند. مکانیسم اصلی مقاومت آمینوگلیکوزیدی در استافیلوکوکوس ها غیر فعال سازی دارو به وسیله آنزیم های تغییر دهنده آمینو گلیکوزیدی سلولی می باشد.
    مواد و روش ها
    50 ایزوله استافیلوکوکوس اورئوس حساس به متی سیلین و 50 ایزوله استافیلوکوکوس کواگولاز منفی از نمونه های مختلف بالینی جمع آوری گردید و توسط تست های بیوشیمیایی استاندارد تعیین هویت شد. الگوی حساسیت آنتی بیوتیکی در ایزوله ها با استفاده از روش دیسک دیفیوژن و Etest برای آنتی بیوتیک های آمینوگلیکوزیدی تعیین شد و سپس فراوانی ژن های aac(6'')-Ie-aph(2«)، aph(3'')-IIIa و ant(4'')-Ia با استفاده از روش PCR مشخص گردید.
    یافته ها
    26% از نمونه ها حداقل به یکی از آنتی بیوتیک ها مقاومت نشان می دادند. ژن های aac(6'')-Ie/aph(2») و aph(3'')-IIIa به ترتیب فراوان ترین ژن ها بودند. حدود 14% از کل نمونه ها به طور هم زمان دارای دو ژن فوق بودند ولی در هیچ نمونه ای ژن ant(4'')-Ia یافت نشد.
    نتیجه گیری
    ژن های(aac(6'')-Ie-aph(2«و aph(3'')-IIIa شیوع بالایی در بین ایزوله ها داشتند، که با تجویز مناسب آنتی بیوتیک می توان از شیوع مقاومت بیش تر جلوگیری نمود. استفاده از روش های فنوتیپی و ژنوتیپی به طور هم زمان اطلاعات کاملی از مقاومت آمینوگلیکوزیدی را در اختیار ما قرار داد
    کلید واژگان: کوآگولاز, طلایی استافیلوکوک, واکنش زنجیره ای پلیمراز, آمینوگلیکوزیدها, متی سیلین}
    Nooshin Abdal, Òehsanolah Ghaznavirad, Adel Hamidi, Davood Hosseini*
    Introduction
    Staphylococci are the most common causes of nosocomial infections are considered. Aminoglycosides are often used in combination with B-lactamas and glycopeptides for the treatment of endocarditis and bacteremia caused by Staphylococci. The main mechanism of aminoglycoside resistance in staphylococci is drug inactivation by cellular aminoglycoside modifying enzymes.
    Materials And Methods
    50 isolates of methicillin-sensitive Staphylococcus aureus and 50 isolates coagulase-negative staphylococci, were collected from various clinical specimens and were identified by standard biochemical tests. The antibiotic susceptibility pattern of isolates using the disk diffusion method and Etest for determining aminoglycoside antibiotics and the frequency of gene aac(6')-Ie-aph(2"), aph(3')-IIIa and ant(4')-Ia was determined using PCR.
    Results
    26% of the samples showed resistance to at least one antibiotics.Genes aac(6')-Ie/aph(2") and aph(3')-IIIa were most abundant genes, respectively. Approximately 14% of these genes were two samples simultaneously, but in no instance a gene ant(4')-Ia were found.
    Conclusion
    High prevalence of genes aac(6')-Ie-aph(2") and aph(3')-IIIa resistance genes among isloate were found. Proper antibiotic can be prescribed to prevent dissemination of resistant strains. Use phenotypic and genotypic methods simultaneously give us full information of aminoglycoside resistance
    Keywords: Coagulase, Staphylococcus aureus, Polymerase chain reaction, Aminoglycosides, Methicillin}
نکته
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