Incidence of methicillin, inducible clindamycin, and vancomycin resistance in Staphylococcus aureus clinical isolates in Gombe, Northeastern Nigeria

Introduction: Antimicrobial resistance (AMR) has become a significant public health concern, jeopardizing the ability to effectively prevent and treat a growing number of infections caused by microorganisms that no longer respond to standard treatments. Despite the introduction of new antibiotics ov...

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Main Authors: Haruna Adamu, Celestina T. Otegwu, Fatima B. Abdullahi, Babajide A. Tytler, Busayo O. Olayinka
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:The Microbe
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Online Access:http://www.sciencedirect.com/science/article/pii/S2950194625000238
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author Haruna Adamu
Celestina T. Otegwu
Fatima B. Abdullahi
Babajide A. Tytler
Busayo O. Olayinka
author_facet Haruna Adamu
Celestina T. Otegwu
Fatima B. Abdullahi
Babajide A. Tytler
Busayo O. Olayinka
author_sort Haruna Adamu
collection DOAJ
description Introduction: Antimicrobial resistance (AMR) has become a significant public health concern, jeopardizing the ability to effectively prevent and treat a growing number of infections caused by microorganisms that no longer respond to standard treatments. Despite the introduction of new antibiotics over the years, bacteria causing both common and severe infections have consistently developed resistance. In light of this escalating threat, urgent action is necessary to prevent a potential global healthcare crisis. This study aimed to determine the incidence of methicillin resistant and vancomycin resistant S. aureus clinical isolates from Federal Teaching Hospital and State Specialist Hospital Gombe, Nigeria. Methods: A cross-sectional study was conducted from October 2021 to January 2022 in two hospitals within the city of Gombe. Antibiotic susceptibility testing was conducted via modify Kirby Bauer disc diffusion and the macro broth dilution method. The species-specific 16S rRNA gene was investigated in the presumptive identified S. aureus isolates whereas the mecA and vanA genes were investigated in cefoxitin and vancomycin resistant S. aureus isolates via PCR. SPSS version 21 was used to determine the statistical associations between the MRSA and MDR characteristics of the S. aureus isolates. Results: A total of two hundred and eighty (280) suspected consecutive staphylococcal isolates were collected and thirty three (33) S. aureus isolates were confirmed by the presence of the 16S rRNA gene; 75.8 % were found to be multidrug-resistant (MDR) but one (1) isolate is susceptible,to all the tested antibiotics, 54.5 % were methicillin-resistant (MRSA) and 45 % were vancomycin resistant (VRSA). A statistically significant association (p-value˂0.05) was observed between MDR isolates and MRSA. A total of 54.6 % of the isolates were constitutive clindamycin resistant whereas 6.1 % were inducible clindamycin resistant. Among the isolates that are phenotypically resistant to methicillin and vancomycin, 20 % of the isolates harbor mecA and vanA but none harbor both genes. Conclusion: This study highlights the incidence of MRSA and VRSA which poses a significant burden on healthcare systems.
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spelling doaj-art-497d90c8729e4aa7b70b8ae6c5be94b42025-02-09T05:02:04ZengElsevierThe Microbe2950-19462025-03-016100255Incidence of methicillin, inducible clindamycin, and vancomycin resistance in Staphylococcus aureus clinical isolates in Gombe, Northeastern NigeriaHaruna Adamu0Celestina T. Otegwu1Fatima B. Abdullahi2Babajide A. Tytler3Busayo O. Olayinka4Department of Pharmaceutical Microbiology and Biotechnology, Gombe State University, Gombe State, Nigeria; Corresponding author.Department of Pharmaceutical Microbiology and Biotechnology, Gombe State University, Gombe State, NigeriaDepartment of Pharmaceutical Microbiology and Biotechnology, Gombe State University, Gombe State, NigeriaDepartment of Pharmaceutical Microbiology, Ahmadu Bello University, Zaria, NigeriaDepartment of Pharmaceutical Microbiology, Ahmadu Bello University, Zaria, NigeriaIntroduction: Antimicrobial resistance (AMR) has become a significant public health concern, jeopardizing the ability to effectively prevent and treat a growing number of infections caused by microorganisms that no longer respond to standard treatments. Despite the introduction of new antibiotics over the years, bacteria causing both common and severe infections have consistently developed resistance. In light of this escalating threat, urgent action is necessary to prevent a potential global healthcare crisis. This study aimed to determine the incidence of methicillin resistant and vancomycin resistant S. aureus clinical isolates from Federal Teaching Hospital and State Specialist Hospital Gombe, Nigeria. Methods: A cross-sectional study was conducted from October 2021 to January 2022 in two hospitals within the city of Gombe. Antibiotic susceptibility testing was conducted via modify Kirby Bauer disc diffusion and the macro broth dilution method. The species-specific 16S rRNA gene was investigated in the presumptive identified S. aureus isolates whereas the mecA and vanA genes were investigated in cefoxitin and vancomycin resistant S. aureus isolates via PCR. SPSS version 21 was used to determine the statistical associations between the MRSA and MDR characteristics of the S. aureus isolates. Results: A total of two hundred and eighty (280) suspected consecutive staphylococcal isolates were collected and thirty three (33) S. aureus isolates were confirmed by the presence of the 16S rRNA gene; 75.8 % were found to be multidrug-resistant (MDR) but one (1) isolate is susceptible,to all the tested antibiotics, 54.5 % were methicillin-resistant (MRSA) and 45 % were vancomycin resistant (VRSA). A statistically significant association (p-value˂0.05) was observed between MDR isolates and MRSA. A total of 54.6 % of the isolates were constitutive clindamycin resistant whereas 6.1 % were inducible clindamycin resistant. Among the isolates that are phenotypically resistant to methicillin and vancomycin, 20 % of the isolates harbor mecA and vanA but none harbor both genes. Conclusion: This study highlights the incidence of MRSA and VRSA which poses a significant burden on healthcare systems.http://www.sciencedirect.com/science/article/pii/S2950194625000238Antimicrobial resistance (AMR)Methicillin resistant Staphylococcus aureus (MRSA)Vancomycin resistant Staphylococcus aureus (VRSA)Multidrug resistance (MDR)
spellingShingle Haruna Adamu
Celestina T. Otegwu
Fatima B. Abdullahi
Babajide A. Tytler
Busayo O. Olayinka
Incidence of methicillin, inducible clindamycin, and vancomycin resistance in Staphylococcus aureus clinical isolates in Gombe, Northeastern Nigeria
The Microbe
Antimicrobial resistance (AMR)
Methicillin resistant Staphylococcus aureus (MRSA)
Vancomycin resistant Staphylococcus aureus (VRSA)
Multidrug resistance (MDR)
title Incidence of methicillin, inducible clindamycin, and vancomycin resistance in Staphylococcus aureus clinical isolates in Gombe, Northeastern Nigeria
title_full Incidence of methicillin, inducible clindamycin, and vancomycin resistance in Staphylococcus aureus clinical isolates in Gombe, Northeastern Nigeria
title_fullStr Incidence of methicillin, inducible clindamycin, and vancomycin resistance in Staphylococcus aureus clinical isolates in Gombe, Northeastern Nigeria
title_full_unstemmed Incidence of methicillin, inducible clindamycin, and vancomycin resistance in Staphylococcus aureus clinical isolates in Gombe, Northeastern Nigeria
title_short Incidence of methicillin, inducible clindamycin, and vancomycin resistance in Staphylococcus aureus clinical isolates in Gombe, Northeastern Nigeria
title_sort incidence of methicillin inducible clindamycin and vancomycin resistance in staphylococcus aureus clinical isolates in gombe northeastern nigeria
topic Antimicrobial resistance (AMR)
Methicillin resistant Staphylococcus aureus (MRSA)
Vancomycin resistant Staphylococcus aureus (VRSA)
Multidrug resistance (MDR)
url http://www.sciencedirect.com/science/article/pii/S2950194625000238
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