Antimicrobial Resistance and Molecular Typing of Pseudomonas aeruginosa Isolated from Surgical Wounds in Lagos, Nigeria
Abstract
The aim of the study was to determine the resistance patterns of Pseudomonas aeruginosa isolates recovered from patients with surgical wounds in hospitals and also to investigate their epidemiological relatedness using molecular typing techniques. Twenty Pseudomonas sp. isolated from surgical wounds were subjected to antibiotic susceptibility testing by disk diffusion, plasmid profile, SDS-PAGE and PCR using the parC, gyr A gene and RAPD using the 1254 primer. The isolates showed resistance to 12 different antibiotics with six being 100% resistant. Plasmids were detected in 16 (80%) of the isolates. The RAPD-PCR using the primer 1254, SDS-PAGE classified the 20 Pseudomonas spp. into 5 and 6 types respectively. Pseudomona aeruginosa strains isolated from surgical wounds were generally resistant to a broad range of antibiotics and this is rather worrisome. The typing techniques classified the 20 isolates into 5 and 6 groups.
Maksimovic, J., Markovic-Denic. L., Bumbasirevic. M., Marinkovic, J., Vlajinac, H. Surigcal site infections in orthopaedic patients: Prospective cohort study. Croat Med J 2008; 49: 58 – 65.
Emori TG, Gaynes RP. An overview of nosocomial infections, including the role of microbiology laboratory. Clin Microbiol Rev 1993; 6: 428 – 42.
Bertrand X, Thouverez M, Patry C, Balvay P, Talon D. Pseudomonas aeruginosa: antibiotic ausceptibility andgenotypic characterization of strains isolated in the intensive care unit. Clin Microbiol Infect 2001; 7: 706 – 8.
Blanc DS, Francioli P, Zanetti G. Molecular epidemiology of Pseudomonas aeruginosa in the intensive care units-A Review. The Open Microbiol J 2007; 1: 8-11.
Brauner A, Cryz SJ, Granstrom M, Hanson HS, Lofstrand L, Strandvik B, Wretlind B. Immunoglobulin G antibodies to Pseudomonas aeruginosa lipopolysaccharides and exotoxin A in patients with systic fibrosis or bacteraemia. Eur J Clin Microbiol Infect Dis 1993; 12: 420 – 36.
Odusanya OO. Antibiotic susceptibility of microorganisms at a General Hospital in Lagos, Nigeria. J Natl Med Assoc2002; 94: 994 – 998.
Jombo GT, Jonah P, Ayeni JA. Multiple resistant Pseudomonas aeruginosa in contemporary medical practice:findings fromurinary isolates at a Nigerian University Teaching Hospital. Nig J Physiol Sci 2008; 23:105 – 9.
Wariso BA, Ibe SN. Bacteriology of chronic discharging ears in Port Harcourt, Nigeria. W Afr J Med 2006; 25: 219– 222.
de Freitas ALP, Barth AL. Antibiotic resistance and molecular typing of Pseudomonas aeruginosa: focus on imipenem. The Braz J Infect Dis 2002; 6: 1 – 7.
Panzig B, Schroder G, Grunding MA. A large outbreak of multiresistant Pseudomonas aeruignosa strains in northeastern Germany. J Antimicrob Chemother 1999; 43: 415– 8.
Tsakris A, Pournaras S, Woodsord N et al. Outbreak of infections caysed by Pseudomonas aeruginosa producing VIM-1 carbapanemase in Greece. J Clin Microbiol 2000;38: 1290 – 2.
Sazakli E, Leotsinidis M, Vantarakis A, Papapetropoulou
M. Comparative typing of Pseudomonas species isolaued from the aquatic envrionment in Greece by SDS-PAGE and RAPD analysis. J Appl Microbiol 2005; 99: 1191–1203.
National Committee for Clinical and Laboratory Standards Criteria. Analysis and presentation of cumulative antimicrobial susceptibility data. 2nd edition. Vol 7, M39- A2; 2005.
Birnboim HC, Doly JA. rapid alkaline extraction procedure for screening recombinant plasmid DNA. Nucleic Acids Res. 1979; 97: 1513-1523.
Murakami K, Nomura K, Doi M, Yoshida T. Production of low-affinity penicillin binding protein by low and high resistance group of methicillin resistant Staphylococcus aureus. Antimicrob Agents Chemother 1987; 31: 1307 –11.
Eftekhar F, Hosseinkhan N, Asgharadeh A, Tabatabaii A. Genetic profiling of Pseudomonas aeruginosa isolates fromIranian patients with cystic fibrosis using RAPD-PCR andPFGE. Iran J Basic Med Sci 2009; 12: 126 – 132.
Nikbin VS, Abdi-Ali A, Feizabadi MM, Gharavi S. Pulsed-field gel electrophoresis and plasmid profile of Pseudomonas aeruginosa at two hospitals in Tehran, Iran. Indian J Med Res 2007; 126: 146 – 51.
Tassios PT, Gennimata V, Maniatis AN, Fock C, Legakis NJ, and the Greek Pseudomonas aeruginosa Study Group. Emergence of multidrug resistance in ubiquitous and dominant Pseudomonas aeruginosa serogroup 0:11. J Clin Microbiol 1998; 36: 897 – 901.
Bouza E, Garcia-Garrote F, Cercenado E, Marin M, Diaz for the Spanish Pseudomonas aeruginosa Study Group. Pseudomonas aeruginosa: a survey of resistance in 136hospitals in Spain. Antimicrob Agents Chemother 1999; 43: 981 – 2.
Onipede AO, OnayadeAA, Elusiyan JBE, et al. Invasive bacteria isolates from children with severe infections in a Nigerian hospital. J Infect Develop Countr 2009; 3: 429 –36.
Fadeyi A, Akanbi AA 2nd, Nwabuisi C and Onile BA. Antibiotic disk sensitivity pattern of Pseudomonasaeruginosa isolates obtained from clinical specimens in Ilorin, Nigeria. Afr J Med Med Sci 2005; 34: 303 – 6.
Ogbolu DO, Ogunledun A, Adebiyi OE, Daini OA and Alli AO. Antibiotic susceptibility patterns of Pseudomonas aeruginosa to available antipseudomonal drugs in Ibadan, Nigeria. Afr J Medical Sci 2008; 37: 339 – 44.
Yoon MY, Lee K, Jeong SH, Kim J,Yoon SS . Heterogeneous virulence potential and high antibiotic resistance of Pseudomonas aeruginosa strains isolated from Korean pneumonia patients. J Microbiol 2010; 48: 518–25.
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Issue | Vol 50, No 6 (2012) | |
Section | Original Article(s) | |
Keywords | ||
Pseudomonas aeruginosa Microbial sensitivity tests Molecular typing |
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