mecA and PVL genes in methicillin-resistant Staphylococcus aureus from clinical specimens: a cross-sectional hospital based study from Nepal

Background and Objectives: Staphylococcus aureus has increasingly been associated with community and healthcare-associated infections worldwide and contributes to treatment failures due to the emergence of multidrug-resistant (MDR) and methicillin-resistant Staphylococcus aureus (MRSA) strains. We...

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Main Authors: Sirjana Adhikari, Supriya Sharma, Sanjib Adhikari, Sanjit Shrestha, Dwij Raj Bhatta
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2025-02-01
Series:Iranian Journal of Microbiology
Subjects:
Online Access:https://ijm.tums.ac.ir/index.php/ijm/article/view/5035
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author Sirjana Adhikari
Supriya Sharma
Sanjib Adhikari
Sanjit Shrestha
Dwij Raj Bhatta
author_facet Sirjana Adhikari
Supriya Sharma
Sanjib Adhikari
Sanjit Shrestha
Dwij Raj Bhatta
author_sort Sirjana Adhikari
collection DOAJ
description Background and Objectives: Staphylococcus aureus has increasingly been associated with community and healthcare-associated infections worldwide and contributes to treatment failures due to the emergence of multidrug-resistant (MDR) and methicillin-resistant Staphylococcus aureus (MRSA) strains. We aimed to determine the prevalence and antibiotic susceptibility pattern of MRSA isolated from patients attending a burn center and to detect mecA and PVL genes among MRSA isolates. Materials and Methods: A cross-sectional hospital based study was conducted on 1950 clinical samples collected from hospital inpatients and outpatients of Kirtipur Hospital, which is a burn specialist hospital in Kathmandu, Nepal. Each sample underwent conventional cultural methods for bacterial isolates identification. Results: Out of 1950 samples, 452 (23.2%) samples showed bacterial growth, of which 109 isolates (24.1%) were identified as Gram positive and 343 (75.9%) as Gram negative bacteria. Among the Gram positive bacteria, 53 (48.62%) were Staphylococcus aureus. Of the total S. aureus isolates, 40 (75.5%) were MRSA and 48 (90.6%) were MDR. Of the 40 MRSA isolates, 29 (72.5%) carried the mecA gene and 3 (7.5%) harbored PVL gene. Conclusion: The high prevalence of MRSA in a burn unit underscores the need for more rigorous infection control practices that follow standard protocols to reduce MRSA transmission in both individuals and the hospital environment.
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institution Kabale University
issn 2008-3289
2008-4447
language English
publishDate 2025-02-01
publisher Tehran University of Medical Sciences
record_format Article
series Iranian Journal of Microbiology
spelling doaj-art-ec7bade0d41e420c9416696dc1f938a02025-02-09T09:01:27ZengTehran University of Medical SciencesIranian Journal of Microbiology2008-32892008-44472025-02-01171mecA and PVL genes in methicillin-resistant Staphylococcus aureus from clinical specimens: a cross-sectional hospital based study from NepalSirjana Adhikari0Supriya Sharma1Sanjib Adhikari2Sanjit Shrestha3Dwij Raj Bhatta4Central Department of Microbiology, Tribhuvan University, Kirtipur, Kathmandu, NepalCentral Department of Microbiology, Tribhuvan University, Kirtipur, Kathmandu, NepalCentral Department of Microbiology, Tribhuvan University, Kirtipur, Kathmandu, NepalDepartment of Pathology, Kirtipur Hospital, Kirtipur, Kathmandu, NepalCentral Department of Microbiology, Tribhuvan University, Kirtipur, Kathmandu, Nepal Background and Objectives: Staphylococcus aureus has increasingly been associated with community and healthcare-associated infections worldwide and contributes to treatment failures due to the emergence of multidrug-resistant (MDR) and methicillin-resistant Staphylococcus aureus (MRSA) strains. We aimed to determine the prevalence and antibiotic susceptibility pattern of MRSA isolated from patients attending a burn center and to detect mecA and PVL genes among MRSA isolates. Materials and Methods: A cross-sectional hospital based study was conducted on 1950 clinical samples collected from hospital inpatients and outpatients of Kirtipur Hospital, which is a burn specialist hospital in Kathmandu, Nepal. Each sample underwent conventional cultural methods for bacterial isolates identification. Results: Out of 1950 samples, 452 (23.2%) samples showed bacterial growth, of which 109 isolates (24.1%) were identified as Gram positive and 343 (75.9%) as Gram negative bacteria. Among the Gram positive bacteria, 53 (48.62%) were Staphylococcus aureus. Of the total S. aureus isolates, 40 (75.5%) were MRSA and 48 (90.6%) were MDR. Of the 40 MRSA isolates, 29 (72.5%) carried the mecA gene and 3 (7.5%) harbored PVL gene. Conclusion: The high prevalence of MRSA in a burn unit underscores the need for more rigorous infection control practices that follow standard protocols to reduce MRSA transmission in both individuals and the hospital environment. https://ijm.tums.ac.ir/index.php/ijm/article/view/5035Methicillin-resistant Staphylococcus aureus;MDR;mecA gene;PVL gene;Wound infection
spellingShingle Sirjana Adhikari
Supriya Sharma
Sanjib Adhikari
Sanjit Shrestha
Dwij Raj Bhatta
mecA and PVL genes in methicillin-resistant Staphylococcus aureus from clinical specimens: a cross-sectional hospital based study from Nepal
Iranian Journal of Microbiology
Methicillin-resistant Staphylococcus aureus;
MDR;
mecA gene;
PVL gene;
Wound infection
title mecA and PVL genes in methicillin-resistant Staphylococcus aureus from clinical specimens: a cross-sectional hospital based study from Nepal
title_full mecA and PVL genes in methicillin-resistant Staphylococcus aureus from clinical specimens: a cross-sectional hospital based study from Nepal
title_fullStr mecA and PVL genes in methicillin-resistant Staphylococcus aureus from clinical specimens: a cross-sectional hospital based study from Nepal
title_full_unstemmed mecA and PVL genes in methicillin-resistant Staphylococcus aureus from clinical specimens: a cross-sectional hospital based study from Nepal
title_short mecA and PVL genes in methicillin-resistant Staphylococcus aureus from clinical specimens: a cross-sectional hospital based study from Nepal
title_sort meca and pvl genes in methicillin resistant staphylococcus aureus from clinical specimens a cross sectional hospital based study from nepal
topic Methicillin-resistant Staphylococcus aureus;
MDR;
mecA gene;
PVL gene;
Wound infection
url https://ijm.tums.ac.ir/index.php/ijm/article/view/5035
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