Volume 14, Issue 2 (Spring 2025)                   aumj 2025, 14(2): 178-188 | Back to browse issues page

Ethics code: IR.IAU.FALA.REC.1399.016


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mehrbakhsh S, Ghandehari F, Rezaee M, Fatemi M, Ahadi A M. Identification and Investigation of the Antibiotic Resistance Pattern of Multidrug-Resistant Staphylococcus aureus Isolated from Patients with Burn Wound Infection in Taleghani Hospital, Ahvaz. aumj 2025; 14 (2) :178-188
URL: http://aums.abzums.ac.ir/article-1-1886-en.html
1- Department of Microbiology, Falavarjan Branch, Islamic Azad University, Isfahan, Iran
2- Department of Microbiology, Falavarjan Branch, Islamic Azad University, Isfahan, Iran , fereshtehghandehari72@gmail.com
3- Department of Biochemistry, Falavarjan Branch, Islamic Azad University, Isfahan, Iran
4- Department of Biology, Falavarjan Branch, Islamic Azad University, Isfahan, Iran
5- Department of Genetics, Shahrekord University, Shahrekord, Iran
Abstract:   (1029 Views)

Introduction: The rapid emergence of multidrug-resistant (MDR) Staphylococcus aureus infections has become a concerning global health threat. This study aimed to identify the antibiotic resistance patterns of MDR S. aureus in burn wound infections.
Methods: A total of 100 swab samples were collected from burn wound patients at Taleghani Burn Hospital (Ahvaz, Iran). All samples were obtained from hospitalized patients within 7 days of admission. The isolates were identified as S. aureus using standard culture methods and biochemical tests. The antimicrobial susceptibility of the isolates was evaluated in vitro using the Kirby-Bauer disk diffusion method with 17 antibiotics. Subsequently, the isolates were subjected to species-specific polymerase chain reaction (PCR) analysis.
Results: Forty S. aureus isolates (40%) were obtained from burn wound samples. The isolates exhibited the highest resistance to penicillin (82.5%), amikacin (77.5%), trimethoprim-sulfamethoxazole (70%), ciprofloxacin, and gentamicin (67.5%), while showing the highest susceptibility to vancomycin (80%), linezolid (77.5%), clindamycin (72.5%), and erythromycin (60%). Twenty isolates (50%) were resistant to more than 3 antibiotics and were classified as MDR isolates.
Conclusion: The prevalence of MDR S. aureus is a global issue that requires immediate attention. The multidrug resistance of S. aureus may stem from prolonged hospitalization of patients in burn units and the overuse of antibiotics for infection treatment. Therefore, understanding the epidemiology, antibiotic resistance patterns, and infection management of S. aureus in burn units would be highly beneficial.
 

Full-Text [PDF 443 kb]   (379 Downloads)    
Type of Study: Research | Subject: Special
Received: 2024/12/20 | Accepted: 2025/02/23 | Published: 2025/03/03

References
1. Jasim MT, Alzubaidi AFA, Al-Rubaye SMD. Isolation and identification of Staphylococcus aureus and Pseudomonas aeruginosa bacteria from burns and wounds patients in Diyala governorate.
2. Craft KM, Nguyen JM, Berg LJ, et al. Methicillin-resistant Staphylococcus aureus (MRSA): antibiotic-resistance and the biofilm phenotype. MedChemComm. 2019;10(8):1231-41. [DOI:10.1039/C9MD00044E] [PMID] []
3. Branco TM, Valerio NC, Jesus VIR, et al. Single and combined effects of photodynamic therapy and antibiotics to inactivate Staphylococcus aureus on skin. Photodiagnosis and photodynamic therapy. 2018;21:285-93. [DOI:10.1016/j.pdpdt.2018.01.001] [PMID]
4. Monteiro JS, de Oliveira SC, Pires Santos GM, et al. Effectiveness of antimicrobial photodynamic therapy (AmPDT) on Staphylococcus aureus using phenothiazine compound with red laser. Lasers in medical science. 2017;32:29-34. [DOI:10.1007/s10103-016-2079-4] [PMID]
5. Pérez C, Zúñiga T, Palavecino CE. Photodynamic therapy for treatment of Staphylococcus aureus infections. Photodiagnosis and Photodynamic Therapy. 2021;34:102285. [DOI:10.1016/j.pdpdt.2021.102285] [PMID]
6. Gatadi S, Madhavi Y, Chopra S, et al. Promising antibacterial agents against multidrug resistant Staphylococcus aureus. Bioorganic Chemistry. 2019;92:103252. [DOI:10.1016/j.bioorg.2019.103252] [PMID]
7. Gnanasekar S, Kasi G, He X, et al. Recent advances in engineered polymeric materials for efficient photodynamic inactivation of bacterial pathogens. Bioactive Materials. 2023;21:157-74. [DOI:10.1016/j.bioactmat.2022.08.011] [PMID] []
8. Anyiam IV, Zige DV. Detection and Antibiotic Resistance Pattern of Multidrug Resistant Staphylococccus aureus from Wound Infection at Tertiary Hospital in Yenagoa, Nigeria. CURRENT APPLIED SCIENCE AND TECHNOLOGY. 2024:e0258357-e. [DOI:10.55003/cast.2024.258357]
9. Green MR, Sambrook J. Molecular cloning. A Laboratory Manual 4th. 2012;448.
10. Atshan SS, Shamsudin MN, Karunanidhi A, et al. Quantitative PCR analysis of genes expressed during biofilm development of methicillin resistant Staphylococcus aureus (MRSA). Infection, genetics and evolution. 2013;18:106-12. [DOI:10.1016/j.meegid.2013.05.002] [PMID]
11. Mann EA, Baun MM, Meininger JC, et al. Comparison of mortality associated with sepsis in the burn, trauma, and general intensive care unit patient: a systematic review of the literature. Shock. 2012;37(1):4-16. [DOI:10.1097/SHK.0b013e318237d6bf] [PMID]
12. Zhang J, Deng J, Liu M. Analysis of 1116 strains of pathogens isolated from infected burn wounds. Zhonghua Zheng Xing Shao Shang wai ke za zhi= Zhonghua Zheng Xing Shao Shang Waikf [ie Waike] Zazhi= Chinese Journal of Plastic Surgery and Burns. 1995;11(1):49-52.
13. Gang RK, Sanyal SC, Bang RL, et al. Staphylococcal septicaemia in burns. Burns. 2000;26(4):359-66. [DOI:10.1016/S0305-4179(99)00170-9] [PMID]
14. Atoyebi O, Sowemimo G, Odugbemi T. Bacterial flora of burn wounds in Lagos, Nigeria: a prospective study. Burns. 1992;18(6):448-51. [DOI:10.1016/0305-4179(92)90175-T] [PMID]
15. Nakhla L, Sanders R. Microbiological aspects of burns at Mount Vernon Hospital, UK. Burns. 1991;17(4):309-12. [DOI:10.1016/0305-4179(91)90046-J] [PMID]
16. Zulfaqari M, Motlagh M, Aghaei S, et al. Bacterial factors effective in causing post-burn infections in the burn department of Nakoui-Hedayati Hospital, Qom, 2008-2010. Journal of Qom University of Medical Sciences. 2010;0-0. [In persian]
17. Alebachew T, Yismaw G, Derabe A, et al. Staphylococcus aureus burn wound infection among patients attending Yekatit 12 hospital burn unit, Addis Ababa, Ethiopia. Ethiopian journal of health sciences. 2012;22(3).
18. Tabaei S, Kouhi Noghondar M, Mohammadzadeh M, et al. Pattern of antibiotic resistance in methicillin-resistant Staphylococcus aureus (MRSA) strains isolated from clinical specimens: Imam Reza hospital in Mashhad. Medical journal of mashhad university of medical sciences. 2016;59(2):64-70.
19. Noorbakhsh S, Siadati A, Farhadi M, et al. Methicillin resistant Staphylococcus aureus in children. Journal of Comprehensive Pediatrics. 2007;1(1):24-30.
20. AbdulAziz Z, Onaolapo JA, Ibrahim YK, et al. Prevalence and Antimicrobial Resistance Profile of Methicillin Resistant Staphylococcus aureus isolates from Wound Infections in Zaria, Nigeria. Journal of Current Biomedical Research. 2022;2(5, September-October):475-89. [DOI:10.54117/jcbr.v2i5.6]
21. Mashaiekhi S, Amini K. Antibiotic resistance pattern and biofilm production in Staphylococcus aureus isolates and Staphylococcus epidermidis isolated from hospital infections Tehran in 2016. Journal of Birjand University of Medical Sciences. 2018;25(2):160-6.
22. Ahmadi Z, Tajbakhsh E, Momtaz H. Detection of the antibiotic resistance pattern in Staphylococcus aureus isolated from clinical samples obtained from patients hospitalised in Imam Reza hospital, Kermanshah. Journal of Microbial World. 2014;6(4):299-311.
23. Gorji S, Bamzadeh Z, Momtaz H. Antibiotic resistance pattern and prevalence of TST gene in Staphylococcus aureus isolated from respiratory system infections in Isfahan. medical journal of mashhad university of medical sciences. 2017;60(4):586-647.
24. Huang Y, He L, Deng Y, et al. Target serum concentration of vancomycin may be reached earlier with a loading dose. Chinese Medical Journal. 2022;135(03):317-23. [DOI:10.1097/CM9.0000000000001905] [PMID] []
25. Udeani T, Onyebuchi C, Ikpenwa M, et al. Prevalence and antibiotic susceptibility pattern of methicillin resistant Staphylococcus aureus in burns and pressure ulcer patients. African Journal of Clinical and Experimental Microbiology. 2016;17(2):130-9. [DOI:10.4314/ajcem.v17i2.9]
26. Askarpour B, Sedaghat A, Hazrati N, et al. Antibiotic resistance pattern among staphylococcus aureus isolated from wound cultures in burn patients: a five-year study. Avicenna Journal of Clinical Microbiology and Infection. 2020;7(4):104-8. [DOI:10.34172/ajcmi.2020.23]
27. Gu F, He W, Zhu D, et al. A 10-year retrospective study of methicillin-resistant Staphylococcus aureus from burn wound infection in southeast China from 2013 to 2022. Frontiers in Microbiology. 2023;14:1301744. [DOI:10.3389/fmicb.2023.1301744] [PMID] []
28. Wayne P. Clinical and laboratory standards institute. Performance standards for antimicrobial susceptibility testing. 2011.
29. Sleem AS, Melake NA, Eissa NA, et al. Prevalence of multidrug-resistant bacteria isolated from patients with burn infection. Menoufia Medical Journal. 2015;28(3):677-84.
30. Keen III EF, Robinson BJ, Hospenthal DR, et al. Prevalence of multidrug-resistant organisms recovered at a military burn center. Burns. 2010;36(6):819-25. [DOI:10.1016/j.burns.2009.10.013] [PMID]
31. Fey P, Said-Salim B, Rupp M, et al. Comparative molecular analysis of community-or hospital-acquired methicillin-resistant Staphylococcus aureus. Antimicrobial agents and chemotherapy. 2003;47(1):196-203. [DOI:10.1128/AAC.47.1.196-203.2003] [PMID] []
32. Yusuf I, Arzai A, Haruna M, et al. Detection of multi drug resistant bacteria in major hospitals in Kano, North-West, Nigeria. Brazilian Journal of Microbiology. 2014;45:791-8. [DOI:10.1590/S1517-83822014000300005] [PMID] []
33. Ozumba UC. Antimicrobial resistance problems in a university hospital. Journal of the National Medical Association. 2005;97(12):1714.
34. Choo EJ, Chambers HF. Treatment of methicillin-resistant Staphylococcus aureus bacteremia. Infection & chemotherapy. 2016;48(4):267. [DOI:10.3947/ic.2016.48.4.267] [PMID] []
35. Gurung RR, Maharjan P, Chhetri GG. Antibiotic resistance pattern of Staphylococcus aureus with reference to MRSA isolates from pediatric patients. Future science OA. 2020;6(4):FSO464. [DOI:10.2144/fsoa-2019-0122] [PMID] []

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Alborz University Medical Journal

Designed & Developed by : Yektaweb