Genetic identification of methicillin resistant Staphylococcus aureus (MRSA) isolated from diabetic foot ulcers and evaluating the inhibition activity of reuterin against this bacteria.

IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Journal of the Pakistan Medical Association Pub Date : 2024-10-01 DOI:10.47391/JPMA-BAGH-16-29
Khulood Abdulkareem Hussein, Abdulmutalib Abdulla Mohammed, Sundus Baqer Dawood, Sajjad Salim Issa
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Abstract

Objective: To genetically diagnose the isolates of methicillin-resistant staphylococcus aureus taken from patients with severe diabetic foot infections, and to test the inhibitory effect of reuterin on the growth of these bacteria.

Method: The experimental study was conducted from June to November 2021 at the Diabetes Unit of Al-Faihaa General Hospital, Basrah, Iraq, and comprised 62 foot ulcer swabs from the necrotic lesions of patients with type 2 diabetes. The swabs were cultivated first in brain heart infusion broth media, and then streaked on Mannitol salt agar and staphylococcus chromogeneic agar media for phenotypic and genetic analysis. The genetic identification of bacteria was confirmed by deoxyribonucleic acid extraction, and methicillin-resistant staphylococcus aureus was confirmed by the presence of plasmid mecA gene. The inhibition activity of reuterin towards methicillin-resistant staphylococcus aureus was determined using the minimum inhibitory concentration test. All data was analyzed with SPSS version 23.

Results: A total of 62 swabs were taken from the necrotic lesions of type 2 diabetes mellitus (T2DM) patients with diabetic foot ulcers. Of the total isolates, 9(14.5%) gave mauve to purple colour on staphylococcus chromogeneic agar, which was then genetically confirmed as methicillin-resistant staphylococcus aureus. The minimum inhibitory concentration value of these bacteria was 10μl/ml at 16mm inhibition zone diameter. There was no cytotoxicity of reuterin to human red blood cells.

Conclusions: Reuterin was found to be a natural antimicrobial substance suitable for use to disinfect diabetic foot wounds from bacterial contamination and infection, especially those caused by methicillin-resistant staphylococcus aureus.

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对从糖尿病足溃疡中分离出的耐甲氧西林金黄色葡萄球菌(MRSA)进行基因鉴定,并评估芦丁素对这种细菌的抑制活性。
目的对从严重糖尿病足感染患者中分离出的耐甲氧西林金黄色葡萄球菌进行基因诊断,并测试芦丁对这些细菌生长的抑制作用:实验研究于 2021 年 6 月至 11 月在伊拉克巴士拉 Al-Faihaa 综合医院糖尿病科进行,包括 62 份来自 2 型糖尿病患者坏死病灶的足部溃疡拭子。拭子首先在脑心输液肉汤培养基中培养,然后在甘露醇盐琼脂和葡萄球菌色谱琼脂培养基上培养,进行表型和基因分析。通过脱氧核糖核酸提取确认了细菌的基因鉴定,并通过质粒 mecA 基因的存在确认了耐甲氧西林金黄色葡萄球菌。芦丁对耐甲氧西林金黄色葡萄球菌的抑制活性是通过最小抑菌浓度试验确定的。所有数据均采用 SPSS 23 版进行分析:从患有糖尿病足溃疡的 2 型糖尿病(T2DM)患者的坏死病灶中采集了 62 份拭子。在所有分离株中,有 9 株(14.5%)在葡萄球菌染色琼脂上呈淡紫色至紫色,经基因鉴定确认为耐甲氧西林金黄色葡萄球菌。这些细菌的最小抑菌浓度值为 10μl/ml,抑菌区直径为 16mm。芦丁对人体红细胞没有细胞毒性:结论:研究发现芦丁是一种天然抗菌物质,适合用于消毒糖尿病足伤口,防止细菌污染和感染,尤其是由耐甲氧西林金黄色葡萄球菌引起的伤口。
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来源期刊
CiteScore
1.10
自引率
11.10%
发文量
983
审稿时长
3-6 weeks
期刊介绍: Primarily being a medical journal, JPMA publishes scholarly research focusing on the various fields in the areas of health and medical education. It publishes original research describing recent advances in health particularly clinical studies, clinical trials, assessments of pathogens of diagnostic importance, medical genetics and epidemiological studies. Review articles highlighting importance of various issues in the domain of public health, drug research and medical education are also accepted. As a leading journal of South Asia, JPMA remains cognizant of the recent advances in the rapidly growing fields of biomedical sciences, it invites and encourages scholars to write short reviews and invited editorials on the emerging issues. We particularly aim to promote health standards of developing countries by encouraging manuscript submissions on issues affecting the public health and health delivery services.
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