Phenotypic Identification and Antibiotics Susceptibility Profile of Staphylococcus aureus from Surgical Equipment and Hospital Environment in Lokoja, Kogi State, Nigeria

Makolo, Daniel, Isaac Ojodale, N. Florence, J. Oniemola, Mayowa
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Abstract

Staphylococcus aureus is one of the prominent causes of hospital-acquired bacteremia. Despite the availability of anti-staphylococcal antibiotics, hospital acquired S. aureus bacteremia is still a major problem with considerable morbidity and mortality. Therefore, the aim of this study was to isolate, identify and determine the Antibiotics susceptibility profile of Staphylococcus aureus from the surfaces of surgical equipment and environment of major public and private hospitals in Lokoja, Kogi State, Nigeria using colonial characteristics, microscopy and conventional biochemical techniques. The Antibiotics susceptibility profile of the isolates was determined in accordance with the Guidelines of Clinical and Laboratory Standard Institute (CLSI). A total of three hundred and fifty (350) swab samples comprising of fourty (40) from surgical equipment and three hundred and ten (310) from the environment were collected from three (3) different public and private hospitals within Lokoja metropolis. The results obtained showed that 110(31.4%) of samples from the hospital environment were confirmed positive for Staphylococcus aureus with Hospital A constituting 30(8.6%), Hospital B had 59(16.8%) and Hospital C recorded 21 (6.0%). Of the 19 selected S. aureus isolates for antimicrobial susceptibility screening, 10.52% and 5.26% were intermediately resistant to Norfloxacin and Chloramphenicol respectively. Furthermore, the screened S. aureus isolates showed 100% susceptible to Ciprofloxacin, Gentamicin and Erythromycin; 94.73% susceptible to Chloramphenicol and 89.47% susceptible to Levoflaxin. The result also revealed 100% resistance to Penicillin and 15.78% resistance to Rifampicin. The high presence of Staphylococcus aureus in the hospital environment is a potential threat to the health of the patients and the public as this organism has been implicated in several human diseases, especially hospital- acquired bacteremia. Therefore, improved personal and public hygienic practices within the hospitals are required to reduce the high presence of S. aureus and other pathogenic microorganisms.
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尼日利亚科吉州Lokoja手术设备和医院环境中的金黄色葡萄球菌表型鉴定和抗生素敏感性分析
金黄色葡萄球菌是医院获得性菌血症的主要原因之一。尽管抗葡萄球菌抗生素的可用性,医院获得性金黄色葡萄球菌菌血症仍然是一个具有相当高的发病率和死亡率的主要问题。因此,本研究的目的是利用群体特征、显微镜和常规生化技术,从尼日利亚科吉州Lokoja的主要公立和私立医院的手术设备表面和环境中分离、鉴定和确定金黄色葡萄球菌的抗生素敏感性谱。根据临床和实验室标准协会(CLSI)的指南确定分离株的抗生素敏感性谱。从Lokoja市三家不同的公立和私立医院共收集了350份拭子样本,其中40份来自手术设备,310份来自环境。结果显示,医院环境标本中金黄色葡萄球菌阳性110份(31.4%),其中A医院30份(8.6%),B医院59份(16.8%),C医院21份(6.0%)。在19株金黄色葡萄球菌中,对诺氟沙星和氯霉素的中耐药率分别为10.52%和5.26%。此外,筛选的金黄色葡萄球菌对环丙沙星、庆大霉素和红霉素100%敏感;对氯霉素敏感的占94.73%,对左旋黄素敏感的占89.47%。对青霉素的耐药率为100%,对利福平的耐药率为15.78%。金黄色葡萄球菌在医院环境中的大量存在是对患者和公众健康的潜在威胁,因为这种生物与几种人类疾病有关,特别是医院获得性菌血症。因此,需要改善医院内的个人和公共卫生习惯,以减少金黄色葡萄球菌和其他致病微生物的大量存在。
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