某高等院校学生口腔粘液罗氏菌和葡萄球菌的流行及抗生素谱分析

Nedie Patience Akani, P. N. Barika, A. Akintola, S. Amadi
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引用次数: 0

摘要

粘胶罗氏菌和葡萄球菌引起的菌血症和全身感染并不常见,它们对抗生素的耐药性正变得势不可当。因此,本研究调查了某高等院校学生口腔粘液罗氏菌和葡萄球菌的流行情况和抗生素谱。从美国Rivers州立大学的男女学生口腔中采集了50份样本,并进行了标准的微生物学程序,如培养、分离、鉴定和抗生素敏感性试验。共分离到67株,其中金黄色葡萄球菌43株,粘胶罗氏菌18株,表皮葡萄球菌6株。所有分离菌株均检测出溶血素、过氧化氢酶和金黄色葡萄球菌。男女学生的检出率结果显示,男、女学生中金黄色葡萄球菌的检出率最高(64.18%:59.38%),其次是粘液罗氏菌(22.86%:31.25%),表皮葡萄球菌的检出率最低(8.95%:9.37%)。药敏型分析结果显示,大多数金黄色葡萄球菌、表皮葡萄球菌和粘胶罗氏菌对环丙沙星高度敏感(90.70%;100%;83.33%)和庆大霉素(76.74%);金黄色葡萄球菌对阿奇霉素高度耐药(分别为44.19%和66.67%),表皮葡萄球菌和粘胶罗氏菌对氨苄洛克斯高度耐药(分别为61.11%)。结果43株金黄色葡萄球菌中有37株(86.05%)的多重耐药指数≥0.2,18株粘液链球菌中有15株(83.33%)的多重耐药指数≥0.2,表皮葡萄球菌(100%)的多重耐药指数≥0.2。该研究显示了这些微生物对公众健康的严重威胁,因为这些微生物可以成为病原体,引起败血症、心内膜炎和其他危及生命的感染等疾病。它还说明了与滥用抗生素有关的风险。
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Prevalence and Antibiogram of Rothia mucilaginosa and Staphylococcus spp Isolated from Oral Cavity of Students in a Tertiary Institution
Bacteremia and systemic infection caused by Rothia mucilaginosa and Staphylococcus spp are uncommon and their resistance to antibiotics are becoming overwhelming. Hence, this study was carried out to investigate the prevalence and antibiogram of Rothia mucilaginosa and Staphylococcus spp from oral cavity of students in a Tertiary Institution. A total of fifty (50) specimen were collected from the oral cavity of male and female students in Rivers State University and subjected to standard microbiological procedures such as culturing, isolation, identification as well as antibiotic susceptibility test. Sixty-seven (67) isolates were identified where Staphylococcus aureus were 43 isolates, Rothia mucilaginosa were 18 isolates and six (6) isolates were Staphylococcus epidermidis. All the isolates of Rothia mucilaginosa, Staphylococcus aureus and Staphylococcus epidermidis were positive for the presence of haemolysin and catalase enzymes. The results of the percentage occurrence among male and female students revealed that Staphylococcus aureus had the highest occurrence (64.18%:59.38%) followed closely by Rothia mucilaginosa (22.86%:31.25%) while Staphylococcus epidermidis had the least prevalence (8.95%:9.37%) in male and female respectively. The result of the susceptibility patterns showed that majority of Staphylococcus aureus, Staphylococcus epidermidis and Rothia mucilaginosa were highly sensitive to ciprofloxacin (90.70%; 100%; 83.33%) and gentamicin (76.74%; 83.33%: 100%), and highly resistant to azithromycin (44.19% and 66.67%) for Staphylococcus aureus, Staphylococcus epidermidis and Rothia mucilaginosa were highly resistant to ampiclox (61.11%). The results of the multidrug resistance index of 37 (86.05%) of the 43 S. aureus isolates had a MAR index ≥ 0.2, 15 (83.33%) of the 18 R. mucilaginosa isolates had MAR index ≥ 0.2 and (100%) of the S. epidermidis also had a MAR index ≥ 0.2. This study displays about serious threat to public health because these microorganisms can become pathogen causing diseases such as septicemia, endocarditis, and other life-threatening infections. It also illustrated the risks associated with the indiscriminate use of antibiotics are advised.
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