Characteristics of Staphylococcus aureus isolated from patients in Busia County Referral Hospital, Kenya

Staphylococcus aureus is an important pathogen associated with hospital, community, and livestock-acquired infections, with the ability to develop resistance to antibiotics. Nasal carriage by hospital inpatients is a risk for opportunistic infections. Antibiotic susceptibility patterns, virulence ge...

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Main Authors: Obanda, B.A., Cook, Elizabeth A.J., Fèvre, Eric M., Bebora, L., Ogara, W., Wang, S.-H., Gebreyes, W., Ngetich, R., Wandede, D., Muyodi, J., Blane, B., Coll, F., Harrison, E.M., Peacock, S.J., Gitao, G.C.
Format: Journal Article
Language:Inglés
Published: MDPI 2022
Subjects:
Online Access:https://hdl.handle.net/10568/125963
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author Obanda, B.A.
Cook, Elizabeth A.J.
Fèvre, Eric M.
Bebora, L.
Ogara, W.
Wang, S.-H.
Gebreyes, W.
Ngetich, R.
Wandede, D.
Muyodi, J.
Blane, B.
Coll, F.
Harrison, E.M.
Peacock, S.J.
Gitao, G.C.
author_browse Bebora, L.
Blane, B.
Coll, F.
Cook, Elizabeth A.J.
Fèvre, Eric M.
Gebreyes, W.
Gitao, G.C.
Harrison, E.M.
Muyodi, J.
Ngetich, R.
Obanda, B.A.
Ogara, W.
Peacock, S.J.
Wandede, D.
Wang, S.-H.
author_facet Obanda, B.A.
Cook, Elizabeth A.J.
Fèvre, Eric M.
Bebora, L.
Ogara, W.
Wang, S.-H.
Gebreyes, W.
Ngetich, R.
Wandede, D.
Muyodi, J.
Blane, B.
Coll, F.
Harrison, E.M.
Peacock, S.J.
Gitao, G.C.
author_sort Obanda, B.A.
collection Repository of Agricultural Research Outputs (CGSpace)
description Staphylococcus aureus is an important pathogen associated with hospital, community, and livestock-acquired infections, with the ability to develop resistance to antibiotics. Nasal carriage by hospital inpatients is a risk for opportunistic infections. Antibiotic susceptibility patterns, virulence genes and genetic population structure of S. aureus nasal isolates, from inpatients at Busia County Referral Hospital (BCRH) were analyzed. A total of 263 inpatients were randomly sampled, from May to July 2015. The majority of inpatients (85.9%) were treated empirically with antimicrobials, including ceftriaxone (65.8%) and metronidazole (49.8%). Thirty S. aureus isolates were cultured from 29 inpatients with a prevalence of 11% (10.3% methicillin-susceptible S. aureus (MSSA), 0.8% methicillin resistant S. aureus (MRSA)). Phenotypic and genotypic resistance was highest to penicillin-G (96.8%), trimethoprim (73.3%), and tetracycline (13.3%) with 20% of isolates classified as multidrug resistant. Virulence genes, Panton-Valentine leukocidin (pvl), toxic shock syndrome toxin-1 (tsst-1), and sasX gene were detected in 16.7%, 23.3% and 3.3% of isolates. Phylogenetic analysis showed 4 predominant clonal complexes CC152, CC8, CC80, and CC508. This study has identified that inpatients of BCRH were carriers of S. aureus harbouring virulence genes and resistance to a range of antibiotics. This may indicate a public health risk to other patients and the community.
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spelling CGSpace1259632025-12-08T10:29:22Z Characteristics of Staphylococcus aureus isolated from patients in Busia County Referral Hospital, Kenya Obanda, B.A. Cook, Elizabeth A.J. Fèvre, Eric M. Bebora, L. Ogara, W. Wang, S.-H. Gebreyes, W. Ngetich, R. Wandede, D. Muyodi, J. Blane, B. Coll, F. Harrison, E.M. Peacock, S.J. Gitao, G.C. health antimicrobial resistance pathogens hospitals antibiotics infection drug resistance public health staphylococcus aureus Staphylococcus aureus is an important pathogen associated with hospital, community, and livestock-acquired infections, with the ability to develop resistance to antibiotics. Nasal carriage by hospital inpatients is a risk for opportunistic infections. Antibiotic susceptibility patterns, virulence genes and genetic population structure of S. aureus nasal isolates, from inpatients at Busia County Referral Hospital (BCRH) were analyzed. A total of 263 inpatients were randomly sampled, from May to July 2015. The majority of inpatients (85.9%) were treated empirically with antimicrobials, including ceftriaxone (65.8%) and metronidazole (49.8%). Thirty S. aureus isolates were cultured from 29 inpatients with a prevalence of 11% (10.3% methicillin-susceptible S. aureus (MSSA), 0.8% methicillin resistant S. aureus (MRSA)). Phenotypic and genotypic resistance was highest to penicillin-G (96.8%), trimethoprim (73.3%), and tetracycline (13.3%) with 20% of isolates classified as multidrug resistant. Virulence genes, Panton-Valentine leukocidin (pvl), toxic shock syndrome toxin-1 (tsst-1), and sasX gene were detected in 16.7%, 23.3% and 3.3% of isolates. Phylogenetic analysis showed 4 predominant clonal complexes CC152, CC8, CC80, and CC508. This study has identified that inpatients of BCRH were carriers of S. aureus harbouring virulence genes and resistance to a range of antibiotics. This may indicate a public health risk to other patients and the community. 2022-12-09 2022-12-14T10:16:15Z 2022-12-14T10:16:15Z Journal Article https://hdl.handle.net/10568/125963 en Open Access MDPI Obanda, B.A., Cook, E.A.J., Fèvre, E.M., Bebora, L., Ogara, W., Wang, S.-H., Gebreyes, W., Ngetich, R., Wandede, D., Muyodi, J., Blane, B., Coll, F., Harrison, E.M., Peacock, S.J. and Gitao, G.C. 2022. Characteristics of Staphylococcus aureus isolated from patients in Busia County Referral Hospital, Kenya. Pathogens 11(12): 1504.
spellingShingle health
antimicrobial resistance
pathogens
hospitals
antibiotics
infection
drug resistance
public health
staphylococcus aureus
Obanda, B.A.
Cook, Elizabeth A.J.
Fèvre, Eric M.
Bebora, L.
Ogara, W.
Wang, S.-H.
Gebreyes, W.
Ngetich, R.
Wandede, D.
Muyodi, J.
Blane, B.
Coll, F.
Harrison, E.M.
Peacock, S.J.
Gitao, G.C.
Characteristics of Staphylococcus aureus isolated from patients in Busia County Referral Hospital, Kenya
title Characteristics of Staphylococcus aureus isolated from patients in Busia County Referral Hospital, Kenya
title_full Characteristics of Staphylococcus aureus isolated from patients in Busia County Referral Hospital, Kenya
title_fullStr Characteristics of Staphylococcus aureus isolated from patients in Busia County Referral Hospital, Kenya
title_full_unstemmed Characteristics of Staphylococcus aureus isolated from patients in Busia County Referral Hospital, Kenya
title_short Characteristics of Staphylococcus aureus isolated from patients in Busia County Referral Hospital, Kenya
title_sort characteristics of staphylococcus aureus isolated from patients in busia county referral hospital kenya
topic health
antimicrobial resistance
pathogens
hospitals
antibiotics
infection
drug resistance
public health
staphylococcus aureus
url https://hdl.handle.net/10568/125963
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