Carriage and Resistance Pattern of Methicillin Resistant Staphylococcus aureus among Pregnant Women Attending an Ante- Natal Clinic in Uyo – Nigeria

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Chinweizu Ejikeme Udobi
Nwaokonko Joseph Udochukwu
Onwubiko Chinaza
Ugochi Juliet Udobi

Abstract

The study was designed to investigate the carriage and resistance pattern of Methicillin resistant Staphylococcus aureus among pregnant women attending ante-natal clinic at the university of Uyo medical centre in Nigeria. Seventy (70) urine samples collected from pregnant women were screened for Staphylococcus aureus using standard microbiological techniques. The isolates were then subjected to antibiotic susceptibility testing using the disc diffusion method during which resistance to 30?g cefoxitin was used as a yardstick for Methicillin resistance. Results obtained showed that 50 (71%) of the urine samples were positive for Staphylococcus aureus and 21 (42%) of them were resistant to 30?g cefoxitin confirming them phenotypic MRSA isolates. Results obtained further showed that the MRSA isolates were resistant to norfloxacin (100%), ampicillin/cloxacin (81%), chloramphenicol (62%) but showed low resistance to levofloxacin (19%) and streptomycin (19%). Results obtained further confirmed that 76% of the MRSA isolates were multi- drug resistant and may have been contracted from the environment where they reside before coming to hospital. It is concluded that methicillin resistant Staphylococcus aureus (MRSA) carriage is still high among pregnant women in Uyo-Nigeria and the implications are highlighted.

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How to Cite
Udobi, C. E. ., Udochukwu, N. J. ., Chinaza, O. ., & Udobi, U. J. . (2020). Carriage and Resistance Pattern of Methicillin Resistant Staphylococcus aureus among Pregnant Women Attending an Ante- Natal Clinic in Uyo – Nigeria. Nigerian Journal of Pharmaceutical and Applied Science Research, 6(2), 8–12. Retrieved from https://nijophasr.net/index.php/nijophasr/article/view/179
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Articles
Author Biographies

Chinweizu Ejikeme Udobi

Pharmaceutical Microbiology Unit, Department of Pharmaceutics and Pharmaceutical Technology,
Faculty of Pharmacy, University of Uyo, Nigeria

Nwaokonko Joseph Udochukwu

Pharmaceutical Microbiology Unit, Department of Pharmaceutics and Pharmaceutical Technology,
Faculty of Pharmacy, University of Uyo, Nigeria

Onwubiko Chinaza

Pharmaceutical Microbiology Unit, Department of Pharmaceutics and Pharmaceutical Technology,
Faculty of Pharmacy, University of Uyo, Nigeria

Ugochi Juliet Udobi

Pharmaceutical Microbiology Unit, Department of Pharmaceutics and Pharmaceutical Technology,
Faculty of Pharmacy, University of Uyo, Nigeria

References

Anand, K. B; Agrawal, P; Rumar, S and Kapila, K (2005). Comparison of cefoxitin disc diffusion test, oxacillin screen agar, and PCR for mecA gene for detection of MRSA. Indian Jour. Med. Microbiol. 22(1) 27-29.

Cheesbrough, M. (2000). District laboratory practice manual in tropical countries part 2. Cambridge University press, Cambridge, 178-179.

Clinical Laboratory Standard Institute (CLSI) (2008). Performance standard for antimicrobial susceptibility testing, 15th International supplement, wayne.

Gengrong, Lin; Lois, M. Ednie and Peter, C. Appelbum (2010). Antistaphylococcal activity of ACHN-490 tested alone and in combination with other agents by time kill assay. Antimicrob. Agents chemother. 54(5): 2258–2261.

Grundman, H; Aires-de-souza, M; Boyce, J and Tiemersma, E. (2006). Emergence and resurgence of methicillin resistant Staphylococcus aureus as a public health threat, Lancet (368) 874-885

Ikeh E. C. (2003). Methicillin resistant Staphylococcus aureus at Jos University Teaching Hospital, Afri. Journ Clin. Exper. Microbiol. 4, (1), 52–55.

Jimenenz- Iruque, N; Tedeschi, S;Soye, E. J; Mekenna, B. O; Langdon, W; Wright, J. P; Alsentzer, A; Arnod, S; Seville, B. R; Wang, W;

Thomsen, I and Creach, C. B (2012). Relationship between maternal and neonatal Staphylococcus aureus colonization. Paediatrics, 129 (5): 1252-9.

Mimica M. J; Berezin E. N; Carvalho R.L.BI; Mimica I.M; Mimica L.M.J; Sáfadi M.A.P; Schneider E and Caiaffa-Filho H.H. (2007). Detection of methicillin resistance in Staphylococcus aureus isolated from pediatric patients: is the cefoxitin disk diffusion test accurate enough. Braz. J. Infec.t Dis. 11 (4)

Oluwatayo, E. Abioye; David, A Akinpelu and Anthony I. Okoh. (2017). Synergistic effects of n- hexane fraction of Parkia biglobosa (Jacq) bark extract and selected antibiotics on bacterial isolates. Sustainability 9, 228; doi:103390/su9020228.

Rachael, J. Gordon and Franklin, D. Lowy (2008). Pathogenesis of methicillin resistant Staphylococcus aureus infection. Clin. Infect. Dis. 46(5) 350-359

Taiwo, S. S; Bamidele, M; Omonigbehin, E.A; Akinsinde, K.A; Smith S.I; Onile, B. A and Olowo, A, O. (2005). Molecular epidemiology of methicillin resistant Staphylococcus aureus in Ilorin, Nigeria. West Afr. Journ. Med. 24 (2) 100-106.

Udobi, C.E; Obajuluwa, A. F and Onaolapo, J. A. (2013). Prevalence and antibiotic resistance pattern of methicillin resistant Staphylococcus aureus infection from an orthopaedic hospital in Nigeria. Biomed Res. Journ. (2013) I D 860467.

Swenson J.M., Tenover F.C. (2005) Results of disk diffusion testing with cefoxitin correlate with presence of mecA in Staphylococcus Spp. J Clin Microbiol;43:3818-23.

Uzun B, Karata? ?ener AG, Güngör S, Af?ar I, Yüksel Ergin O, Demirci M.( 2013). [Comparison of Cefoxitin Disk Diffusion Test, Automated System and Chromogenic Medium for Detection of Methicillin Resistance in Staphylococcus aureus Isolates]. Mikrobiyol Bul. ; 47(1):11-18.