1. Bacteria with a Potential for Multidrug Resistance in Hospital Material
- Author
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Maria Augusta Dorigan Bondezan, Laisa Fernanda Melhado Corsatto, Lidiane Nunes Barbosa, Luiz Sérgio Merlini, Sandra Geane Pereira de Souza, Daniela Dib Gonçalves, Melissa Marchi Zaniolo, Isabel Cristina da Silva Caetano, Rosana da Matta, and Isabela Carvalho dos Santos
- Subjects
Microbiology (medical) ,Bacilli ,Immunology ,Microbial Sensitivity Tests ,Biology ,Gram-Positive Bacteria ,Serratia liquefaciens ,Microbiology ,03 medical and health sciences ,Antibiotic resistance ,Bacterial Proteins ,Ampicillin ,Drug Resistance, Bacterial ,Gram-Negative Bacteria ,medicine ,Humans ,030304 developmental biology ,Pharmacology ,0303 health sciences ,030306 microbiology ,SCCmec ,Antimicrobial ,biology.organism_classification ,Hospitals ,Anti-Bacterial Agents ,Multiple drug resistance ,Genes, Bacterial ,Bacteria ,medicine.drug - Abstract
The objective of this research was to determine the antimicrobial resistance of bacteria isolated from items related to hygiene and antisepsis, equipment, and instruments used in different hospital wards. Bacterial isolation and identification, phenotypic antimicrobial susceptibility assays, mecA gene detection, and multiple antimicrobial resistance index analysis were performed. In total, 105 bacteria were isolated from 138 items. Of these, 49.52% bacteria were collected from instruments, 43.80% from equipment, and 6.66% from items related to hygiene and antisepsis. All gram-positive bacteria (88 isolates) were identified as coagulase-negative Staphylococcus. Five species of gram-negative bacilli (17 isolates) were isolated, and the prevalence of Enterobacter agglomerans (29.41%), Escherichia coli (11.76%), and Serratia liquefaciens (11.76%) was high. Antimicrobial resistance was reported for 93.33% of the isolates. Gram-positive bacteria were resistant to sulfazotrim (88.64%) and penicillin (82.95%), while gram-negative bacteria showed resistance to sulfazotrim (70.59%) and ampicillin (64.71%). Analysis of multiple antibiotic resistance index showed that 73.33% of the isolates were a high risk to public health. The mecA gene was detected in 23 (71.88%) isolates. The evaluation of microorganisms isolated in the hospital environment revealed their high multidrug resistance index. Thus our study presses the need to pay more attention to the cleanliness of frequently used instruments, which may be potential sources of infections.
- Published
- 2021
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