Volume 8, Issue 4 (10-2020)                   JoMMID 2020, 8(4): 143-147 | Back to browse issues page


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Nazari M, Ebrahimi M T, Mobarezpour N, Sepehr A. Prevalence and Antibiotic Resistance Pattern of Streptococcus genus and Other Pathogens Isolated from Throat Culture Samples of Patients in Fatemeh Al-Zahra Hospital of Sari, Iran. JoMMID 2020; 8 (4) :143-147
URL: http://jommid.pasteur.ac.ir/article-1-258-en.html
Department of Microbiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Abstract:   (1942 Views)
Introduction: Tracheal tubes are among the primary means of infection transmission in hospitals. Therefore, identifying microbial agents transmitted via this route is necessary to control and prevent these infections. This study aimed to investigate the prevalence of pharyngeal-contaminating microorganisms and their antibiotic resistance pattern.  Methods: In this cross-sectional study, we used 117 pharyngeal swabs samples obtained from patients referred to Fatemeh Zahra Hospital of Sari, Iran, in 2018. The Samples were obtained using the sterile cotton swab from the throat and then cultured in the sheep blood agar. The positive colonies for the alpha-hemolytic test were subcultured on the Mueller-Hinton agar for further assays, including the susceptibility to optochin, catalase test, Gram's polychromatic stain, microscopic examination, pyrrolidonyl aminopeptidase (PYR) test, sensitization to bacitracin, and latex agglutination assay. The antibiotic susceptibility assay was performed using the agar disk diffusion method according to CLSI-2018 guidelines. The results were analyzed using SPSS 16.0 software and descriptive statistical methods. Results: The frequency of Streptococcus pneumoniae and Streptococcus pyogenes was 13.7% and 9.4%, respectively. However, the highest frequency belonged to Pseudomonas aeruginosa (14.5%), and the lowest to Citrobacter spp. (0.9%). Conclusion: Our results indicated increased antibiotic resistance in streptococcal strains due to inappropriate prescriptions and antibiotic misuse. Therefore, recognizing and controlling the contributing factors and the rational use of antibiotics can be very important.
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Type of Study: Original article | Subject: Microbial pathogenesis
Received: 2020/07/14 | Accepted: 2020/10/19 | Published: 2021/02/13

References
1. Davies J, Davies D. Origins and evolution of antibiotic resistance. Microbiol Mol Biol Rev. 2010; 74 (3): 417-33. [DOI:10.1128/MMBR.00016-10]
2. Raveh D, Levy Y, Schlesinger Y, Greenberg A, Rudensky B, Yinnon A. Longitudinal surveillance of antibiotic use in the hospital. Qjm. 2001; 94 (3): 141-52. [DOI:10.1093/qjmed/94.3.141]
3. Beringer PM, Wong-Beringer A, Rho JP. Economic aspects of antibacterial adverse effects. Pharmacoeconomics. 1998; 13 (1): 35-49. [DOI:10.2165/00019053-199813010-00004]
4. Liss RH, Batchelor FR. Economic Evaluations of Antibiotic Use and Resistance: A Perspective: Report of Task Force 6. Rev Infect Dis. 1987: 297-312. [DOI:10.1093/clinids/9.Supplement_3.S297]
5. Hemmati M, Vaziri S, Afsharian M, Mansouri F, Zamanian MH, Fereshteh S, et al. Molecular Investigation of Extended-Spectrum β-Lactamase and Patterns of Antibiotic Resistance in Enterobacter cloacae Isolates from Teaching Hospitals in Kermanshah, Iran. J Clin Diagn Res. 2019; 13 (9). [DOI:10.7860/JCDR/2019/41823.13116]
6. Band VI, Weiss DS. Heteroresistance: A cause of unexplained antibiotic treatment failure? PLoS Pathog. 2019; 15 (6): e1007726. [DOI:10.1371/journal.ppat.1007726]
7. Markotić F, Grgić S, i Hercegovina B. Rezistencija na antimikrobne lijekove Antimicrobial resistance. e-zbornik. 7.
8. Loeffler JM, Garbino J, Lew D, Harbarth S, Rohner P. Antibiotic consumption, bacterial resistance and their correlation in a Swiss university hospital and its adult intensive care units. Scand J Infect Dis. 2003; 35 (11-12): 843-50. [DOI:10.1080/00365540310016646]
9. Vojdaani M, Barzegar A, Shamsiaan A. Frequency of parasitic infections in patients referred to special clinic of Kermanshah University of Medical Sciences in years 1995-99. J Kermanshah Univ Med Sci. 2002; 6 (2): 31-7.
10. Razavyoon T, Massoud J. Intestinal parasitic infection in Feraydoon Kenar, Mazandaran. J Sch Public Health Inst Public Health Res. 2003; 1 (1): 39-49.
11. Rafiei N, Aghapour S, Koochaki F, Shahrampour Z, Seyedghasemi Z, Miraeiz S. Impact of the educational intervention on adherence to guidelines for antibiotic prophylaxis before surgeries. J North Khorasan Univ Med Sci. 2014; 6 (3): 467-76. [DOI:10.29252/jnkums.6.3.467]
12. Dagnew M, Yismaw G, Gizachew M, Gadisa A, Abebe T, Tadesse T, et al. Bacterial profile and antimicrobial susceptibility pattern in septicemia suspected patients attending Gondar University Hospital, Northwest Ethiopia. BMC Res Notes. 2013; 6 (1): 283. [DOI:10.1186/1756-0500-6-283]
13. Savari M, Abdolahi H, Zahedi M, Darvishmoghadam S, Hayat Bakhshe Abasi M. Antibiotic-resistance Patterns of Helicobacter pylori Isolates Obtained from Patients in Kerman-2009. J Kerman Univ Med Sci. 2011; 17 (1): 73-82.
14. Kuster S, Ruef C, Ledergerber B, Hintermann A, Deplazes C, Neuber L, et al. Quantitative antibiotic use in hospitals: comparison of measurements, literature review, and recommendations for a standard of reporting. Infection. 2008; 36 (6): 549-59. [DOI:10.1007/s15010-008-7462-z]
15. Berenjian S, Raeeszadeh M. Prescription of Antibiotics Before and After Surgery at the Surgical Wards of Isfahan Amiralmomenin Hospital Compared with the Standard Guidelines. Health Res. 2016; 1 (3): 133-40. [DOI:10.18869/acadpub.hrjbaq.1.3.133]
16. Hawser SP, Bouchillon SK, Hoban DJ, Badal RE. Epidemiologic trends, occurrence of extended-spectrum β-lactamase production, and performance of ertapenem and comparators in patients with intra-abdominal infections: Analysis of global trend data from 2002-2007 from the SMART study. Surg Infect. 2010; 11 (4): 371-8. [DOI:10.1089/sur.2009.057]
17. Whitford M, McPherson M, Forster R, Teather R. Identification of bacteriocin-like inhibitors from rumen Streptococcus spp. and isolation and characterization of bovicin 255. Appl Environ Microbiol. 2001; 67 (2): 569-74. [DOI:10.1128/AEM.67.2.569-574.2001]
18. Weinstein MP, Lewis JS. Commentary: The Clinical and Laboratory Standards Institute (CLSI) Subcommittee on Antimicrobial Susceptibility Testing: Background, Organization, Functions, and Processes. J Clin Microbiol. 2020; 58 (3): e01864-19. [DOI:10.1128/JCM.01864-19]
19. DeWyer A, Scheel A, Webel AR, Longenecker CT, Kamarembo J, Aliku T, et al. Prevalence of group A β-hemolytic streptococcal throat carriage and prospective pilot
20. surveillance of streptococcal sore throat in Ugandan school children. Int J Infect Dis. 2020; 93: 245-51. [DOI:10.1016/j.ijid.2020.01.013]
21. Bhalla K, Bhardwaj P, Gupta A, Mehra S, Nehra D, Nanda S. Role of epidemiological risk factors in improving the clinical diagnosis of streptococcal sore throat in pediatric clinical practice. J Family Med Prim Care. 2019; 8 (10): 3130-5. [DOI:10.4103/jfmpc.jfmpc_495_19]
22. Schofield B, Gregory C, Gal M, Gillespie D, Naik G, Hay A, et al. The feasibility of measuring calprotectin from a throat swab as a marker of infections caused by group A streptococcus: a case-control feasibility study. BJGP open. 2020; 4 (2): bjgpopen20X101006. [DOI:10.3399/bjgpopen20X101006]
23. O'brien Kl, Wolfson Lj, Watt Jp, Henkle E, Deloria-Knoll M, Mccall N, et al. Burden of disease caused by Streptococcus pneumoniae in children younger than 5 years: global estimates. Lancet. 2009; 374 (9693): 893-902. [DOI:10.1016/S0140-6736(09)61204-6]
24. Perez‐Casal J, Price JA, Maguin E, Scott JR. An M protein with a single C repeat prevents phagocytosis of Streptococcus pyogenes: use of a temperature‐sensitive shuttle vector to deliver homologous sequences to the chromosome of S. pyogenes. Mol Microbiol. 1993; 8 (5): 809-19. [DOI:10.1111/j.1365-2958.1993.tb01628.x]
25. Ghaemi Ee, Fazeli M, Tabaraei A, Vakili M. The prevalence of pneumococci throat carrier in healthy school children in Gorgan. Urmia Med J. 2002; 13 (1); 16-24. [DOI:10.7748/ns.16.46.24.s40]
26. Bakhshaei M, Ghazvini K, Naderi H, Zamanian A, Haghighi J, Boghrabadian M. The prevalence of nasopharyngeal streptococcal pneumonia carriers in Mashhad daycare children and their antibiotic resistance pattern. Iran J Otorhinolaryngol. 2006; 18 (3): 119-26.
27. Khosravi N, Noorbakhsh S, Tabatabaei A, Ghavami Y. Prevalence of streptococcus group B in tracheal tube secretions of neonates with respiratory distress: a brief report. Tehran Univ Med J. 2013; 70 (11): 729-34.
28. Aslan G, Emekdas G, Bayer M, Serin MS, Kuyucu N, Kanik A. Serotype distribution of Streptococcus pneumoniae strains in the nasopharynx of healthy Turkish children. Indian J Med Res. 2007; 125 (4): 582-7.

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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.