CC BY-NC-ND 4.0 · Ann Natl Acad Med Sci 2023; 59(02): 104-108
DOI: 10.1055/s-0043-1768461
Original Article

Detection of Antibiotic Resistance and Biofilm-Producing Ability of Staphylococcus Species in Clinical Isolates

Shila Kumari Singh
1   Department of Microbiology, Faculty of Sciences, Assam Downtown University, Guwahati, Assam, India
,
Minakshi Bhattacharjee
2   Department of Biotechnology, Faculty of Sciences, Assam Downtown University, Guwahati, Assam, India
,
Balagopalan Unni
3   Department of Research, Assam Downtown University, Guwahati, Assam, India
,
Rajpal Singh Kashyap
4   Department of Research, Central India Institute of Medical Science, Nagpur, Maharashtra, India
› Author Affiliations
Funding None.

Abstract

Background Staphylococci are responsible for life-threatening infections in hospitals and community. Their ability to produce multiple virulence factors and antibiotic resistance is an important reason of high mortality in staphylococcal infections. Biofilm production by these organisms makes it difficult to treat. Most of the treating antibiotics are failing and making it a matter of concern.

Aims This study aims to detect the increased antibiotic resistance in biofilm-producing Staphylococcus and to compare the performance of three potential methods of detection.

Methods A total of 81 isolates of staphylococci including coagulase negative staphylococci (CoNs), methicillin resistant S. aureus (MRSA), and methicillin sensitive S. aureus (MSSA) are included in this study. After the identification, an antibiotic sensitivity test was performed. Biofilm detection was done by three different methods: Congo red agar method, tube adherence method, and microtiter plate method.

Result Out of the 81 samples, 37 CoNs, 17 MRSA, and 27 MSSA were identified. Out of them we got 43 (53%) biofilm producers by Congo red agar method, 40 (49%) by tube adherence method, and 52 (64%) producers by tissue culture plate/microtiter plate method. Most of the biofilm producers showed multiple drug resistance.

Conclusion We found out that the microtiter plate method is sensitive and reliable as compared with the other two methods. Antibiotic resistance was found to be very common in biofilm producers. This was due to the resistance developed as a result of the matrix that does not let the antibiotic bind with the organisms. This can make the treatment of Staphylococcus very difficult in the future as the rate of drug resistance is faster as compared with newly emerging antibiotics.



Publication History

Article published online:
07 July 2023

© 2023. National Academy of Medical Sciences (India). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Chang AW, Dowd SE, Brackee G, Fralick JA, Vediyappan G. Inhibition of Staphylococcus aureus biofilm formation by gurmarin, a plant-derived cyclic peptide. Front Cell Infect Microbiol 2022; 12: 1017545
  • 2 Tuon FF, Suss PH, Telles JP, Dantas LR, Borges NH, Ribeiro VST. Antimicrobial treatment of Staphylococcus aureus biofilms. Antibiotics (Basel) 2023; 12 (01) 87
  • 3 Yarwood JM, Bartels DJ, Volper EM, Greenberg EP. Quorum sensing in Staphylococcus aureus biofilms. J Bacteriol 2004; 186 (06) 1838-1850
  • 4 Götz F. Staphylococcus and biofilms. Mol Microbiol 2002; 43 (06) 1367-1378
  • 5 Nourbakhsh F, Namvar AE. Detection of genes involved in biofilm formation in Staphylococcus aureus isolates. GMS Hyg Infect Control 2016; 11: Doc07
  • 6 Peng Q, Tang X, Dong W, Sun N, Yuan W. A review of biofilm formation of Staphylococcus aureus and its regulation mechanism. Antibiotics (Basel) 2022; 12 (01) 12
  • 7 Khatoon Z, McTiernan CD, Suuronen EJ, Mah TF, Alarcon EI. Bacterial biofilm formation on implantable devices and approaches to its treatment and prevention. Heliyon 2018; 4 (12) e01067
  • 8 Idrees M, Sawant S, Karodia N, Rahman A. Staphylococcus aureus biofilm: morphology, genetics, pathogenesis and treatment strategies. Int J Environ Res Public Health 2021; 18 (14) 7602
  • 9 Wu Y, Wang J, Xu T. et al. The two-component signal transduction system ArlRS regulates Staphylococcus epidermidis biofilm formation in an ica-dependent manner. PLoS One 2012; 7 (07) e40041
  • 10 Oliveira A, Cunha M. Bacterial biofilms with emphasis on coagulase-negative staphylococci. J Venom Anim Toxins incl Trop Dis 2008; 14 (04) 572-596
  • 11 Neopane P, Nepal HP, Shrestha R, Uehara O, Abiko Y. In vitro biofilm formation by Staphylococcus aureus isolated from wounds of hospital-admitted patients and their association with antimicrobial resistance. Int J Gen Med 2018; 11: 25-32
  • 12 Baidya S, Sharma S, Mishra SK, Kattel HP, Parajuli K, Sherchand JB. Biofilm formation by pathogens causing ventilator-associated pneumonia at intensive care units in a tertiary care hospital: an armor for refuge. BioMed Res Int 2021; 2021: 8817700
  • 13 Ashrafi M, Novak-Frazer L, Bates M. et al. Validation of biofilm formation on human skin wound models and demonstration of clinically translatable bacteria-specific volatile signatures. Sci Rep 2018; 8 (01) 9431
  • 14 Koneman EW. Gram Positive cocci: part-1: Staphylococci & related Gram positive cocci. In: Washington Winn J, Stephen A, William J. et al., eds. Koneman's Color Atlas and Textbook of Diagnostic Microbiology. Philadelphia, PA: Lippincott Williams & Wilkins; 2006: 645-648
  • 15 CLSI. Performance Standards for Antimicrobial Susceptibility Testing. 30th ed.. Clinical and Laboratory Standards Institute; Wayne, PA, USA: 2020. . CLSI supplement M100
  • 16 Ayepola OO, Olasupo NA, Egwari LO, Schaumburg F. Antibiotic susceptibility pattern and biofilm formation in coagulase negative staphylococci. J Infect Dev Ctries 2014– 1645; 8 (12) 1643-1645
  • 17 Diriba K, Kassa T, Alemu Y, Bekele S. In vitro biofilm formation and antibiotic susceptibility patterns of bacteria from suspected external eye infected patients attending ophthalmology clinic, Southwest Ethiopia. Int J Microbiol 2020; 2020: 8472395
  • 18 Freeman DJ, Falkiner FR, Keane CT. New method for detecting slime production by coagulase negative staphylococci. J Clin Pathol 1989; 42 (08) 872-874
  • 19 Christensen GD, Simpson WA, Bisno AL, Beachey EH. Adherence of slime-producing strains of Staphylococcus epidermidis to smooth surfaces. Infect Immun 1982; 37 (01) 318-326
  • 20 Christensen GD, Simpson WA, Younger JJ. et al. Adherence of coagulase-negative staphylococci to plastic tissue culture plates: a quantitative model for the adherence of staphylococci to medical devices. J Clin Microbiol 1985; 22 (06) 996-1006
  • 21 Saify H, Patidar RK, Khare M. et al. Difference in biofilm development capability of vancomycin and ciprofloxacin resistant Staphylococcus aureus clinical isolates. Res J Infect Dis 2013; 1-8
  • 22 Stepanović S, Vuković D, Hola V. et al. Quantification of biofilm in microtiter plates: overview of testing conditions and practical recommendations for assessment of biofilm production by staphylococci. Acta Pathol Microbiol Scand Suppl 2007; 115 (08) 891-899
  • 23 Jain A, Agarwal A. Biofilm production, a marker of pathogenic potential of colonizing and commensal staphylococci. J Microbiol Methods 2009; 76 (01) 88-92