Molecular and phenotypic characterization of the vancomycin-resistant gene in bacterial isolates acquired from catheter tips

Abstract

Gram-positive bacteria, particularly Staphylococcus aureus is a significant pathogen, not only in the hospital setting but the community also. S. aureus is a major cause of serious hospital and community-acquired infections, particularly in the colonized individuals. The emergence of vancomycin-resistant S. aureus (VRSA) strains has led to global concerns about treatments for staphylococcal infections. Until now, few strains of VRSA have been reported worldwide. The conventional disk diffusion method for determination of vancomycin sensitivity often misclassifies intermediately susceptible isolates to fully sensitive. However, non-automated minimum inhibitory concentration (MIC) detection methods are the gold standards. Hence there is a dire need of some advanced methods for rapid detection of VRSA strains. In the present study, Gram-positive clinical isolates were collected from different wards of K.G.M.U. Hospital, among them, 12 bacterial isolates were identified as Staphylococcus aureus and 18 isolates as Klebsiella spp. Genomic DNA of S. aureus was isolated and used as template in PCR for detection of the presence of van A and van X gene based on a given protocol. Nosocomial infections have an impact on morbidity and probably on mortality as well, and pose a significant economic burden. Rapid molecular identification of antibiotic-resistant strains undoubtedly helps to prevent the hospital-induced infections.

Sustained Low Incidence Rates of Central Line-Associated Blood Stream Infections in the Intensive Care Unit

“…HAIs increase mortality, length of hospital stay, cost of care, bacterial resistance, antibiotic use, etc in intensive care units (ICUs), particularly in developing countries. 1 , 2 The International Nosocomial Infection Control Consortium showed that the incidence rate for central line-associated bloodstream infection (CLABSI) in ICUs in developing countries was 3-fold higher than in the United States of America. 3 The implementation of a prevention CLABSI bundle can significantly reduce the occurrence of HAIs.…”