Article
DOI:
Species Distribution, Antimicrobial Susceptibility and Virulence Factors of Coagulase-negative Staphylococci Isolated from Different Clinical Specimens
Rahman A 1* , Sultana S 2 , Khan MAH 3 , KABIR M R 4 , Hoque SM 5 ,HOSSAIN M A 6
1 Dr. Md. Arifur Rahman , Assistant Professor, Department of Microbiology, TMSS Medical College and RCH, Thengamra,Bogura, Bangladesh
2 Dr. Sabera Sultana , Assistant Professor of Biochemistry, MARKs Medical College, Dhaka
3 Dr. Md. Abul Hosain Khan , Professor & Head, Department of Microbiology, TMSS Medical College and RCH, Thengamra,Bogura, Bangladesh
4 Dr. Md. Rashedul Kabir , Assistant Professor, Department of Microbiology, Community Based Medical College, Mymensingh.
5 Dr. Syeda Monira Haque , Assistant Professor of Microbiology, Central (Int) Medical College, Dhaka
6 Prof. Dr. Md. Akram Hossain , Professor of Microbiology, Mymensingh Medical College, Mymensingh

* Corresponding Author: Dr. Md. Arifur Rahman , Assistant Professor, Department of Microbiology, TMSS Medical College and RCH, Thengamra,Bogura, Bangladesh
Abstract
Background: Eighty coagulase-negative Staphylococci (CONS) isolates from surgical wound, pus from infected skin lesions, burn exudates and diabetic ulcer exudates of patients in Mymensingh Medical College Hospital, Bangladesh, was evaluated in order to see their species distribution, pattern of antimicrobial resistance and virulence factors. Methods: The study was carried out in the department of Microbiology, Mymensingh Medical College during the period from July 2010 to May 2011 and it was a cross sectional descriptive type study. The cighty CoNS isolates were subjected to identification up to species level, antimicrobial resistance pattern and detection of virulence factors. Results: Out of 80 CoN isolates, 16 species were identified and S. epidermidis were the highest in number among them. Most of the isolates were resistant to oxacillin 36 (45%) and all were sensitive to imipenem and vancomycin. Virulence factor mecA gene was detected in 45 (56%) strains of CONS by PCR. No PVL gene was found. Conclusion: Considering various findings of this study, it can be concluded that CoNS are the emerging nosocomial pathogens in MMC. As MRCONS are multidrug resistant, therefore antibiotic sensitivity must be done prior to treatment in infections caused by them.
Keywords
Coagulase-negative Staphylococci, HiStaphâ„¢ Identification Kit, Antimicrobial susceptibility test
Introduction
Staphylococci are gram positive, non motile bacteria that characteristically divide in more than one plane to form irregular cluster. Nearly all are facultative anacrobes that grow better under aerobic than anaerobic condition’. Staphylococci are widely spread in various niches such as clinical environments and food plants. Thirty-six validated described species, including 21 subspecies, belong to the Staphylococcus genus according to the List of Bacterial Names with Standing in Nomenclature, updated 3 December 20042. Species are classified as coagulase-positive Staphylococcus aureus and coagulase-negative staphylococci eg, Staphylococcus epidermidis, Staphylococcus saprophyticus.