Prevalence, multidrug resistance and molecular typing of methicillin-resistant Staphylococcus aureus (MRSA) in retail meat from Punjab, India. (March 2019)

• Record Type: Journal Article
• Authors: Zehra, Asima; Gulzar, Maliha; Singh, Randhir; Kaur, Simranpreet; Gill, J.P.S.
• Is Part Of: Journal of global antimicrobial resistance. Volume 16(2019)
• Page Start: 152
• Page End: 158
• Publication Date: 2019-03
• Subjects: Staphylococcus aureus -- Multidrug resistance -- MRSA -- SCCmec type -- ST5 -- spa t442; Drug resistance -- Periodicals; Drug resistance -- Periodicals; Drug resistance; Periodicals; 616.9041
• DOI: 10.1016/j.jgar.2018.10.005
• Languages: English
• ISSNs: 2213-7165

Abstract

Highlights: Staphylococcus aureus isolates from different meat samples had significantly varied MICs for various antimicrobials. BORSA from chevon samples were ceftriaxone susceptible and β-lactamases hyper producers; variable results for pork isolates. All MRSA isolates were SCC mec V- pvl + -t442, among which three were ST5. Isolates from butchers' hand/knife/chopping-block swabs were not positive for BORSA or MRSA. There was no relationship among the antimicrobial resistance profile of isolates with the district or sample type. Abstract: Objectives: This study reports the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in retail meat from Punjab, India. Methods: Classical microbiological methods were applied to isolate and identify S. aureus isolates. Isolates also underwent Etest. PCR and sequencing were used to identify and characterise antimicrobial resistance genes. MLST, SCC mec and spa typing were performed. Results: A total of 408 meat and 101 swab samples were processed for S. aureus isolation. Phenotypic resistance was highest to penicillin (90.97%), followed by ciprofloxacin (61.80%), tetracycline (45.14%) and erythromycin (11.11%). Isolates from chicken samples showed significantly higher MICs for tetracycline than chevon and pork samples and significantly higher MICs for trimethoprim/sulfamethoxazole and gentamicin than chevon and swab samples ( P < 0.05). No isolates were phenotypically resistant to vancomycin (MICs of 0.5–2 μg/mL). Most isolates (52.78%, 95% CI 44.63–60.93%) were multidrug-resistant and carried resistance genes to penicillin ( blaZ ), oxacillin ( mecA ), gentamicin ( aacA-aphD ), erythromycin ( ermB, erm C) and tetracycline (tetK, tetL, tetM ). MRSA was only found in chicken samples (2.72%; 4/147). Seven S. aureus (5.07%) were borderline oxacillin-resistant (MIC range 4–8 μg/mL). All MRSA were SCC mec V- pvl + -t442, among which three isolates were ST5. Their genotype was mecA +, blaZ +, aacA - aphD +, tetK +, ermC +/− . Among the erythromycin-resistant isolates, 25% were MRSA, of which 12.5% isolates expressed an inducible macrolide–lincosamide–streptogramin B (iMLSB ) phenotype. Conclusion: These data confirm the presence of ST5-t442-MRSA-SCC mec V- pvl + and iMLSB MRSA in meat samples, indicating a potential role of meat in the dissemination of multidrug-resistant S. aureus strains and successful MRSA lineages in Punjab.