Global Advanced Research Journal of Microbiology Vol. 1(6) pp. 081-089, July, 2012
Available online http://garj.org/garjm/index.htm
Copyright © 2012 Global Advanced Research Journals
Full Length Research Paper
Molecular epidemiology and Antibiotic susceptibility
patterns of c1inical strains of methicillin resistant
Staphylococcus aureus (MRSA) in Sulaimani city-Iraq
Essam F. Al-Jumaily
1
Dinya A. Mohamed
2
and Hussain H. Khanaka
1
Biotechnology Dept. Genetic Engineering and Biotechnology Institute for postgraduate Studies, Baghdad University,
Baghdad, Iraq.
2
Biology Department College of Science, Sulaimani University, Iraq.
Accepted 29 June, 2012
Methicillin-resistant Staphylococcus aureus (MRSA), is associated with high morbidity and mortality rates
with rapid development of resistance. The study conducted between 2006 and 2007 on 500 human
subjects, yielding 211 strains of staphylococcus aureus from clinical specimens (wound burn samples),
in order to determine their epidemiology, acquisition and dissemination of resistance genes. Antibiotic
susceptibilities documented against 23 antibiotics. Susceptibility measured by the agar diffusion method,
as recommended by the National Committee for Clinical Laboratory Standards (NCCLS 2006). 73 (35.6)
isolates identified as MRSA as recommended by the National Committee for Clinical Laboratory
Standards (NCCLS 2004). All MRSA were resistant to β-lactam antibiotics and most of them were resistant
to multiple classes of antibiotics. The Qiagen midi kit was used for isolation of plasmids from MRSA.
They contained 2-5 bands of plasmids others showed no plasmid containing. Genetic studies revealed
that the antibiotics determinant may be resided on plasm ids or on the bacterial chromosome. The multi-
drug resistant phenotype is not associated with increased plasmid carriage and sometimes characterized
by an absence of plasmid DNA. To examine the genetic relatedness of phenotypically similar plasmid
found in the MRSA isolates, plasmid DNA was subjected to Hind III digestion and their restriction pattern
were compared. The results of REAP indicated that different clones of MRSA have persisted in the burn
units of emergency hospital from Sulaimani city-Iraq.
Keyword: MRSA, antibacterial sensitivity, Plasmids .Restriction enzymes.
INTRODUCTION
Staphylococcus aureus is a major pathogen associated
with serious community and hospital-acquired diseases.
Most of S.aureus infections caused by methicillin sensitive
Staphylococcus aureus strains (MSSA) were susceptible to
all other classes of antistaphylococcal antibiotics.
*Corresponding Author E-mail: samgen992003@yahoo.com
Methicillin resistant Staphylococcus aureus strains (MRSA)
implicated in serious infections and nosocomial outbreaks.
These strains show resistance to a wide range of
antibiotics, thus limiting the treatment options to very few
agents such as vancomycin and teicoplanin ( Bacon et al.,
1987).
Microbes have genetic plasticity, which means that they
have the capacity to evolve in response to their
environment. The major impetus for developing resistance