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Prevalence of biofilm producing
Staphylococcus aureus of dairy origin,
and its response against antibiotics
Muhammad Aamir Naseer
2012-ag-2609
M.Phil. CMS
Supervisor Dr. M. Ijaz Saleem
Why Staphylococcus aureus
• Potent pathogenic spectrum
including
 Skin infections
 Respiratory infections
 Digestive disorders
 Cardiovascular ailments
 Common isolate in mastitis
• Ranked 4th most potent nosocomial
pathogen
Introduction
• Cattle 46.1 million and buffalo 38.8 million milk ~45 million tons
• Mastitis – decline in milk production, altered milk composition and
compromised udder health
• S. aureus – one of the most common isolate of mastitis
• Resistance against antibiotics – most important factor “ Biofilm production”
Biofilm formation
Objectives
• To estimate prevalence and risk factors of biofilm producing Staphylococcus
aureus of dairy origin
• To evaluate antibiotics efficacy against biofilm establishing and biofilm
established Staphylococcus aureus
Materials and Methods
Sampling SFMT screening microbiological and biochemical
analysis
Biofilm detection S. aureus isolation & identification
Detection of Biofilm
 Tube method
 Congo-red agar method
 Microtitration Plate method
Tube method
• Culture in tryptic soy broth- over
night incubation at 37° C
• Decant Eppendorf- PBS washings
• Crystal violet stain- washing
• Clearly lined walls and bottom-
Biofilm present
(Christenson et al. 1988)
Observations Biofilm score
No biofilm 0
Weak biofilm 1
Moderate biofilm 2
Strong biofilm 3
Congo red agar method
• Congo red agar- swabbing
• 24 h incubation at 37°C
• Check growth
characteristics
• Interpret the results
(Freeman et al., 1989)
Colony characteristics Results
Reddish to Pink No Biofilm
Blackish Weak Biofilm
Black Dry Moderate Biofilm
Jet Black Crystalline sheet Strong Biofilm
Microtitration Plate method
• Overnight broth culture – 50µl to wells
• Negative control – only Nutrient broth
• Incubation – overnight
• Washing & stain
• OD value at 570nm
(Christenson et al. 1988)
OD value Adherence Biofilm
formation
< 0.12 None None/ Weak
0.12-0.24 Moderate Moderate
> 0.24 Strong High
Antibiotic Sensitivity
• Disc diffusion method – Mueller Hilton ager
• 0.5 McFarland – inoculum swabbing
• Discs placement – incubation 37°C
• Zones of inhibition - comparison
(Guidelines of CLSI-2015)
Statistical Analysis
• Prevalence calculation by
Prevalence % =
No. of infected Animal (n)
Total no. of sampled Animals (N)
× 100
• Risk factors association – chi-square (p value 5%)
Results
• Sub-clinical mastitis 64%
• 58.75% samples harboring S. aureus
• Most of isolates are biofilm positive along
with resistant of commonly used antibiotics
Biofilm identification
Sr.
No
.
Method Total Weak Biofilm
% age
Moderate
Biofilm
% age
Strong
Biofilm
% age
No Biofilm
%age
1 Tube
Method 154
25.58 6.98 2.33 65.11
2 Congo
red agar
Method 154
23.25 30.23 2.33 44.19
3 Plate
Method 154
48.83 20.93 2.33 27.91
Antibiotic susceptibility
Sr. No. Antibiotic Resistant % Intermediate
%
Sensitive %
1 Oxytetracycline 0 0 100
2 Gentamicin 0 0 100
3 Cefoxitin 6.98 20.93 72.09
4 Linezolid 41 31.7 27.3
5 Oxacillin 57 25 18
6 Amoxi-clavulanate 61.30 22.70 16
7 Trimethoprim plus
Sulfamethoxazole
70 20 10
8 Vancomycin 88.63 9.1 2.27
Risk factors
• Body condition
• Teat dipping practice
• Professional handling
• Udder and teat abnormalities
• Knowledge about mastitis
Conclusion
• 64% subclinical mastitis shows higher occurrence rate of mastitis
• 58.75% of positive samples harboring S. aureus indicating potential threat for
community health.
• High prevalence of biofilm producing isolates – indicative of evolving
resistive behavior in S. aureus.
• Narrowing antibiogram of isolates indicates the need of revision in
antibiotic selection criteria at clinics.
References
• Economic Survey Pakistan 2017-18
• Thiran E, Di Ciccio PA, Graber HU, et al., 2018. Biofilm formation of Staphylococcus aureus dairy isolates representing
different genotypes. J Dairy Sci 101:1000–1012.
• Merritt JH, Kadouri DE and O’Toole GA, 2005. Growing and Analyzing Static Biofilms. Curr Protoc Microbiol 0 1:Unit-
1B.1.
• Mathur T, Singhal S, Khan S, et al., 2006. Detection of biofilm formation among the clinical isolates of Staphylococci: an
evaluation of three different screening methods. Indian J Med Microbiol 24:25–29.
• Hassan A, Usman J, Kaleem F, et al., 2011. Evaluation of different detection methods of biofilm formation
in the clinical isolates. Braz J Infect Dis 15:305–311.
• Hiramatsu K, Katayama Y, Matsuo M, et al., 2014. Multi-drug-resistant Staphylococcus aureus and
future chemotherapy. J Infect Chemother 20:593–601.
seminar-1.pptx

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seminar-1.pptx

  • 1. Prevalence of biofilm producing Staphylococcus aureus of dairy origin, and its response against antibiotics Muhammad Aamir Naseer 2012-ag-2609 M.Phil. CMS Supervisor Dr. M. Ijaz Saleem
  • 2. Why Staphylococcus aureus • Potent pathogenic spectrum including  Skin infections  Respiratory infections  Digestive disorders  Cardiovascular ailments  Common isolate in mastitis • Ranked 4th most potent nosocomial pathogen
  • 3. Introduction • Cattle 46.1 million and buffalo 38.8 million milk ~45 million tons • Mastitis – decline in milk production, altered milk composition and compromised udder health • S. aureus – one of the most common isolate of mastitis • Resistance against antibiotics – most important factor “ Biofilm production”
  • 5. Objectives • To estimate prevalence and risk factors of biofilm producing Staphylococcus aureus of dairy origin • To evaluate antibiotics efficacy against biofilm establishing and biofilm established Staphylococcus aureus
  • 6. Materials and Methods Sampling SFMT screening microbiological and biochemical analysis Biofilm detection S. aureus isolation & identification
  • 7. Detection of Biofilm  Tube method  Congo-red agar method  Microtitration Plate method
  • 8. Tube method • Culture in tryptic soy broth- over night incubation at 37° C • Decant Eppendorf- PBS washings • Crystal violet stain- washing • Clearly lined walls and bottom- Biofilm present (Christenson et al. 1988) Observations Biofilm score No biofilm 0 Weak biofilm 1 Moderate biofilm 2 Strong biofilm 3
  • 9. Congo red agar method • Congo red agar- swabbing • 24 h incubation at 37°C • Check growth characteristics • Interpret the results (Freeman et al., 1989) Colony characteristics Results Reddish to Pink No Biofilm Blackish Weak Biofilm Black Dry Moderate Biofilm Jet Black Crystalline sheet Strong Biofilm
  • 10. Microtitration Plate method • Overnight broth culture – 50µl to wells • Negative control – only Nutrient broth • Incubation – overnight • Washing & stain • OD value at 570nm (Christenson et al. 1988) OD value Adherence Biofilm formation < 0.12 None None/ Weak 0.12-0.24 Moderate Moderate > 0.24 Strong High
  • 11. Antibiotic Sensitivity • Disc diffusion method – Mueller Hilton ager • 0.5 McFarland – inoculum swabbing • Discs placement – incubation 37°C • Zones of inhibition - comparison (Guidelines of CLSI-2015)
  • 12. Statistical Analysis • Prevalence calculation by Prevalence % = No. of infected Animal (n) Total no. of sampled Animals (N) × 100 • Risk factors association – chi-square (p value 5%)
  • 13. Results • Sub-clinical mastitis 64% • 58.75% samples harboring S. aureus • Most of isolates are biofilm positive along with resistant of commonly used antibiotics
  • 14. Biofilm identification Sr. No . Method Total Weak Biofilm % age Moderate Biofilm % age Strong Biofilm % age No Biofilm %age 1 Tube Method 154 25.58 6.98 2.33 65.11 2 Congo red agar Method 154 23.25 30.23 2.33 44.19 3 Plate Method 154 48.83 20.93 2.33 27.91
  • 15. Antibiotic susceptibility Sr. No. Antibiotic Resistant % Intermediate % Sensitive % 1 Oxytetracycline 0 0 100 2 Gentamicin 0 0 100 3 Cefoxitin 6.98 20.93 72.09 4 Linezolid 41 31.7 27.3 5 Oxacillin 57 25 18 6 Amoxi-clavulanate 61.30 22.70 16 7 Trimethoprim plus Sulfamethoxazole 70 20 10 8 Vancomycin 88.63 9.1 2.27
  • 16. Risk factors • Body condition • Teat dipping practice • Professional handling • Udder and teat abnormalities • Knowledge about mastitis
  • 17. Conclusion • 64% subclinical mastitis shows higher occurrence rate of mastitis • 58.75% of positive samples harboring S. aureus indicating potential threat for community health. • High prevalence of biofilm producing isolates – indicative of evolving resistive behavior in S. aureus. • Narrowing antibiogram of isolates indicates the need of revision in antibiotic selection criteria at clinics.
  • 18. References • Economic Survey Pakistan 2017-18 • Thiran E, Di Ciccio PA, Graber HU, et al., 2018. Biofilm formation of Staphylococcus aureus dairy isolates representing different genotypes. J Dairy Sci 101:1000–1012. • Merritt JH, Kadouri DE and O’Toole GA, 2005. Growing and Analyzing Static Biofilms. Curr Protoc Microbiol 0 1:Unit- 1B.1. • Mathur T, Singhal S, Khan S, et al., 2006. Detection of biofilm formation among the clinical isolates of Staphylococci: an evaluation of three different screening methods. Indian J Med Microbiol 24:25–29. • Hassan A, Usman J, Kaleem F, et al., 2011. Evaluation of different detection methods of biofilm formation in the clinical isolates. Braz J Infect Dis 15:305–311. • Hiramatsu K, Katayama Y, Matsuo M, et al., 2014. Multi-drug-resistant Staphylococcus aureus and future chemotherapy. J Infect Chemother 20:593–601.