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Phenotypic and genotypic characterisation of clinically relevant Staphylococcus aureus isolates from cystic fibrosis patients from private clinics in South Africa

Dissertation (MSc (Medical Microbiology))--University of Pretoria, 2024.

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Other Authors: Ehlers, M.M. (Marthie Magdaleen)
Format: Thesis
Published: University of Pretoria 2024
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access_status_str Open Access
author2 Ehlers, M.M. (Marthie Magdaleen)
author_browse Ehlers, M.M. (Marthie Magdaleen)
author_facet Ehlers, M.M. (Marthie Magdaleen)
collection Thesis
dc_rights_str_mv © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Dissertation (MSc (Medical Microbiology))--University of Pretoria, 2024.
format Thesis
id oai:repository.up.ac.za:2263/94537
institution University of Pretoria (South Africa)
last_indexed 2026-06-10T12:37:08.061Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2024
publishDateRange 2024
publishDateSort 2024
publisher University of Pretoria
publisherStr University of Pretoria
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source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/94537 Phenotypic and genotypic characterisation of clinically relevant Staphylococcus aureus isolates from cystic fibrosis patients from private clinics in South Africa Ehlers, M.M. (Marthie Magdaleen) awsilen@yahoo.co.za Strydom, Kathy-Anne Ndlovu, Neliswa UCTD Staphylococcus aureus Cystic fibrosis Antibiotic resistance Virulence Genetic diversity Dissertation (MSc (Medical Microbiology))--University of Pretoria, 2024. Introduction. Cystic fibrosis is a hereditary disease that results in ineffective mucocilliary clearance of secretions, creating an environment that allows Staphylococcus aureus to thrive. The aim of this study was to determine the phenotypic and genotypic characteristics of S. aureus isolates obtained from cystic fibrosis patients attending private clinics in South Africa. Materials and Methods. A total of 87 S. aureus isolates were collected. Phenotypic susceptibility testing was performed using the Vitek®2 automated system (bioMérieux, France) according to EUCAST guidelines. Multiplex-PCR assays were used to target antibiotic resistance genes and a selection of biofilm formation, haemolysins and cytoxin genes. Pulsed-field gel electrophoresis was conducted and a dendrogram constructed to assess the genetic relatedness of isolates. Whole genome sequencing was performed on four isolates to determine sequence types, the resistome and virulome of the isolates. Results. Phenotypic antibiotic susceptibility testing showed the highest resistance against erythromycin in 62.1% (54/87) of isolates. Multiplex-PCR assay results showed 11.4% (10/87) of the S. aureus isolates were MRSA; and the most prevalent macrolide and tetracycline resistance genes was ermC 36.8% (32/87) and tetK 2.3% (2/87). The biocide resistance gene, qacC was detected in 4.5% (4/87) of the isolates. The most prevalent virulence gene was: hla 48.2% (42/87). Sequence types detected were pandemic strains ST5 and ST36, and livestock associated strain ST398 as well as a novel ST. The S. aureus isolates from CF patients in this study were highly diverse, indicating limited spread from clinical settings. Multidrug resistant isolates were detected which limits treatment options for these patients; the isolates also harbour virulence genes that can increase the severity of the disease and potentially increase the morbidity and mortality among these patients. National Health Laboratory Service (NHLS) The University of Pretoria School of Medicine Research Committee Medical Microbiology MSc (Medical Microbiology) Unrestricted Faculty of Health Sciences SDG-03:Good heatlh and well-being 2024-02-13T09:48:07Z 2024-02-13T09:48:07Z 2024-04 2024 Dissertation * A2024 http://hdl.handle.net/2263/94537 10.25403/UPresearchdata.25211204 © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria
spellingShingle UCTD
Staphylococcus aureus
Cystic fibrosis
Antibiotic resistance
Virulence
Genetic diversity
Phenotypic and genotypic characterisation of clinically relevant Staphylococcus aureus isolates from cystic fibrosis patients from private clinics in South Africa
title Phenotypic and genotypic characterisation of clinically relevant Staphylococcus aureus isolates from cystic fibrosis patients from private clinics in South Africa
title_full Phenotypic and genotypic characterisation of clinically relevant Staphylococcus aureus isolates from cystic fibrosis patients from private clinics in South Africa
title_fullStr Phenotypic and genotypic characterisation of clinically relevant Staphylococcus aureus isolates from cystic fibrosis patients from private clinics in South Africa
title_full_unstemmed Phenotypic and genotypic characterisation of clinically relevant Staphylococcus aureus isolates from cystic fibrosis patients from private clinics in South Africa
title_short Phenotypic and genotypic characterisation of clinically relevant Staphylococcus aureus isolates from cystic fibrosis patients from private clinics in South Africa
title_sort phenotypic and genotypic characterisation of clinically relevant staphylococcus aureus isolates from cystic fibrosis patients from private clinics in south africa
topic UCTD
Staphylococcus aureus
Cystic fibrosis
Antibiotic resistance
Virulence
Genetic diversity
url http://hdl.handle.net/2263/94537