Abstract

Staphylococcus aureus is one of the most common opportunistic pathogens that causes a variety of diseases, from minor skin infections to life-threatening sepsis, meningitis, pneumonia and a number of other diseases. Particular attention was paid to methicillin-resistant Staphylococcus aureus (MRSA) strains with multiple drug resistance. The purpose of this study is investigation of the sensitivity of clinical isolates of Staphylococcus aureus, including methicillin-resistant strains, to bacteriophage drugs and determination of possibility of using this agent for the treatment of staphylococcal infections. A number of classical and modern microbiological methods for the isolation and identification of Staphylococcus aureus: an indication of genes, responsible for antibiotic resistance (PCR analysis), determination of sensitivity to antibiotics (disc diffusion method) and bacteriophages (spot test, Gracia method, Appelman method) were used in the study. The susceptibility analysis of Staphylococcus aureus with presence and absence of mecA gene to the commercial bacteriophage product – “PYOFAG® BACTERIOPHAGE POLYVALENT” was performed. The results of the study showed that the total number of susceptible strains of bacteria was 95±0,2%. The use of investigational Bacteriophage drug for the treatment of furunculosis caused by MRSA has shown positive results. After one week of using the bacteriophage as monotherapy, the patient experienced regression of the clinical symptoms. For the period of use no adverse effects have been detected. Thus, the phage drugs using can become an important tool in the control of antibiotic-resistant strains, which cause a variety of infections in humans.

Highlights

  • Bacteriophages against methicillin resistant Staphylococcus aureus strains

  • According to the data collected by research scientists, in Ukraine, in all bacterial carriers the number of methicillin-resistant strains among coagulase-negative staphylococci (MR-CNS) was 42.8%, which almost doubled the prevalence of coagulase-positive staphylococci (MR-CPS) – 16.6% [4]

  • Isolation and identification of microorganisms: The strains of Staphylococcus aureus isolated from biological material with various infectious pathologies were used for the research

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Summary

Introduction

Bacteriophages against methicillin resistant Staphylococcus aureus strains. The purpose of this study is investigation of the sensitivity of clinical isolates of Staphylococcus aureus, including methicillin-resistant strains, to bacteriophage drugs and determination of possibility of using this agent for the treatment of staphylococcal infections. Метою цього дослідження є вивчення чутливості клінічних ізолятів золотистого стафілокока, у тому числі метицилін-резистентних штамів, до бактеріофагового препарату та встановлення можливості використання цього засобу для лікування стафілококових інфекцій. Infections caused by antibiotic-resistant microorganisms are a significant threat to the modern health system The number of such poly- and multiresistant strains is steadily increasing. One of the most common pathogens of healthcare associated or nosocomial infections is methicillinresistant strains of Staphylococсus aureus (MRSA) These are important opportunistic microorganisms and are included in the ESKAPE group of pathogens [13]. According to the data collected by research scientists, in Ukraine, in all bacterial carriers the number of methicillin-resistant strains among coagulase-negative staphylococci (MR-CNS) was 42.8%, which almost doubled the prevalence of coagulase-positive staphylococci (MR-CPS) – 16.6% [4]

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