Methicillin-resistant Staphylococcus aureus (MRSA) strains are a major cause of hospital-acquiredinfections, exacerbated by increasing antibiotic resistance. This study aimed to isolate bacteriophages targeting MRSA and evaluate their antimicrobial activity incombination with antibiotics. Nasal samples from hospital staff (n = 50) were used to isolate MRSA strains, and sewage samples wereprocessed for phage isolation using the double agar overlay technique. The microtitration plate method evaluatedthe synergistic effects of isolated phages and antibiotics. Out of 50 samples, 11 MRSA strains were positive, showing high resistance to multiple antibiotics, includingoxacillin (95%), and vancomycin (85%). Phage zP-1, belonging to the Myoviridae family, exhibited > 90% lyticactivity, stable across temperatures (20-50 °C) and pH (6-8). A statistically significant synergistic effect wasobserved at a MIC of 0.137 μg/ml for gentamicin (p-value 0.02). These findings suggest that phage-antibiotic synergy may offer a promising strategy to combat MRSAinfections, warranting further in vivo studies to assess its clinical potential.
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