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PHRP : Osong Public Health and Research Perspectives

OPEN ACCESS. pISSN: 2210-9099. eISSN: 2233-6052

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"Ezzat Allah Ghaemi"

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"Ezzat Allah Ghaemi"

Original Article
Evaluation of Biofilm Formation and Presence of Ica Genes in Staphylococcus epidermidis Clinical Isolates
Maryam Kord, Abdollah Ardebili, Maryam Jamalan, Roghaye Jahanbakhsh, Naser Behnampour, Ezzat Allah Ghaemi
Osong Public Health Res Perspect 2018;9(4):160-166.
Published online August 31, 2018
DOI: https://doi.org/10.24171/j.phrp.2018.9.4.04
<sec> <title>Objectives</title> <p>Biofilm formation is one of the important features of <italic>Staphylococcus epidermidis</italic>, particularly in nosocomial infections. We aimed to investigate the biofilm production by phenotypic methods and the presence of <italic>ica</italic> genes in <italic>S epidermidis</italic>.</p></sec> <sec> <title>Methods</title> <p>A total of 41 <italic>S epidermidis</italic> isolates were recovered from different clinical specimens. Biofilm formation was evaluated by microtiter plate, tube method and Congo red agar method. The presence of <italic>icaA</italic> and <italic>icaD</italic> genes was investigated by PCR. Validity of methods (sensitivity and specificity), and metrics for test performance (positive/negative predictive value, and positive/negative likelihood ratio) were determined.</p></sec> <sec> <title>Results</title> <p>By both microtiter plate and tube method, 53.6% of <italic>S epidermidis</italic> isolates were able to produce biofilm, whilst only 24.4% of isolates provided a biofilm phenotype on Congo red agar plates. <italic>icaA</italic> and <italic>icaD</italic> genes were found in 100% and 95.1% of isolates, respectively. Biofilm phenotypes accounted for 4.8% by microtiter plate assay, despite the absence of the <italic>ica</italic> gene. Congo red agar and PCR exhibited a lower sensitivity (18% and 45.5%, respectively) for identifying the biofilm phenotype in comparison to microtiter plate.</p></sec> <sec> <title>Conclusion</title> <p>The microtiter plate method remains generally a better tool to screen biofilm production in <italic>S epidermidis</italic>. In addition, the ability of <italic>S epidermidis</italic> to form biofilm is not always dependent on the presence of <italic>ica</italic> genes, highlighting the importance of <italic>ica</italic>-independent mechanisms of biofilm formation. The use of reliable methods to specifically detect biofilms can be helpful to treat the patients affected by such problematic bacteria.</p></sec>

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