Search Results (2,229)

The sale of raw milk via vending machines represents a well-established distribution model in many European countries, including Switzerland. As part of this study, data on the microbiological quality of raw milk sold via vending machines in Switzerland were collected. A total of 124 raw milk samples from 124 raw milk vending machines across Switzerland were analysed. In addition to standard hygiene parameters (TVC and E. coli), the scope of the investigation particularly included foodborne pathogens as well as methicillin-resistant Staphylococcus aureus (MRSA) and extended-spectrum β-lactamase (ESBL)-producing Enterobacterales. Isolates were further characterised by whole-genome sequencing. Shiga toxin-producing Escherichia coli (STEC) were detected in 3.2%, Staphylococcus aureus was detected in 12.1%, Listeria monocytogenes was detected in 2.4%, Campylobacter spp. were detected in 1.6%, Yersinia enterocolitica was detected in 29.8%, and Salmonella spp. were detected in 0% of the samples. MRSA and ESBL-producing Enterobacterales were each detected in 0.8% of samples. The results highlight the potential risk of foodborne infections associated with the consumption of untreated raw milk, as well as hygiene deficiencies linked to several raw milk vending machines. Based on the generated data, the importance of the requested heat treatment of raw milk in Switzerland is clearly underscored. Furthermore, more precise and binding guidelines for self-monitoring and the management of raw milk vending machines appear necessary. Full article

Background/Objectives: The widespread use of mupirocin and fusidic acid for the treatment and decolonization of Staphylococcus aureus (SA) skin infections has led to a rapid emergence of resistant strains, limiting the effectiveness of the few topical agents currently available for clinical use. Methods: In this study, we evaluate Fe(tropo)₃, a neutral and lipophilic iron(III)–tropolone complex, as a non-antibiotic topical antimicrobial candidate for the management of drug-resistant SA skin and soft tissue infections. Results: Fe(tropo)₃ exhibits potent in vitro activity against methicillin-susceptible SA, methicillin-resistant SA (MRSA), vancomycin-intermediate SA, and strains with high-level resistance to mupirocin and fusidate, with minimum inhibitory concentrations of 2 µg/mL across all tested isolates. The compound effectively penetrates bacterial cells, induces intracellular iron accumulation, and triggers dose-dependent reactive oxygen species generation, resulting in rapid bacterial killing and significant antibiofilm activity. Importantly, Fe(tropo)₃ shows a slower development of resistance compared with ciprofloxacin and displays synergistic activity with oxacillin against MRSA. When formulated as a 1% topical ointment, Fe(tropo)₃ significantly reduces bacterial burden in a murine excisional wound infection model, achieving a 98% ± 1% reduction in SA load without detectable hemolysis or skin irritation. Conclusions: These pilot study results support Fe(tropo)₃ as a clinically relevant, mechanism-distinct topical antimicrobial with potential utility in settings where resistance to existing topical antibiotics compromises standard care. Full article

Colonization with methicillin-resistant Staphylococcus aureus (MRSA) increases the risk of adverse health outcomes, and it is estimated that 10–30% of carriers subsequently develop infection. Mupirocin is currently widely used as a topical decolonization measure against nasal methicillin-resistant S. aureus (MRSA) carriers. The present study was carried out in order to determine the prevalence rate of high-level (HLMuR) and low-level (LLMuR) mupirocin-resistant MRSA strains among patients treated at our hospital over two periods of time (2016 and 2021–2022) and to observe possible changes in MRSA susceptibilities against mupirocin after a six-year period of use. This is a retrospective study carried out on MRSA isolated from various clinical specimens from inpatients. A total of 474 MRSA isolates found in nasal, nasopharyngeal, throat, wound, urine and prostheses swabs were examined. All S. aureus isolates were identified using MALDI-TOF mass spectrometry scores ≥ 2 and confirmed as MRSA using the cefoxitin (30 µg) disc diffusion method. Mupirocin-resistant MRSA was detected by the Epsilometer test (E-test). All the resistant strains were tested for Panton-Valentine-Leucocidin (PVL) toxin by PCR. Out of 481 strains in our database, 474 pure non-duplicate MRSA isolates were included in our study. Mupirocin resistance was found in 15 (3.2%) MRSA strains by E-test, whereby three (0.6%) isolates were HLMuR and 12 (2.5%) isolates were LLMuR. The prevalence of mupirocin-resistant MRSA was similar in 2016 (10.6%) and 2021 (12.9%) and decreased to 6.5% in 2022. Even though the decrease in the proportion of resistant isolates from 2021 to 2022 did not reach statistical significance (p = 0.103), the mean resistance level among resistant isolates decreased significantly over the study period (p ≤ 0.001), dropping from 94.3 µg/ml in 2016 to 46.4 µg/ml in 2021 with a further decrease to 0.7 µg/ml in 2022. Although the mupirocin resistance decreased in 2022 compared with 2016, continuous monitoring of mupirocin resistance development in MRSA and surveillance of excessive use is of utmost importance in order to rule out possible failure of mupirocin decolonization treatment with subsequent increased mortality due to infections, prolonged hospital stays and more difficult treatment requirements at an early stage. Full article

Background/Objectives: In the broad and current context of antimicrobial resistance, antibiotic management and therapeutic surveillance are essential in hospitals. The present study (five-year retrospective, 2020–2024) aimed to analyze antibiotic consumption in relation to pathogens identified in a multidisciplinary hospital. Results: In terms of antibiotic consumption (overall 2020–2024), although initially Watch antibiotics were predominantly used, a decrease was observed in favor of Access class antibiotics (sharply increase from 2022 to 2023 and maximum in 2024). For Reserve antibiotics, only slight annual fluctuations were observed, but there was an important reduction in colistin consumption. The most used were cephalosporins (cefazolin, cefuroxime and ceftriaxone), carbapenems (meropenem and ertapenem), vancomycin and linezolid. Regarding pathogens, the most notable were: Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae, Enterococcus spp., Pseudomonas aeruginosa. Among the ESKAPE bacteria, Acinetobacter baumannii was the least frequent in our samples. ESKAPE bacteria predominantly colonized specimens from the respiratory tract, digestive tract, skin and soft tissue. Resistant strains were observed, mainly Methicillin-resistant Staphylococcus aureus (MRSA) and Extended-Spectrum Beta-Lactamase (ESBL) Klebsiella spp., but no alarming increases in number were recorded in the analyzed period. Methods: The analysis was carried out using tools recommended by the World Health Organisation (Access Watch Reserve antibiotics classification (AWaRe); Bacterial Priority Pathogen List (BBPL); Defined Daily Dose (DDD)), Average Annual Percent Change (AAPC) calculation and ESKAPE classification (bacteria group: Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa and Enterobacter spp.). Conclusions: Relatively stable trends in bacterial isolates and resistant strains over five years (2020–2024) are consistent with effective antimicrobial stewardship practices. Full article

Antimicrobial resistance (AMR) remains a major threat to modern medicine, fueled by the excessive use of antibiotics and the spread of multidrug-resistant pathogens such as methicillin-resistant Staphylococcus aureus (MRSA). In this study, we designed and synthesized a series of 2-aryl-4-aminoquinazoline derivatives bearing an aminoalkylimidazole linker, combining two pharmacophoric motifs associated with antimicrobial activity. Starting from anthranilamide, the compounds were prepared in three straightforward steps, affording good yields and high purity. Their structures were confirmed by FT-IR spectroscopy, ¹H and ¹³C nuclear magnetic resonance (NMR), and high-resolution mass spectrometry (HRMS). Biological evaluation showed that series 5 exhibited strong selectivity toward S. aureus, with compounds 5c and 5d displaying minimum inhibitory concentrations (MICs) between 2.2 and 4.4 µM. No significant activity was observed against other tested strains. Cytotoxicity assays in HepG2 cells revealed moderate to low inhibition. Molecular docking indicated preferential binding to dihydrofolate reductase (DHFR) and relevant interactions with topoisomerase IV, resembling reference inhibitors. ADME analysis predicted favourable absorption, blood–brain barrier permeability, and compliance with Lipinski’s rules. Full article

Environmental surveillance is important to monitor and mitigate antimicrobial resistance (AMR). In this context, sewage and its marine outfalls remain a hot spot for spreading AMR among pathogens. This study investigated the presence of drug-resistant Staphylococcus aureus in sewage effluent and marine sewage outfalls in Saudi Arabia. Water samples were collected from Jeddah’s southern and central marine outfalls and non-impacted sites. The isolates (n = 120) were identified through biochemical tests and MALDI-TOF. Resistance to antibiotics in the isolates was initially screened through phenotypic methods. Species-specific markers and antibiotic resistance genes (ARGs) were amplified through PCR. The presence of ARGs was also quantified in the isolates and in the environment through qPCR. The data indicated a higher prevalence of methicillin-resistant S. aureus (MRSA) in sewage effluent (63.3%) compared to marine water (50%). Sewage-borne MRSA exhibited higher resistance to various antibiotics. PCR detection confirmed the presence of mecA in MRSA isolates. Virulence genes encoding microbial surface components and recognizing adhesive matrix molecules (MSCRAMMs) were more prevalent in sewage isolates. Particularly, genes responsible for biofilm formation were more prevalent in the isolates from sewage samples. qPCR revealed a higher abundance of mecA, fnbB and bbp in sewage-derived isolates. Statistical analysis confirmed the strong influence of the sewage environment on the prevalence of drug-resistant isolates. Screening of environmental DNA further validated sewage as a reservoir of resistance and virulence determinants. These findings highlight the role of sewage outfalls in disseminating ARGs and virulent S. aureus strains, emphasizing the need to improve wastewater treatment and environmental surveillance strategies. Full article

Antimicrobial resistance (AMR) remains a serious public health concern, and methicillin-resistant Staphylococcus aureus (MRSA) continues to limit treatment options. This laboratory-based comparative study evaluated antibiotic resistance patterns and nanoparticle (NP) susceptibility among 110 S. aureus isolates recovered from human skin and soft tissue infections (n = 80) and camel milk (n = 30). Proteomic identification utilizing matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF MS) was carried out for all isolates under study. Phenotypic differentiation between MRSA and methicillin-sensitive S. aureus (MSSA) was performed via the cefoxitin disk diffusion method, and antimicrobial susceptibility testing was carried out using the disk diffusion method as stated in international guidelines. Multidrug resistance (MDR) was defined by established criteria. The antibacterial activity of silver nanoparticles (AgNPs) and gold nanoparticles (AuNPs) was detected by broth microdilution to determine minimum inhibitory concentration values (MIC₅₀ and MIC₉₀). The ability to develop reduced susceptibility was evaluated through ten serial sub-inhibitory passages followed by stability testing without using nanoparticles. MRSA prevalence was 52.5% among human isolates and 70% among camel milk isolates. Overall, 56.4% of isolates met MDR criteria, with a significantly higher MDR rate among MRSA compared with MSSA. Both human and camel isolates showed similar resistance patterns. AgNPs exhibited strong antibacterial activity, with MIC₅₀ and MIC₉₀ values of 0.0078 mg/mL and 0.0156 mg/mL, respectively; nevertheless, AuNPs demonstrated higher MIC values. Response to NPs was similar between isolates, independent of methicillin resistance or MDR. Serial sub-inhibitory exposure resulted in increased MIC values in all tested isolates, and stable resistance persisted in 50% of cases. These results indicate ongoing MRSA circulation in human and animal settings and reinforce the need for careful and controlled use of NP-based antimicrobials. Full article

Antimicrobial resistance (AMR) threatens global health, particularly through the rise of multidrug-resistant tuberculosis (MDR-TB) and other critical bacterial infections such as methicillin-resistant Staphylococcus aureus (MRSA). Rifamycins remain frontline antibiotics but are increasingly undermined by resistance. Here, we introduce a click-enabled platform for the synthesis of C8-functionalized rifamycins, which can be converted in a single additional step into efficacious 3′-hydroxy-5′-aminobenzoxazinorifamycins (bxRifs) and enzymatically into 25-deacetylated rifamycins (deAcRifs), providing access to novel antibacterial scaffolds that expand beyond the scope of traditional C8 modifications. Accordingly, we establish a modular strategy for late-stage analog development of the complex natural product rifamycin S, wherein azido and alkyne functionalities are installed via tailored core chemistry and converted into 1,2,3-triazoles through copper(I)-catalyzed click chemistry. Another key feature of this work is the development of systematic HPLC purification methods, enabling the isolation of analytically pure compounds despite structural complexity. The resulting analogs exhibit distinct antibacterial profiles, notably against Gram-positive bacteria including MRSA and Streptococcus mutans, informing structure–activity relationships and offering a foundation for further optimization. This approach supports the rapid diversification of rifamycin scaffolds to combat the escalating threat of AMR, while also establishing a foundation for future discovery through bioorthogonal applications. Full article

Computer devices in university settings are frequently shared and repeatedly handled, making them potential reservoirs for pathogenic bacteria. This study aimed to investigate the prevalence, virulence determinants, and antimicrobial resistance profiles of Staphylococcus aureus and Escherichia coli isolated from computer devices used by staff and students at a university in Northern Thailand. A total of 400 computer devices were sampled, with each device defined as a single sampling unit comprising both the keyboard and computer mouse. Bacterial identification was performed using PCR, while staphylococcal enterotoxin (se) genes and diarrheagenic E. coli (DEC)-associated virulence genes were detected by PCR. Antimicrobial susceptibility was assessed using the disk diffusion method. Overall, 74 (18.5%) S. aureus isolates and 6 (1.5%) E. coli isolates were recovered. The highest prevalence of S. aureus was observed among personal-use student computer devices (29%; p < 0.001), whereas E. coli was most frequently detected on public-use staff computer devices (4%). Among S. aureus isolates, 24.3% (18/74) carried at least one se gene, with sec being the most prevalent (13.5%). Half of the E. coli isolates harbored the astA gene. Low resistance rates (<10%) were observed among S. aureus; however, four isolates (5.4%) were classified as MRSA, three of which exhibited multidrug resistance. All E. coli isolates were resistant to ampicillin, and 50% displayed multidrug-resistant phenotypes. These findings suggest that computer devices can act as occasional reservoirs of potentially pathogenic and antimicrobial-resistant bacteria in university environments. Full article

Methicillin-resistant Staphylococcus aureus (MRSA) produces virulence factors and causes hard-to-treat infections. This study aimed to evaluate the effect of trans-cinnamaldehyde (TC) on the selected virulence factors of MRSA: adhesion to host plasma and extracellular matrix proteins, protease, DNase and esterase production, and hemolytic activity. Our results showed that TC at ½ MBIC (Minimum Biofilm Inhibition Concentration) of 240 µg/mL or 60 µg/mL, depending on the isolate, significantly reduced MRSA adhesion. Inhibition varied between isolates, ranging from 26.1% to 41.3% (fibrinogen), 18.2% to 34.9% (elastin), 26.5% to 32.4% (laminin), and 17.1% to 30.5% (collagen). TC at ½ MIC (Minimum Inhibitory Concentration) of 30 µg/mL also significantly inhibited MRSA enzyme production, and reduced hemolytic activity (by 80.0–83.1%, depending on the isolate). TC may be an alternative to antibiotics for combating infections caused by S. aureus, as it not only reduces bacterial survival in the host but also reduces S. aureus virulence at subinhibitory concentrations. TC at higher concentrations exhibits cytotoxicity in human fibroblasts, limiting its topical use. Therefore, to exploit TC’s antibacterial potential, it is necessary to identify substances that act synergistically with it, enabling reduced effective doses. Full article

The increasing prevalence of antimicrobial resistance, especially in methicillin-resistant Staphylococcus aureus (MRSA), underscores the need for alternative therapies from natural sources. This study investigated the chemical composition, antibacterial activity, and gene expression modulation of Melaleuca cajuputi essential oils. Gas chromatography–mass spectrometry (GC-MS) identified 91 compounds, with naphthalene (23.90%), guaiol (12.92%), caryophyllene oxide (9.69%), D-limonene 98% (8.59%), and gamma terpinene (7.54%) among the most abundant. In Silico molecular docking against MRSA virulence proteins revealed that alloaromadendrene had the strongest binding to toxic shock syndrome toxin-1 (TSST-1) (−7.948 kcal/mol), suggesting high inhibitory potential, while cyclohexane showed weak binding with staphylococcal enterotoxin A (SEA) (−3.532 kcal/mol). Antibacterial assays demonstrated concentration-dependent inhibition, with the zones ranging from 6.33 ± 0.33 mm to 16.67 ± 0.88 mm. MIC and MBC values ranged from 1.56 to 12.5% and 3.13 to 25%, respectively, with most isolates showing bactericidal effects (MBC/MIC ≤ 2). Gene expression analysis of MRSA isolate 4 indicated that sea was moderately upregulated (FC = 1.44), while sec remained unchanged (FC = 1.02). In contrast, fnbA (FC = 0.72), seb (FC = 0.33), and mecA (FC = 0.23) genes were downregulated, and the tsst-1 gene (FC = 0.05) was nearly silent. These findings highlight M. cajuputi essential oils as a promising candidate with both antibacterial efficacy and regulatory effects on MRSA virulence genes. Full article

Background: Healthcare-associated infections (HAIs) caused by biofilm-forming Staphylococcus aureus and Staphylococcus epidermidis represent a major public health challenge due to their high resistance and involvement in skin, wound, and soft-tissue infections. In this context, silver nanoparticles (AgNPs) incorporated into Gluconacetobacter sp. bacterial cellulose hydrogel emerge as a promising alternative therapeutic strategy. Methods: AgNPs and hydrogels were synthesized and characterized using physicochemical and morphological analyses. Antibacterial activity was assessed by determining the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) following CLSI guidelines, as well as by time–kill curve assays. Antibiofilm activity was evaluated through the determination of minimum biofilm inhibitory concentration (MBIC) and minimum biofilm eradication concentration (MBEC) using crystal violet staining, complemented by scanning electron microscopy (SEM) and Congo red agar method. Results: The hydrogel exhibited a three-dimensional microfibrillar structure characteristic of bacterial cellulose, while AgNPs showed rod-shaped, oval, and triangular morphologies, with particle sizes of 35 and 59 nm and positive zeta potentials. MIC and MBC values ranged from 6.25 to 50 µg/mL across all tested formulations and strains. Time–kill assays demonstrated significant bacterial population reductions after 6 to 9 h of exposure. MBIC values ranged from 0.78 to 50 µg/mL, whereas MBEC values ranged from 1.56 to >100 µg/mL. SEM analyses confirmed biofilm disruption, cell eradication, and a reduction in extracellular polysaccharides, particularly for AgNPs incorporated into the hydrogel. Conclusions: Overall, the results highlight the strong antibacterial and enhanced antibiofilm potential of AgNP-loaded bacterial cellulose hydrogel against S. aureus and S. epidermidis, supporting its potential application in infection treatment. Full article

A comparative cross-sectional study was undertaken in organized and unorganized dairy sectors to evaluate the prevalence of bovine mastitis and the antibiotic resistance in Staphylococcus spp. of dairy animals and their associated personnel. A total of 391 households (HH) consisting of 211 and 180 HHs from organized and unorganized sectors, respectively, were selected based on 30-cluster sampling methodology in southern and northeastern regions of India. From 391 HHs, a total of 1920 milking cows (organized dairy—533; unorganized dairy—1387) were screened for subclinical and clinical mastitis by the California Mastitis Test (CMT). Out of 1920 milk samples, 1002 milk samples, 362 associated personnel hand and nasal swabs, and 27 milking machine swabs were sourced. The samples were subjected to Staphylococcus spp. by isolation and identification by multiplex polymerase chain reactions (mPCRs) and antibiotic sensitivity testing (ABST) to determine antimicrobial resistance (AMR) profiles. CMT results showed high mastitis prevalence (54.65%) in unorganized farms compared to organized ones (45.78%), with a significant association of mastitis to dairy sectors (p = 0.0004). On speciation, S. aureus isolates were comparatively less than those of coagulase-negative staphylococci (CoNS) (3.5% and 7.7%, respectively) in the organized dairy sector, and the same was recorded for the unorganized dairy sector (0.85% and 13.19%, respectively). In both the dairy sectors, the highest antibiotic resistance for Staphylococcus spp. was observed against the β-lactams (penicillins and cephalosporins) group (71.36% and 76.59%) and the lowest for nitrofurans (3.5% and 3%), oxazolidines (0.7% and 5.1%), and rifamycin (0.7% and 5.1%), respectively. In both the sectors, human isolates had comparatively high mecA positives (15.70% and 15.96%) compared to the animal isolates (8.36% and 12.94%). Based on mPCR, a smaller number of methicillin-resistant S. aureus (MRSA) isolates (3.95%) than methicillin-resistant coagulase-negative Staphylococci (MRCoNS) was detected in milk samples (6.05%), and the same was observed for associated personnel samples (MRCoNS (14.63%) compared to MRSA (1.05%)). In four HHs, mecA positives were detected in both animal and human samples, and this highlights the transmission dynamics of mecA between animals and humans in households. The resistance of Staphylococcus spp. to β-lactams highlights the need for cautious antibiotic use to prevent AMR. Full article

Background: Localized susceptibility data supports development of a pediatric-specific antibiogram to guide empiric therapy for ear infections within the British Columbia community setting. The aim of the current student was to construct an antibiogram from community-collected ear culture isolates to support antibiotic selection for ear infections in communities. Methods: Data were collected from patients <18 years of age with specimens submitted to LifeLabs British Columbia between 2020 and 2024, which included 2338 ear specimens. Organisms with ≥30 isolates undergoing antimicrobial susceptibility testing were included for analysis. Results: The most frequently identified organisms included methicillin-susceptible and methicillin-resistant Staphylococcus aureus (MSSA and MRSA, n = 648 and 80, respectively), Group A Streptococcus (GAS, n = 357), Pseudomonas aeruginosa (n = 316), Streptococcus pneumoniae (n = 105), and Haemophilus influenzae (n = 75). Beta-lactam antibiotics maintained high activity (>90%) against MSSA, GAS, and S. pneumoniae, while clindamycin and erythromycin showed significantly lower sensitivity against both MSSA (84% and 82%, respectively) and MRSA (79% and 50%, respectively) (p < 0.001). Trimethoprim–sulfamethoxazole and tetracycline demonstrated 99% and 97% susceptibility for MSSA, respectively, and 94% and 85% for MRSA, respectively. Conclusions: Beta-lactam antibiotics remain suitable for treatment against the pathogens S. pneumoniae, GAS, and MSSA, while trimethoprim–sulfamethoxazole is more suitable for MRSA. Full article

Antimicrobial resistance represents not only a biological challenge but also a physicochemical limitation associated with antibiotic transport, membrane interaction, and local availability. In this preliminary study, a liposome-encapsulated doxycycline delivery system was developed using egg yolk-derived phospholipids, and its biophysical properties and release behavior were investigated. Phospholipids were isolated from egg yolk and used to prepare doxycycline-loaded liposomes via a thin-film hydration method combined with freeze–thaw processing. Liposome morphology was characterized by atomic force microscopy (AFM), while encapsulation efficiency was quantified by reversed-phase high-performance liquid chromatography (RP-HPLC). In vitro release kinetics were evaluated using a dialysis diffusion method, and antibacterial activity was assessed as a functional indicator of drug availability using minimum inhibitory concentration (MIC) assays against Staphylococcus aureus and methicillin-resistant S. aureus (MRSA). The prepared liposomes exhibited morphology with diameters of approximately 153 nm (PDI = 0.223). The encapsulation efficiency of doxycycline hyclate was 8.41%, and complete drug release was achieved within 48 h. Liposome-encapsulated doxycycline demonstrated a two-fold reduction in MIC values compared with free doxycycline. These findings offer preliminary insight to support further optimization and expanded investigation of liposome-encapsulated antibiotic delivery systems. Full article