This study aimed to establish the correlation between antibiotic resistance and the ability of Staphylococcus haemolyticusstrains to form biofilms and to examine the impact of sub-inhibitory concentrations of antibiotics (sub-MICs) on biofilm formation.
Antibiotic susceptibility testing was conducted using the disk diffusion method, and biofilm
formation was determined using Congo red agar and microtitre plate methods. Biofilm-associated genes and screening for blaZ and mecA in the genomes of all penicillin- and cefoxitin-resistant S. haemolyticus isolates were detected using polymerase chain reaction (PCR).
Among the 21 S. haemolyticus isolates, 85.71% were multidrug-resistant (MDR) and methicillin-resistant (MRSH). The majority of strains were biofilm producers, including 43% of moderate biofilm producers and 5% of strong biofilm producers. A significant correlation was observed between MRSH and MSSH isolates in terms of biofilm production. All strains were sensitive to linezolid and 22.2 % exhibited an inducible clindamycin resistance phenotype.
The impact of sub-MICs of antibiotics on the prevention of biofilm growth is a matter of debate; vancomycin, gentamicin, and ciprofloxacin at sub-MICs tended to promote biofilm formation in most strains. The eno gene was present in 76.2% of S. haemolyticus strains, followed by aap (42.8%), icaD(42.8%), and atlE (23.8%). Meanwhile, 9.5 % of the isolates carried embPgene.
The findings of this study revealed a strong correlation between the biofilm-forming ability and antibiotic resistance in S. haemolyticus, which underline a crucial public health issue.
Furthermore, this research will play an essential role in controlling the dissemination of antibiotic resistance in S. hemolyticus strains.