About this trial
Staphylococcus aureus are Gram-positive cocci that asymptomatically colonize the skin and mucosal surfaces of approximately 20-30% of healthy individuals . Although they commonly exist as a harmless commensal organisms, S. aureus are one of the most clinically significant opportunistic pathogens, causing a wide range of community and healthcare-associated infections. These infections vary from superficial skin and soft tissue infections to severe invasive diseases, including bacteremia, infective endocarditis, pneumonia, osteomyelitis, and device-associated infections .
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients of any age diagnosed with postoperative SSIs.
Clinical isolates from SSIs identified as MRSA.
Disqualifiers
Any microorganism isolated from SSIs other than MRSA.
Prior administration of postoperative antibiotics
Trial population
wound swabs and pus specimens will be collected under complete aseptic conditions from patients with suspected SSIs using sterile swabs. The samples will be transferred immediately to the microbiology laboratory to be processed
Trial design
Cohort
Prospective
Treatments tested in this trial
swab from lesion
Diagnostic test* Direct smear with Gram stain to identify the morphology of Staphylococcus aureus. * culture of the samples on different culture media such as nutrient agar, blood agar, and Mannitol salt agar.
Biochemical reactions
Diagnostic testbiochemical reactions: catalase test will be done to confirm diagnosis of Staphylococcus aureus.
Antibiotic sensitivity
Diagnostic testAntibiotic sensitivity test will be done using different antibiotics according to CLSI 2026.
Molecular detection of antibiotic resistance
Diagnostic testAssessment of the expression of selected biofilm-related genes (icaA and fnbA) and antibiotic resistance-related genes (mecA and femA) using quantitative real-time PCR (qRT-PCR) before and after treatment with probiotic cell-free supernatant (CFS).
Treatment groups
Trial outcomes
Primary outcomes
The effect of Probiotic cell-free supernatant (CFS) on the expression of the biofilm-associated genes icaA and fnbA in clinical MRSA isolates..
The number of clinical Staphylococcus aureus isolates from SSIs and determine their antimicrobial susceptibility patterns to identify methicillin-resistant Staphylococcus aureus (MRSA).
The effect of Probiotic cell-free supernatant (CFS) on the expression of the antibiotic resistance-associated genes mecA and femA in clinical MRSA isolates
Locations
Sponsors and contacts
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