Detection Of Virulence Factors In Clinical Isolates Of Enterococci In A Tertiary Care Hospital Of Southern Maharashtra

Virulence factors in Enterococci

Authors

  • Leena Mulik
  • Dr. Santosh S. Patil
  • Dr. Sunanda A. Kulkarni

Keywords:

Biofilm, Enterococcus, virulence

Abstract

Background & Objective: Enterococcus is one of the notorious organism causing nosocomial infections.
Several virulence factors have been described from enterococci that enhance their ability to colonize patient’s tissue,
increase resistance to antibiotics and aggravate the infection outcome. Therefore the study was carried out to
investigate virulence factors among the enterococci isolated from different clinical samples. Methodology: Total 154
enterococcus species were isolated and were identified by conventional bacteriological method as well as by Vitek-2
compact system. The presence of certain virulence factors namely hemolysin, haemagglutination, gelatinase
production and biofilm formation were detected and data was statistically analyzed. Results: E. faecalis was the
commonest isolate (147) followed by E. faecium (7). Maximum number of isolates were from urine 65(42.20%)
followed by pus 58(37.66%). The results of detection of virulence factors revealed 15.58% strains with gelatinase
production, 34.41% with haemagglutination property, 35.71% showed hemolysin production and 55.84% strains
showed biofilm production by microtitre assay plate method. Conclusion: All the markers studied are the potential
virulence markers for the enterococci. Biofilm formation is the crucial virulence factor that enhances the ability of
pathogen to cause severe infections. Inhibiting the action of such virulent factors or blocking biofilm formation may
provide alternative method of therapy. [Patil S NJIRM 2016; 7(3):7-11]

References

1. Jawad Kadhum T. AL-Khafaji, Sameer F. Saman,
Mohammed S. AL-Saeed. Virulence Factors of
Enterococcus faecalis. Medical Journal of Babylon
2010; 7 : 579-583
2. Ramadhan AA, Hegedus E. Biofilm formation and
esp gene carriage in enterococci. J. Clinical
Pathology 2005;58:685-687
3. Jonathan A.T. Sandoe, lan R. Witherden, Jonathan
H. Cove, John Heritage and Mark H. Wilcox.
Correlation between enterococcal biofilm
formation in vitro and medical–device-related
infection potential in vivo. Journal of Medical
Microbiology 2003;52:547-550
4. Karola Waar, Albrecht B, Muscholl-Silberhprn,
Rob J.L. Willems, Maarten J. H. sloff, Hermie J. M.
et al. Genogrouping and Incidence of Virulence
Factors of Enterococcus faecalis in Liver
Transplant Patients Differ from Blood Culture and
Fecal Isolates. JID 2002;185:1121-1127
5. R Arularasi Aberna, K Prabakaran. Evaluation for
the association of virulence determinants among
E. faecalis with its clinical outcome. Int J Biol Med
Res. 2011;2(2):523-527
6. Giridhara Upadhyaya, P.M., Ravikumar, K.L.,
Umapathy, B.L. Review of virulence factors of
enterococcus: An emerging nosocomial pathogen.
Indian J. Med. Microbiol. 2009;27, 301-305.
7. Abbas A. Al-Duliami, Nadhum G. Nauman, Afak R.
Salman, Abdul-Razak SH Hasan. Virulence factors
of enterococci species isolated prom nosocomial
and community acquired infections. Diyala
journal for pure sciences.2011; 7 (3) : 174-82
8. Sanal C. Fernandes and B. Dhanashree. Drug
Resistance and Virulence determinants in clinicalisolates of Enterococcus species. Indian J Med
Res.2013;981 -985
9. Praharaj Ira, Sistla sujatha, Parija subhash
Chandra. Virulence factors in Clinical and
commensal isolates of Enterococcus species.
Indian J pathol microbiol. 2013; 56(1) :24-30
10. Maria da Gloria S. carvalho, Lucia Martins
Teixeira. Hemagglutination properties of
Enterococcus. Current microbiology 1995; 30 :
265 – 268
11. Ajay Kumar oli, Raju S., Rajeshwari Nagaven.
Biofilm formation by multidrug resistance
Enterococcus faecalis (MDEF) originated from
clinical samples. J Microbiol Biotech Res, 2012;
2(2): 284-288.
12. P. M. Giridhara Upadhaya, B L Umapathy and K. L.
Ravikumar. Comparative study for the presence
of enterococcal virulence factors gelatinase,
hemolysin and biofilm Among clinical and
commensal isolates of Enterococcus faecalis. J Lab
Physicians.2010; 2(2): 100-104

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Published

2018-01-21

How to Cite

Mulik, L., Patil, D. S. S., & Kulkarni, D. S. A. (2018). Detection Of Virulence Factors In Clinical Isolates Of Enterococci In A Tertiary Care Hospital Of Southern Maharashtra: Virulence factors in Enterococci. National Journal of Integrated Research in Medicine, 7(3), 7–11. Retrieved from http://www.nicpd.ac.in/ojs-/index.php/njirm/article/view/1066

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