Evidence map›Paper›PMID 40234825›Full record

ArticleBMC infectious diseases2025

Biofilm formation, methicillin resistance and SCCmec types among Staphylococcus aureus isolated from clinical samples from a tertiary care hospital, in Nepal.

Sarita Manandhar, Dipesh Karn, Mahendra Raj Shrestha, Jivan Shakya, Anjana Singh

Abstract read
In one paragraph

Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Methicillin-resistantiScience · 2026
    Review
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sarita ManandharTri-Chandra Multiple Campus, Tribhuvan University, Kathmandu, Nepal. sarita.manandhar@trc.tu.edu.np.
Dipesh KarnTri-Chandra Multiple Campus, Tribhuvan University, Kathmandu, Nepal.
Mahendra Raj ShresthaNepal Armed Police Force Hospital, Kathmandu, Nepal.
Jivan ShakyaMycobacterial Research Laboratories, Anandaban Hospital, The Leprosy Mission Nepal, Lalitpur, Nepal.
Anjana SinghCentral Department of Microbiology, Tribhuvan University, Kathmandu, Nepal.

Funding

University Grants Commission- Nepal Faculty research Grant 076/077
6 · The paper itself

Abstract

backgroundMethicillin resistant Staphylococcus aureus (MRSA) is a human pathogen that can cause hospital and community acquired infections. Biofilm formation is a major virulence factor contributing to its pathogenicity. This study aimed to detect biofilm formation ability among methicillin resistant Staphylococcus aureus (MRSA) clinical isolates and determine SCCmec types.

methodsA total of 115 S. aureus were isolated from various clinical samples collected at Nepal Armed Police Hospital from August 2022 to February 2023. The antibiotic susceptibility test was performed via a modified Kirby Bauer disc diffusion method following CLSI guidelines. Phenotypic detection of biofilm formation was performed by microtiter plate assay. Polymerase chain reaction was performed to detect mecA, icaA and SCCmec types.

resultsMore than 90% of the isolates were resistant to cefixime and penicillin. Among the total isolates, 66% were multidrug resistant. The disc diffusion method detected 60% of the isolates as MRSA, with 15 isolates lacking the mecA gene. Different levels of biofilm biomass were observed among 86 (75%) of the isolates by microtiter plate method. PCR revealed the presence of the icaA gene in a low number of the isolates (16%). Compared with biofilm nonproducer isolates, biofilm producing S. aureus isolates presented a greater incidence of antibiotic resistance with multi drug resistance (MDR). SCCmec type V (21%) predominated, followed by type II (13%) and most of them were MDR and biofilm producers.

conclusionsOur results indicate a relatively high incidence of community acquired S. aureus circulating in the hospital setting. This study is the first to explore the associations between SCCmec types and biofilm formation among clinical isolates in Nepal. Monitoring the prevalence of biofilm producing S. aureus provides valuable insights into the evolving epidemiology of healthcare associated infections, facilitating the development of targeted infection control strategies.

Indexed as

BiofilmsMethicillin ResistanceMethicillin-Resistant Staphylococcus aureusStaphylococcal InfectionsAnti-Bacterial AgentsBacterial ProteinsDrug Resistance, Multiple, BacterialHumansMicrobial Sensitivity TestsNepalPenicillin-Binding ProteinsTertiary Care CentersAnti-Bacterial AgentsBacterial ProteinsmecA protein, Staphylococcus aureusPenicillin-Binding ProteinsBiofilmIcaAMecAMethicillin-resistant S. aureusSCCmec type

Identifiers

PMID40234825
PMCPMC12001517

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.