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PubMed2003

Bacteriophage typing and antibiotic sensitivity pattern of Staphylococcus aureus from clinical specimen in and around Solapur (South Maharashtra).

Two hundred and eighty nine strains of Staphylococcus aureus isolated from pus and wound swabs (149), blood (36), urine (28), sputum (14), stool (12), throat swab (9) and CSF (4) were subjected for bacteriophage typing and antibiotic susceptibility pattern. 113 (39.11%) strains were typable. Among the typable strains, 16 (5.53%) belonged to phage group I, 33 (11.41%) strains belonged to phages group II, 38 (13.14%) belonged to phage group III, 26 (8.99%) strains belonged to the phages which have not been allocated to any group (Miscellaneous group) 176 (60.89%) strains were untypable. Only one (0.34%) strain was sensitive to all the drugs tested. Almost all the isolates were resistant to Ampicillin and Tobramycin (99.3% each). 286 (98.96%) strains were found to be resistant to Penicillin and Erythromycin followed by Kanamycin 272 (94.11%) and Gentamicin 263 (91.3%). 113 (39.1%) strains were Methicillin resistant Staphylococcus aureus (MRSA). All MRSA strains were resistant to all drugs tested except vancomycin. Resistance to most of the commonly used antimicrobial agents indicates a need to replace these drugs with other agents and maintenance of surveillance to detect changing patterns of resistance.

Bacteriophage Typing↗

PubMed2004

Incidence of enteric bacteria and Staphylococcus aureus in day care centers in Akwa Ibom State, Nigeria.

The incidence of enteric bacteria and Staphylococcus aureus in four day care centers in Akwa Ibom State was studied using culture techniques. The percentage frequencies of the isolates from 124 samples were Staphylococcus aureus (33.9), Escherichia coli (19.0), Klebsiella sp (14.4), Citrobacter sp (12.5) and Proteus mirabilis (7.4). The sources of contamination were floors, chairs, skin, bed linen, door handles, fans, children's tables, walls, windows, ceiling, headmistress's table and chairs, drinking water and wash water. Cultures from Aunty Chimmy's Day Care and Nursery School, Eket and Ideal Day Care and Nursery School, Eket yielded more organisms than those from Trinity International Nursery School, Ikot Ekpene and Adiaha Obong Day Care Center in Uyo. The results revealed the insanitary conditions in these day care centers. The enforcement of an effective public health enlightenment program is advocated in order to attract sufficient attention of the proprietors of these establishments to the role of fomites as reservoirs of pathogenic microorganisms.

Anti-Bacterial Agents↗

PubMed2004

Severe peripheral polyneuropathy in a child with infective endocarditis caused by Staphylococcus aureus.

Although central nervous system complications such as stroke, encephalopathy and meningitis are commonly described in Staphylococcus aureus endocarditis, peripheral nervous system involvement is rarely reported in the literature. In this article we report on a 13-year-old boy with infective endocarditis caused by Staphylococcus aureus in whom severe polyneuropathy developed during hospitalization. To the best of our knowledge this is the first child case with infective endocarditis associated with peripheral polyneuropathy in the literature.

Adolescent↗

PubMed1992

An endemic strain of Staphylococcus haemolyticus colonizing and causing bacteremia in neonatal intensive care unit patients.

Coagulase-negative staphylococci are now the major cause of bacteremia in neonatal intensive care units. To date, coagulase-negative staphylococci causing neonatal infections have been found to be distinct when typed by standard techniques. To determine whether or not an endemic strain could be identified using more discriminatory techniques, we characterized coagulase-negative staphylococci isolates obtained from a prospective study of coagulase-negative staphylococci bacteremia in a neonatal intensive care unit during 1984 through 1985, by standard techniques supplemented with DNA-DNA hybridization and restriction endonuclease analysis. We typed 58 strains that were isolated from 52 episodes of bacteremia in 38 neonates. There were 46 isolates of Staphylococcus epidermidis. Three pairs of strains were identical, and each strain was from a different patient. There were 12 isolates of Staphylococcus haemolyticus. Ten were identical, referred to as strain TOR-35, and had been isolated from eight different infants. Characterization of strains obtained in 1986 from a prospective study of coagulase-negative staphylococci-colonizing neonates admitted to the same neonatal intensive care unit found the TOR-35 strain had colonized 6 of 17 neonates by day seven. A point prevalence survey of all neonates in the same neonatal intensive care unit in 1990 found 5 of 30 neonates to be colonized with the TOR-35 strain. Therefore, we were able to identify an endemic strain of S haemolyticus that caused multiple episodes of bacteremia during a 6-month period and remained present in the same environment for a 5-year period.

Anti-Bacterial Agents↗

PubMed2004

[Molecular microbiology and clinical features of Staphylococcus aureus enterotoxins].

The authors review the novel data available in the literature and their experimental results about the enterotoxins of Staphylococcus aureus. Their genetics, phylogenetics, biological characteristics, as well as mechanisms of action are dealt with. Furthermore, pathogenesis, pathomechanism, immunology, major symptoms and signs, diagnostics, management, possible outcomes, and epidemiology of the Staphylococcus aureus enterotoxin-associated human diseases are hereby reviewed.

Bacterial Toxins↗

PubMed2004

Effect of chosen lactic acid bacteria strains on Staphylococcus aureus in vitro as well as in meat and raw sausages.

The present study was aimed at determining the influence of 15 strains of lactic acid bacteria on the growth of 2 Staphylococcus aureus strains in vitro as well as in meat and raw sausages. The investigations were performed within the framework of three alternate stages which differed in respect to the products studied, the number of Lactobacillus sp. strains and, partly, methodological approach. The study also considered water activity (a(w)) and pH of the products investigated. The results obtained are demonstrated in 5 diagrams. It was found that among 15 strains of Lactobacillus aureus investigated only one strain, Lactobacillus helveticus T 78, showed antagonistic effect on studied strains of Staphylococcus aureus both in vitro as well as in meat and raw sausages. Five other strains of Lactobacillus spp. displayed the antagonistic effect in vitro only. The temperature and incubation time of sausages, but also the type of sausage stuffing were found to have a distinct or slight influence, respectively, on the antagonistic interaction between the bacteria. However, this phenomenon was affected by neither a(w) nor pH.

Animals↗

PubMed2004

[Ability of slime production Staphylococcus aureus strains obtained from clinical materials].

UNLABELLED: Slime production defines the ability of bacterial strains to colonize host tissues and biomaterials. Slime production by coagulase-negative Staphylococcus and its role in disease have been studied intensively in recent years. Much less is known about this trait in species Staphylococcus aureus. The objective of the present study was: assessment of the frequency of slime production by examined isolates of S. aureus, estimation of the influence of strains' origin to occurrence of investigated trait, comparison sample method (broth medium) with solid medium method. MATERIAL AND METHODS: 62 strains of S. aureus were examined. They were obtained from clinical material taken from patients hospitalized in Regional Centre of Oncology, in Bydgoszcz. Slime production was determined by using Christensen's method and Congo red agar method. RESULTS: 50.0% isolates were able to produce slime. The findings obtained in both methods were comparable (p>0.05). Slime was more frequently produced by strains obtained from biomaterials than from purulent materials (p<0.02). CONCLUSIONS: On the basis of the obtained results it may be stated that slime production is a very common trait of S. aureus and depends on the origin of the strains.

Biofilms↗

PubMed2004

[Is the methicillin-resistant Staphylococcus aureus heteroresistant to vancomycin in Croatia?].

INTRODUCTION: Staphylococcus (S.) aureus with reduced susceptibility to vancomycin has attracted much attention all over the world since the first report of Staphylococcus aureus isolate intermediarily resistant to vancomycin (VISA) in Japan 1997. Other authors from different parts of the world have also described VISA isolates in patients with treatment failures after prolonged vancomycin therapy. Most of the isolates were heterogeneously resistant (hVISA), i. e. only a part of the population showed resistance and the rest showed susceptibility to vancomycin. AIM: Aim of the study was to determine the existence of methicillin-resistant S. aureus (MRSA) strains with reduced susceptibility to vancomycin in Croatia. METHODS: Abbreviated population analysis was used for detection of strains with reduced susceptibility to vancomycin. Forty-eight MRSA strains from three different hospitals in Croatia were tested on brain-heart infusion agar (BHIA) screen plate containing 4 mg/L vancomycin. Thirty-three (68.7%) strains that showed growth on a screen plate were inoculated on BHIA plates with rising vancomycin concentrations (1-20 mg/L). After subcultivation and growth on a vancomycin-free BHIA plate, minimal inhibitory concentrations (MICs) were determined for all strains. RESULTS: Fourteen of 48 (29.1%) strains had vancomycin 8 mg/L and 1/48 (2.0%) strain had vancomycin 16 mg/L. In 3/48 (6.2%) MIC were stable after storage in liquid nitrogen for six months. Vancomycin MIC50 and MIC90 of all 33 strains grown on screen plate were 1 and 2 gm/L, respectively, when tested on Mueller-Hinton agar (MHA) before inoculation on BHIA with growing concentrations of vancomycin. Immediately thereafter, MIC were 4 and 8 mg/L, and after six months of storage, they were 4 and 4 mg/L, respectively. CONCLUSION: The prevalence of hVISA in Croatia is low, but there are some strains with reduced susceptibility to vancomycin. Unfortunately, because of lack of clinical data neither clinical correlation with laboratory findings nor therapeutic failures can be discussed.

Croatia↗

PubMed2005

Erythromycin-induced resistance to clindamycin in Staphylococcus aureus.

PURPOSE: To describe the incidence of erythromycin-induced resistance to clindamycin in a sample of Staphylococcus aureus isolates. METHODS: 100 erythromycin-resistant and clindamycin-sensitive S. aureus were collected as a convenience sample from February to August 2003. Inducible clindamycin resistance was identified using the D-zone disc method. RESULTS: Of the 100 Staphylococcus aureus isolates, 64 were methicillin sensitive (MSSA) and 36 were methicillin resistant (MRSA). Of the 64 MSSA isolates, 22 (34%) had inducible resistance. Of the 36 MRSA isolates, 4 (11%) had inducible resistance. Overall, 26% of these clindamycin sensitive S. aureus isolates, exhibited inducible resistance to clindamycin. CONCLUSIONS: In this sample, MSSA isolates were almost three times more likely to have inducible MLS resistance compared to MRSA isolates. Inducible resistance may compromise the efficacy of clindamycin. The frequency of inducible resistance in this series of "clindamycin sensitive" S. aureus isolates is 26%. It is likely that the true percentage of clindamycin resistance is being underestimated since testing for inducible resistance is not routinely performed.

Anti-Bacterial Agents↗

PubMed1992

Bacteroides and Staphylococcus glycocalyx: chemical analysis, and the effects on chemiluminescence and chemotaxis of human polymorphonuclear leucocytes.

Glycocalyx (or slime), which is an important virulence factor of many pathogenic bacteria, was isolated from Bacteroides fragilis, Bacteroides thetaiotaomicron and Staphylococcus epidermidis. Organisms were grown for 24 h in a chemically defined, dialysable liquid medium. Bacteria were centrifuged and the supernatant was concentrated and dialysed against distilled water. Total carbohydrate and protein were estimated using standard methods. Thin layer and gas-liquid chromatography of trifluoro acetic acid hydrolysed and non-hydrolysed samples provided evidence for the presence of polysaccharide, the absence of nucleic acids and lipopolysaccharide and for the identification of the individual sugar residues. Glucose, mannose and galactose (B. fragilis), glucose (B. thetaiotaomicron), and glucose and heptose (S. epidermidis) were the sugar residues detected. Uronic acid and hexosamine were detected in all species. Glycocalyx preparations (1 mg/ml) from Bacteroides and Staphylococcus significantly inhibited the chemiluminescence and chemotactic responses of viable human polymorphonuclear leucocytes (PMNL), but were not toxic for PMNL.

Bacteroides↗

PubMed2005

[Pyogenic spondylitis by methicillin-resistant Staphylococcus aureus (MRSA) during M-VAC therapy: a case report].

We report a case of bacteremic Staphylococcus aureus spondylitis (C6-Thl) during adjuvant M-VAC chemotherapy in a 69-year-old woman. During chemotherapy, low-grade fever persisted and methicillin-resistant Staphylococcus aureus (MRSA) was detected in IVH catheter culture. The patient complained of back pain and numbness of hands; however we kept her under observation. Subsequently sensory disturbance of the lower limbs and total urinary retention were observed. We diagnosed spondylitis by MRI and performed surgical debridement and spinal stabilization. Neurological complications improved after the treatment. The physician should be aware of the possibility of pyogenic spondylitis during chemotherapy.

Aged↗

PubMed2005

Methicillin-resistant Staphylococcus aureus: comparison of susceptibility test methods with mecA gene analysis for determining oxacillin (methicillin) resistance in our clinical isolates.

The aim of the study was to determine which of the following susceptibility test methods, using recommended or modified NCCLS, best detects oxacillin resistance: disk diffusion, agar screen, and broth dilution. PCR for mecA was used as "gold standard". We studied 120 Staphylococcus aureus isolates received from different patients hospitalized at the Clinical center in Skopje from May 2001 to November 2003. There were no two isolates from the same patient. Methicillin resistance in Staphylococcus aureus strains was performed according to the recommendations of the National Committee for Clinical Laboratory Standards (NCCLS). PCR appears to be promising. Since variations among the methods exist and no acceptable guidelines are formulated, a combination of conventional methods, including either 3 microg of oxacillin/ml. in Mueller Hinton broth or one of the screen agar plates (6 microg/ml), alone or with PCR should be the method of choice for the detection of MRSA. (Tab. 4, Ref. 12.)

Humans↗

PubMedDate not supplied

Molecular epidemiology of methicillin-resistant Staphylococcus aureus in Ilorin, Nigeria.

BACKGROUND: Nosocomial infections caused by methicillin-resistant strains of Staphylococcus aureus constitute significant epidemiologic problems. Defining an outbreak requires the use of rapid and highly discriminatory epidemiologic methods to determine the epidemic strains involved in such outbreak. STUDY DESIGN: A descriptive laboratory based surveillance study for MRSA was undertaken. One hundred and forty seven Staphylococcus aureus isolates from clinical specimens were screened for methicillin resistance at the University of Ilorin Teaching Hospital between January and December 2001. Fifty one (34.7%) methicillin resistant strains recovered were epidemiologically characterized using Eco R1 restriction enzyme analysis of their plasmid DNAs. RESULT: Forty five (88.2%) MRSA isolates were associated with infections and 6 (11.8 %) were colonizing strains; 36 (70.6%) and 15 (29.4%) were hospital and community acquired respectively. Skin and soft tissues were sites of infection in 36 (70.6 %) cases and surgical, emergency and ICU accounted for 33 (64.7%) isolates. All isolates were resistant to more than two antibiotics but sensitive to vancomycin. Forty two (82.4 %) isolates contained plasmids including 9 (21.4 %) that contained more than one plasmid. Restriction Enzyme Analysis of the Plasmid DNA (REAP) divided the isolates into 9 Eco R1 profiles, with profile 2 accounting for 41.7% of all nosocomial infections in the wards, implying that it is endemic. The remaining nosocomial profiles occurred less frequently, suggesting that they are sporadic strains originating from outside the hospital. The community strains showed diverse digestion pattern indicating that they are from different clones. CONCLUSION: The spread of MRSA can be controlled through reinforcement of appropriate use of antibiotics, hand washing and laboratory surveillance for MRSA, particularly in the surgical wards and intensive care units, in order to identify sources of outbreaks.

Cross Infection↗

PubMed2005

Identification of methicillin-resistant Staphylococcus aureus (MRSA): Comparison of a new molecular genetic test kit (GenoType MRSA) with standard diagnostic methods.

Results obtained from 188 isolates of staphylococci using standard diagnostic methods for identifying MRSA were compared with those achieved with a newly available molecular genetic test kit, the GenoType, Version 1, MRSA (Hain Lifescience GmbH, Nehren, Germany). The GenoType MRSA detects the mecA gene and, in addition, a highly specific sequence for Staphylococcus aureus (S. aureus) by polymerase chain reaction (PCR) and reverse hybridization. There was a 100% overall correlation between the results of conventional and molecular genetic testing. 143 isolates were tested positive for MRSA, 10 isolates were identified as oxacillin-sensitive Staphylococcus aureus strains (MSSA), and 35 isolates were coagulase-negative staphylococci of various species. However, five of the 143 MRSA strains yielded ambiguous results with the first line standard tests and therefore required additional testing leading to delay of definitive diagnosis. As expected, mecA could not only be detected in MRSA strains, but also in coagulase-negative staphylococci. The reliable identification as S. aureus from the same isolate is therefore an essential prerequisite for MRSA diagnosis. The GenoType MRSA fulfills this requirement by parallel detection of a S. aureus-specific sequence and the mecA gene. Molecular genetic testing with the GenoType MRSA kit needs much less time than conventional microbiological methods. Therefore genetic testing provides not only a considerable advantage with respect to reliability but also to speed.

Bacterial Proteins↗

PubMed2005

Staphylococcus aureus septicemia in non-neutropenic adult patients hospitalized in internal medicine units.

PURPOSE: Staphylococcus aureus septicemia (SAS) is usually described in immunocompromised patients and during serious weakening diseases, associated with a neutropenic condition. Over the last recent years, clinic relevance of SAS has become more prominent owing to the progressive rise of methicillin-resistent strains in hospital-acquired infections and to its development in non-neutropenic patients. MATERIAL AND METHODS: The aim of our study was to evaluate the clinical features and outcome of non-neutropenic patients with positive blood culture for Staphylococcus aureus (SA) hospitalized in Internal Medicine Wards of our hospital during 1 year of observation. 24 patients with those characteristics were retrospectively recruited; five of them were then excluded from the analysis because of concomitant oncohematologic disease. The median age of the study group of patients (19 cases) was 56 years (range 18-87); 10 (52.6%) patients were male. RESULTS: Infection was hospital-acquired in 10 patients (52.6%). Predisposing factors were: central venous catheter (CVC) (47.4%), recent surgical intervention (21.0%), drug-addiction (15.8%). Main comorbidities were diabetes mellitus in 10 patients (52.6%), heart disease in 4 (21.0%), chronic renal failure in 3 (15.8%), cerebral vascular disease in 3 (15.8%). Fever >38 degrees C was found in all patients at the moment of SA isolation in blood culture. SA isolated-strains were methicillin-resistant in 7 patients (36.8%). Complications of bacteremia were: pneumonia in 4, endocarditis in 3, vertebral osteomyelytis in 2, septic splenic embolization in 1 and endophtalmitis in 1 patient. The septicemia-attributable mortality was 36.8% (7 patients). CONCLUSIONS: SAS in non-neutropenic patients observed in Internal Medicine Units are associated with significant morbidity and mortality, closer to that reported for neutropenic illnesses.

Adolescent↗

PubMed2005

Resistance pattern of antibiotics against clinical isolates of Staphylococcus aureus.

The present research was conducted to study the susceptibility and resistance pattern of Staphylococcus aureus isolates against various brands of commonly used antibiotics. A total of 50 bacterial isolates were obtained from various clinical specimens submitted to the clinical laboratory of Pakistan Institute of Medical Sciences Islamabad (PIMS). Out of 50 isolates 30 (60%) were identified as coagulase positive Staphylococcus aureus. These isolates were tested for susceptibility pattern 19 (63%), these isolates were resistant to penicillin, 17 (57%) to ampicillin, 19 (63%) to cloxacillin, 20 (67%) to streptomycin, 11 (37%) to clindamycin, 16 (53%) to lincomycin and 19 (63%) to neomycin. These isolates had MIC range of penicillin and lincomycin (<0.5 to > 512 microg/mL), ampicillin, cloxacillin and clindamycin (0.5 to 256 microg/mL), streptomycin (4 to >512 microg/mL) and neomycin (2 to 256 microg/mL). Clindamycin was found to be the most effective among these antibiotics tested in the study against these clinical isolates.

Anti-Bacterial Agents↗

PubMed2005

[Vancomycin-resistant Staphylococcus aureus].

The evolution and molecular mechanisms of vancomycin resistance in Staphylococcus aureus were reviewed. Case reports and research studies on biochemestry, electron microscopy and molecular biology of Staphylococcus aureus were selected from Medline database and summarized in the following review. After almost 40 years of successful treatment of S. aureus with vancomycin, several cases of clinical failures have been reported (since 1997). S. aureus strains have appeared with intermediate susceptibility (MIC 8-16 microg/ml), as well as strains with heterogeneous resistance (global MIC < or =4 microg/ml), but with subpopulations of intermediate susceptibility. In these cases, resistance is mediated by cell wall thickening with reduced cross linking. This traps the antibiotic before it reaches its major target, the murein monomers in the cell membrane. In 2002, a total vancomycin resistant strain (MIC > or =32 microg/ml) was reported with vanA genes from Enterococcus spp. These genes induce the change of D-Ala-D-Ala terminus for D-Ala-D-lactate in the cell wall precursors, leading to loss of affinity for glycopeptides. Vancomycin resistance in S. aureus has appeared; it is mediated by cell wall modifications that trap the antibiotic before it reaches its action site. In strains with total resistance, Enterococcus spp. genes have been acquired that lead to modification of the glycopeptide target.

Anti-Bacterial Agents↗

PubMed1992

Comparison of media to isolate Staphylococcus aureus from teat skin and milking unit liners.

Four procedures were compared for isolation of Staphylococcus aureus from swabbing solutions of teat skin and milking unit liners from commercial dairies. In 2 procedures, 0.1 ml of swabbing solutions were added to either 5 ml Vogel-Johnson or Baird Parker broth media and enriched at 37 degrees C, 4 h. Following enrichment, 0.1 ml culture was transferred to modified Baird-Parker agar and incubated at 37 degrees C, 48 h. In the other 2 procedures, 0.1 ml of swabbing solution was directly placed on either blood or modified Baird-Parker agar plates and incubated at 37 degrees C 48 h. Combining results from all methods, Staphylococcus aureus were isolated from 72 of 913 (7.9%) skin samples, and 34 of 268 liners (12.6%). On average, 43.1% (31/72) of the S. aureus isolates were found by the enrichment in liquid Vogel-Johnson procedure. The average isolation percentage for other methods ranged from 19.4% to 25.0%. Isolation of S. aureus from milking unit liner or teat skin swabbing solutions was approximately twice as likely after enrichment in Vogel-Johnson liquid media as opposed to other methods of isolation. This indicates that enrichment in Vogel-Johnson liquid media improved recovery of S. aureus from swabbing solutions.

Animals↗