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Published on: September 5, 2013
Alterations in phage-typing patterns in vancomycin-intermediate Staphylococcus aureus
John E Gustafson1, Frances G O'Brien1, Geoffrey W Coombs1
1Department of Biology, New Mexico State University, Las Cruces, NM 88003-8001, USA 2Gram-positive Bacteria Typing and Research Unit, Curtin University of Technology, and Royal Perth Hospital, Perth 6845, Western Australia 3Microbiology Group, Department of Biological Sciences, Illinois State University, Normal, IL 61790-4120, USA.
Abstract:
The ability of phage-typing and SmaI chromosomal RFLPs to conclude appropriate strain relatedness between a collection of 12 well-characterized in vitro-selected vancomycin-intermediate Staphylococcus aureus (VISA) strains and their seven vancomycin-susceptible parent strains is reported. Generally, no SmaI RFLP alterations were observed in VISA strains when they were compared with their respective parent strains, and clonal relationships between isogenic strains were clearly evident. Unlike the SmaI RFLP results, parent strains and VISA derivatives generally did not share similar phage-typing profiles. Depending on the phage set investigated, some VISA strains even became untypable by this method. Loss of phage infectivity is probably due to cell wall (phage receptor) alterations that are expressed by the VISA strains investigated. Collectively, these findings indicate that inappropriate relationships between VISA and vancomycin-susceptible parents might be drawn if only phage-typing and antibiotic susceptibility are utilized to determine epidemiological relationships.
Insights
Phage-typing and SmaI RFLPs were used to analyze vancomycin-intermediate Staphylococcus aureus (VISA) strains. SmaI RFLPs showed strain relatedness, but phage-typing did not, indicating potential issues in epidemiological studies.
Area of Science:
- Microbiology
- Molecular Biology
- Epidemiology
Background:
- Vancomycin-intermediate Staphylococcus aureus (VISA) poses a significant challenge in healthcare settings.
- Accurate strain typing is crucial for understanding the epidemiology of antibiotic-resistant bacteria.
Purpose of the Study:
- To evaluate the utility of phage-typing and SmaI chromosomal RFLPs for assessing strain relatedness between VISA and their susceptible parent strains.
- To determine if these methods accurately reflect clonal relationships in vitro-selected VISA.
Main Methods:
- Analysis of 12 vancomycin-intermediate Staphylococcus aureus (VISA) strains and their 7 vancomycin-susceptible parent strains.
- Application of phage-typing and SmaI chromosomal Restriction Fragment Length Polymorphism (RFLP) analysis.
Main Results:
- SmaI RFLP analysis revealed clear clonal relationships between isogenic parent and VISA strains, with generally no observed alterations.
- Phage-typing profiles frequently differed between parent and VISA strains, with some VISA strains becoming untypable.
- Observed discrepancies suggest cell wall alterations in VISA strains affecting phage receptor sites.
Conclusions:
- SmaI RFLP is a reliable method for determining strain relatedness between isogenic VISA and susceptible Staphylococcus aureus.
- Phage-typing alone may lead to inaccurate epidemiological conclusions due to VISA-induced alterations.
- Combined use of genotypic and phenotypic methods is recommended for accurate epidemiological assessments of VISA strains.
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