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Biosensor for Detection of Antibiotic Resistant Staphylococcus Bacteria
Published on: May 8, 2013
Molecular analysis of methicillin-resistant Staphylococcus aureus reveals an absence of plasmid DNA in
Jonathan M Caddick1, Anthony C Hilton, Jessica Rollason
1Department of Molecular Biosciences, Aston University, Aston Triangle, Birmingham B4 7ET, UK.
Abstract:
The number, diversity and restriction enzyme fragmentation patterns of plasmids harboured by 44 multidrug-resistant hospital-acquired methicillin-resistant Staphylococcus aureus (MR-HA-MRSA) isolates, two multidrug-resistant community-acquired MRSA (MR-CA-MRSA), 50 hospital-acquired MRSA (HA-MRSA) isolates (from the University Hospital Birmingham, NHS Trust, UK) and 34 community-acquired MRSA (CA-MRSA) isolates (from general practitioners in Birmingham, UK) were compared. In addition, pulsed-field gel electrophoresis (PFGE) type following SmaI chromosomal digest and SCCmec element type assignment were ascertained for each isolate. All MR-HA-MRSA and MR-CA-MRSA isolates possessed the type II SCCmec, harboured no plasmid DNA and belonged to one of five PFGE types. Forty-three out of 50 HA-MRSA isolates and all 34 CA-MRSA isolates possessed the type IV SCCmec and all but 10 of the type IV HA-MRSA isolates and nine CA-MRSA isolates carried one or two plasmids. The 19 non-multidrug-resistant isolates (NMR) that did not harbour plasmids were only resistant to methicillin whereas all the NMR isolates harbouring at least one plasmid were resistant to at least one additional antibiotic. We conclude that although plasmid carriage plays an important role in antibiotic resistance, especially in NMR-HA-MRSA and CA-MRSA, the multidrug resistance phenotype from HA-MRSA is not associated with increased plasmid carriage and indeed is characterised by an absence of plasmid DNA.
Insights
Multidrug resistance in hospital-acquired methicillin-resistant Staphylococcus aureus (MR-HA-MRSA) is not linked to increased plasmid DNA. However, plasmids do contribute to antibiotic resistance in non-multidrug-resistant HA-MRSA and community-acquired MRSA.
Area of Science:
- Microbiology
- Genetics
- Infectious Diseases
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) is a significant public health concern.
- Understanding the genetic basis of antibiotic resistance in MRSA is crucial for effective treatment and control.
- Hospital-acquired (HA-MRSA) and community-acquired (CA-MRSA) strains exhibit varying resistance mechanisms.
Purpose of the Study:
- To compare plasmid carriage and diversity in different MRSA subtypes.
- To investigate the relationship between plasmid DNA and multidrug resistance phenotypes.
- To determine the role of plasmids in antibiotic resistance in HA-MRSA and CA-MRSA isolates.
Main Methods:
- Analysis of plasmid DNA, SCCmec types, and pulsed-field gel electrophoresis (PFGE) patterns in 164 MRSA isolates.
- Categorization of isolates into multidrug-resistant hospital-acquired (MR-HA-MRSA), multidrug-resistant community-acquired (MR-CA-MRSA), HA-MRSA, and CA-MRSA groups.
- Comparison of plasmid carriage and antibiotic resistance profiles across different MRSA classifications.
Main Results:
- MR-HA-MRSA and MR-CA-MRSA isolates predominantly carried type II SCCmec, lacked plasmid DNA, and showed limited PFGE diversity.
- HA-MRSA and CA-MRSA isolates mostly possessed type IV SCCmec, with many harboring one or two plasmids.
- Non-multidrug-resistant isolates without plasmids were only resistant to methicillin, while those with plasmids showed resistance to additional antibiotics.
Conclusions:
- Multidrug resistance in HA-MRSA is characterized by an absence of plasmid DNA, contrary to expectations.
- Plasmid carriage plays a significant role in conferring antibiotic resistance, particularly in non-multidrug-resistant HA-MRSA and CA-MRSA.
- The genetic determinants of multidrug resistance differ between MRSA subtypes, with plasmids being key in some but not others.
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