Potential possibilities of using phage typing in elimination of multidrug resistant staphylococci

Zuzanna Drulis-Kawa1, Beata Weber-Dabrowska, Marzanna Lusiak-Szelachowska

  • 1Institute of Genetics and Microbiology, University of Wrocław, Przybyszewskiego 63/77, 51-148 Wrocław, Poland.

Insights

Multidrug-resistant coagulase-negative staphylococci (CoNS) are a growing concern in neonatal infections. This study found that certain bacteriophages show potential for treating these resistant bacterial strains.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Bacteriology

Background:

  • Coagulase-negative staphylococci (CoNS) are frequently isolated from neonates, causing significant nosocomial infections.
  • These CoNS strains often exhibit multidrug resistance to common antibiotics like oxacillin, macrolides, aminoglycosides, and fluoroquinolones.

Purpose of the Study:

  • To evaluate the efficacy of staphylococcus bacteriophages against multidrug-resistant CoNS strains isolated from neonatal bloodstream infections.
  • To identify specific bacteriophages with lytic activity against these challenging pathogens.

Main Methods:

  • Fifty multidrug-resistant CoNS strains from neonatal infections were tested for sensitivity to 23 different lytic staphylococcus bacteriophages.
  • Lytic patterns were observed to determine bacteriophage activity against the CoNS isolates.

Main Results:

  • Nineteen of the 23 tested bacteriophages showed no lytic activity against the CoNS strains.
  • Bacteriophages P4, A3R, and 676/Z demonstrated activity against 46%, 54%, and 56% of the strains, respectively.
  • Overall, 60% of the CoNS isolates were susceptible to at least one of the tested staphylococcus bacteriophages.

Conclusions:

  • Specific bacteriophages, including P4, A3R, and 676/Z, exhibit lytic activity against multidrug-resistant CoNS.
  • Bacteriophage therapy presents a potential alternative or adjunct treatment for neonatal infections caused by resistant CoNS strains.

Related Concept Videos

Clinical Significance of Antibiotic Resistance01:25

Clinical Significance of Antibiotic Resistance

Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within the One...
Lytic Cycle of Bacteriophages01:30

Lytic Cycle of Bacteriophages

Bacteriophages, also known as phages, are specialized viruses that infect bacteria. A key characteristic of phages is their distinctive “head-tail” morphology. A phage begins the infection process (i.e., lytic cycle) by attaching to the outside of a bacterial cell. Attachment is accomplished via proteins in the phage tail that bind to specific receptor proteins on the outer surface of the bacterium. The tail injects the phage’s DNA genome into the bacterial cytoplasm. In the lytic replication...
Rapid Identification of Pathogens01:25

Rapid Identification of Pathogens

MALDI-TOF MS has transformed clinical microbiology by offering a rapid and reliable method for pathogen identification. The traditional approach to microbial identification typically involves time-consuming culture techniques and biochemical tests, which can delay the initiation of appropriate antimicrobial therapy. MALDI-TOF MS avoids these delays by using characteristic ribosomal protein mass patterns of microbial cells, enabling accurate species-level identification within minutes.Principle...
Modern Molecular Taxonomy01:29

Modern Molecular Taxonomy

Advancements in molecular biology have revolutionized the identification and characterization of bacteria, with multiple methods leveraging DNA sequencing for enhanced precision. As sequencing technologies improve and costs decline, these approaches are increasingly used in clinical, environmental, and evolutionary studies.Multilocus Sequence Typing (MLST) examines several housekeeping genes, essential chromosomal genes encoding cellular functions, to distinguish strains. Approximately...
Methods of Classification and Identification01:28

Methods of Classification and Identification

Bacterial identification relies on a diverse array of techniques to classify and understand microorganisms, each tailored to uncover specific characteristics. Traditional morphological approaches, while still valuable, are limited for closely related or structurally simple organisms. Modern methods integrate biochemical, serological, genetic, and advanced molecular tools to achieve greater accuracy.Morphological and Biochemical TechniquesMorphological characteristics, such as cell shape and...